Studies in Ethics, Law and Technology (SELT) differs from similar journals in the field in the following way: it is broader both in terms of focusing on a wide range of technologies as well as giving equal attention to ethical and regulatory questions. Besides, being an electronic medium, SELT has no limited word count, which characterizes hard copy journals. Finally, SELT seems to invite more pioneering and imaginative work. These points are being well demonstrated by this third issue of SELT's second volume.
{"title":"Of Vampires and Angels: An Editorial","authors":"B. Gordijn, A. M. Cutter","doi":"10.2202/1941-6008.1077","DOIUrl":"https://doi.org/10.2202/1941-6008.1077","url":null,"abstract":"Studies in Ethics, Law and Technology (SELT) differs from similar journals in the field in the following way: it is broader both in terms of focusing on a wide range of technologies as well as giving equal attention to ethical and regulatory questions. Besides, being an electronic medium, SELT has no limited word count, which characterizes hard copy journals. Finally, SELT seems to invite more pioneering and imaginative work. These points are being well demonstrated by this third issue of SELT's second volume.","PeriodicalId":88318,"journal":{"name":"Studies in ethics, law, and technology","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2202/1941-6008.1077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68798225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Review of 203 Days (Film)","authors":"P. Malpas","doi":"10.2202/1941-6008.1082","DOIUrl":"https://doi.org/10.2202/1941-6008.1082","url":null,"abstract":"","PeriodicalId":88318,"journal":{"name":"Studies in ethics, law, and technology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2202/1941-6008.1082","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68798046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
, Fritz Allhoff, Ed. (Springer, 2008). Reviewed by Michael Davis As a military physician was getting into an ambulance to attend to the wounded at a firefight near Bagdad, a line officer asked her to report by radio any suspicious activity she saw: “The enemy is always setting bombs along that road. The more we spot, the fewer of our guys you’ll have to patch up.” As a member of the military, the physician should, it seems, agree to help protect “our guys”. But, as a physician in a vehicle marked with a red cross, shouldn’t she decline? Physicians are supposed to be physicians, not forward observation posts. Her loyalty to the military seems to clash with her loyalty to her profession. That is the subject of this collection of original essays, the so-called “problem of the dual loyalty of military physicians”.
{"title":"Review of Physicians at War: The Dual-Loyalties Challenge","authors":"Michael Davis","doi":"10.2202/1941-6008.1072","DOIUrl":"https://doi.org/10.2202/1941-6008.1072","url":null,"abstract":", Fritz Allhoff, Ed. (Springer, 2008). Reviewed by Michael Davis As a military physician was getting into an ambulance to attend to the wounded at a firefight near Bagdad, a line officer asked her to report by radio any suspicious activity she saw: “The enemy is always setting bombs along that road. The more we spot, the fewer of our guys you’ll have to patch up.” As a member of the military, the physician should, it seems, agree to help protect “our guys”. But, as a physician in a vehicle marked with a red cross, shouldn’t she decline? Physicians are supposed to be physicians, not forward observation posts. Her loyalty to the military seems to clash with her loyalty to her profession. That is the subject of this collection of original essays, the so-called “problem of the dual loyalty of military physicians”.","PeriodicalId":88318,"journal":{"name":"Studies in ethics, law, and technology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2202/1941-6008.1072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68797941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The debate about evolution continues as another category of critics seeks to challenge its merits. These critics put forward intelligent design (ID) as a scientific rival to evolution. For those familiar with the relevant history, this occurrence resurrects a cycle of debate about evolution that never seems to end. The purpose of this article is to identify key reasons why debate about evolution remains with us.
