My effort to add critical thinking to bioethics, a choppy path at best, sparked me to question some fundamentals about academic publishing. From long ago on the Urban Law Journal at Fordham Law School to my current position at Voices in Bioethics, Columbia University’s journal, I have encountered and managed viewpoint discrimination. In training peer…
Bioethics must recognize a syndemics approach to ethical solutions to the obesity epidemic in the US. The line between public health and personal health is artificial. Economic, political, and social structures influence the body in the doctor’s office. Public health approaches obesity various ways—usually by recommendations of exercise and lifestyles that are unattainable. Public programs…
Self-driving cars, warehouse robots, EZ-pass, do-it-yourself check-outs, and ATMs threaten the future of work. Work and its many components including pay, atmosphere, feeling of inclusion, and empowerment are social determinants of health. Potential job loss is a valid consideration in ethical arguments to restrict the development or uses of new technologies, yet there is not…
Data-Generating Patents require a broad ethical approach that incorporates business ethics. Ethics should that adhere to the spirit behind antitrust law and competition to protect consumers. Intellectual property rights are expanding. Data-generating patents can preclude competitors from obtaining, collecting, or generating the same type of data. It also deprives people of control over their data…
The ProPublica report on the taxes paid by the ultrawealthy is an important backdrop in a syndemic framework for evaluating health. A strong tax base contributes directly to health in several ways. Public parks, social services, education, community health centers, strong infrastructure, and Medicaid rely on tax dollars. Medical research is often funded by NIH…
Science is defined many ways, but the modern definition used here is knowledge based on data and observation. That is, the distinction between science and the social sciences or humanities is that critical thinking and complex reasoning, generally based in philosophy, logic, and reason, are the backbone of the social sciences and humanities. Critical thought…
The climate change framework that I set forth in the course accompanying this blog focuses on a broad “No Natural Disasters” protection of those vulnerability to climate change. Climate migration is already underway and has many causes. The ethical approaches should acknowledge human rights, responsibility for climate change, and the root of the moral obligations….
Critical theory seeks to challenge assumptions and constraining ideologies, both in a reflective, self-critical way and a normative way. It seeks to identify areas in need of change, identify who makes the change, and challenge prevailing views. Applying critical theory to bioethics would lead to questioning and changing prevailing assumptions as well as the actions…
In The “New” Medical Morality: Hippocrates or Bioethics? Jeffrey Hall Dobken writes, “…the neo-discipline of bioethics must be examined for moral effectiveness as well as clinical outcome.” By examining whose “needs and interests” are served by bioethics, Dobken criticizes the marginalization of both the doctor and patient voice. Dobken also questions the four principles and…