{"title":"The Endless \"Controversy:\" Evolution and Its Critics","authors":"J. Borenstein","doi":"10.2202/1941-6008.1045","DOIUrl":"https://doi.org/10.2202/1941-6008.1045","url":null,"abstract":"The debate about evolution continues as another category of critics seeks to challenge its merits. These critics put forward intelligent design (ID) as a scientific rival to evolution. For those familiar with the relevant history, this occurrence resurrects a cycle of debate about evolution that never seems to end. The purpose of this article is to identify key reasons why debate about evolution remains with us.","PeriodicalId":88318,"journal":{"name":"Studies in ethics, law, and technology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2202/1941-6008.1045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68797077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Review of Rescuing Science from Politics","authors":"D. Resnik","doi":"10.2202/1941-6008.1074","DOIUrl":"https://doi.org/10.2202/1941-6008.1074","url":null,"abstract":"","PeriodicalId":88318,"journal":{"name":"Studies in ethics, law, and technology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2202/1941-6008.1074","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68797523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This special issue is concerned with the evolving ethical and legal issues associated with the use of different types of information in health and health care by a wide range of stakeholders. The stakeholders include but are not restricted to practicing clinicians, researchers, managers, policy makers and last but hopefully not least patients and the public.
{"title":"The Changing Ethical and Legal Implications of Information in Health: A Guest Editorial","authors":"A. Gillies","doi":"10.2202/1941-6008.1097","DOIUrl":"https://doi.org/10.2202/1941-6008.1097","url":null,"abstract":"This special issue is concerned with the evolving ethical and legal issues associated with the use of different types of information in health and health care by a wide range of stakeholders. The stakeholders include but are not restricted to practicing clinicians, researchers, managers, policy makers and last but hopefully not least patients and the public.","PeriodicalId":88318,"journal":{"name":"Studies in ethics, law, and technology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2202/1941-6008.1097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68798489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nanomedicine applications are an extension of traditional pharmaceutical drug development that are targeting the most pressing health concerns through improvements to diagnostics, drug delivery systems, therapeutics, equipment, surgery and prosthetics. The benefits and risks to the individual have been extrapolated to include broader societal impacts of nanomedicine with concerns extending to inequitable distribution of benefits accruing to developed, or North countries, rather than developing, or South countries. Analysis reveals a great deal of overlap between the North and South's most serious health priorities which kill millions each year. A significant amount of nanomedicine research activity is also underway for the most pressing South country-specific health concerns. Nanomedicine development promises profound breakthroughs for both North and South countries; however, the existing inequities in pharmaceutical drug development, patenting, access and delivery remain significant barriers for South countries.
{"title":"The Impact of Nanomedicine Development on North-South Equity and Equal Opportunities in Healthcare","authors":"M. Tyshenko","doi":"10.2202/1941-6008.1118","DOIUrl":"https://doi.org/10.2202/1941-6008.1118","url":null,"abstract":"Nanomedicine applications are an extension of traditional pharmaceutical drug development that are targeting the most pressing health concerns through improvements to diagnostics, drug delivery systems, therapeutics, equipment, surgery and prosthetics. The benefits and risks to the individual have been extrapolated to include broader societal impacts of nanomedicine with concerns extending to inequitable distribution of benefits accruing to developed, or North countries, rather than developing, or South countries. Analysis reveals a great deal of overlap between the North and South's most serious health priorities which kill millions each year. A significant amount of nanomedicine research activity is also underway for the most pressing South country-specific health concerns. Nanomedicine development promises profound breakthroughs for both North and South countries; however, the existing inequities in pharmaceutical drug development, patenting, access and delivery remain significant barriers for South countries.","PeriodicalId":88318,"journal":{"name":"Studies in ethics, law, and technology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2202/1941-6008.1118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68799791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this paper I propose that the special duty of care present in the doctor-patient relationship is passed along the chain of professionals involved in modern healthcare. A chain of duty arises from knowledge of intended use and requires a system of trust between patient, doctor and non-clinical professionals. The first part of the paper introduces the concepts of duty of care and the requirement for trustworthiness in medical ethics, and extends these, via chains of duty and chains of trust, to non-clinical professions. The second part demonstrates the application of this in one field of information management in healthcare: decision support systems.
{"title":"Chains of Trust and Duty in Health Information Management","authors":"Alan J Green","doi":"10.2202/1941-6008.1019","DOIUrl":"https://doi.org/10.2202/1941-6008.1019","url":null,"abstract":"In this paper I propose that the special duty of care present in the doctor-patient relationship is passed along the chain of professionals involved in modern healthcare. A chain of duty arises from knowledge of intended use and requires a system of trust between patient, doctor and non-clinical professionals. The first part of the paper introduces the concepts of duty of care and the requirement for trustworthiness in medical ethics, and extends these, via chains of duty and chains of trust, to non-clinical professions. The second part demonstrates the application of this in one field of information management in healthcare: decision support systems.","PeriodicalId":88318,"journal":{"name":"Studies in ethics, law, and technology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2202/1941-6008.1019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68796154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The objective of this study was to determine the extent of decline in level of access and quality of services reported by healthcare consumers during a media campaign to limit recovery for damages incurred through medical malpractice. Serving as a natural experiment, this campaign involved a widely publicized statewide "malpractice crisis," promoted as causing mass exodus of medical providers from the state. The (reported) resulting reduction in services, especially for the most underserved areas and populations, though unproven, had been touted as justification for amending the state constitution. Patient survey responses collected during the crisis indicated relatively high levels of satisfaction with access and quality of care during the publicized crisis (and alleged provider exodus). Similar organized malpractice crises examined from previous years suggest that policymakers should demonstrate caution when responding to a perceived crisis, especially when economic benefit for a particular interest group is at stake. Further, a lack of ethics in media through inaccurate reporting and sensationalism may lead to a seductive invitation to like ethical lapses by medical professionals in their attempts to shape policy through artificial crises creation.
{"title":"Medical Ethics and Media-Created Crisis: A Case Study in Medical Malpractice Reform","authors":"D. Lorence, R. Jameson, Jeanine Palilla","doi":"10.2202/1941-6008.1087","DOIUrl":"https://doi.org/10.2202/1941-6008.1087","url":null,"abstract":"The objective of this study was to determine the extent of decline in level of access and quality of services reported by healthcare consumers during a media campaign to limit recovery for damages incurred through medical malpractice. Serving as a natural experiment, this campaign involved a widely publicized statewide \"malpractice crisis,\" promoted as causing mass exodus of medical providers from the state. The (reported) resulting reduction in services, especially for the most underserved areas and populations, though unproven, had been touted as justification for amending the state constitution. Patient survey responses collected during the crisis indicated relatively high levels of satisfaction with access and quality of care during the publicized crisis (and alleged provider exodus). Similar organized malpractice crises examined from previous years suggest that policymakers should demonstrate caution when responding to a perceived crisis, especially when economic benefit for a particular interest group is at stake. Further, a lack of ethics in media through inaccurate reporting and sensationalism may lead to a seductive invitation to like ethical lapses by medical professionals in their attempts to shape policy through artificial crises creation.","PeriodicalId":88318,"journal":{"name":"Studies in ethics, law, and technology","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2202/1941-6008.1087","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68798571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
July 2008 saw a conclusion to a case which began with a request to the Common Services Agency for the Scottish Health Service (hereinafter the CSA') under the Freedom of Information (Scotland) Act 2002 (hereinafter FOISA') and culminated in a hearing in front of the House of Lords as Court of Appeal. The outcome, however, can be considered both a triumph and a failure for data protection law.This paper analyzes the House of Lords decision to determine whether the judgment has provided more legal clarity in an area in which guidance is still very much required.
{"title":"Mr. Collie Goes to London: - The House of Lords Decision in Common Services Agency vs. The Scottish Information Commissioner","authors":"R. Gertz","doi":"10.2202/1941-6008.1089","DOIUrl":"https://doi.org/10.2202/1941-6008.1089","url":null,"abstract":"July 2008 saw a conclusion to a case which began with a request to the Common Services Agency for the Scottish Health Service (hereinafter the CSA') under the Freedom of Information (Scotland) Act 2002 (hereinafter FOISA') and culminated in a hearing in front of the House of Lords as Court of Appeal. The outcome, however, can be considered both a triumph and a failure for data protection law.This paper analyzes the House of Lords decision to determine whether the judgment has provided more legal clarity in an area in which guidance is still very much required.","PeriodicalId":88318,"journal":{"name":"Studies in ethics, law, and technology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2202/1941-6008.1089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68798614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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