American Journal of Bioethics

Article	Citations
Until Adolescents Can Consent for Vaccination, Protecting Them from COVID-19 Will Require Counseling Skeptical Parents	110
Vulnerable Patients, Adult Protective Services Investigations, and Reticent Surrogates: What is the Role of Clinical Ethics?	78
Is It Ethical to Mandate Vaccination among Incarcerated Persons? Consider Enforcement and Ask People Living in Prisons and Jails	62
Postponed Withholding: The Wrong Nudge	59
Preserve Patient Autonomy; Resist Expanding the Harm Principle to Override Decisions by Competent Patients	56
Tube Feed or Not Tube Feed: Ethics beyond the Consult Question	51
Prenatal Testing for Non-Medical Traits	48
Included but Still Invisible?: Considering the Protection-Inclusion Dilemma in Qualitative Research Findings	45
Participation in Pragmatic Clinical Trials: A Matter of Physicians’ Professional Ethics?	45
Emergency Department Boarding of a Teen Requiring Complex Care: How Should an Ethics Consultant Respond?	44
What Difference Can Public Engagement in Genome Editing Make, and for Whom?	43
From “Ought” to “Is”: Surfacing Values in Patient and Family Advocacy in Rare Diseases	41
Don’t Leave the Heart Behind	37
ECMO as a Palliative Bridge to Death	37
Patient Diversity and Collaborative Co-Reasoning for Ethical Use of Machine Learning-Driven Decision Support Systems	37
Integrating Counterfactual Thinking and Economic Definitions of Regret into Discussions of Agent-Regret in Healthcare	35
Agent-Regret in Healthcare	35
A Patient-Directed Approach: How the U.S. Model of Medical Aid in Dying Balances Compassion with Safeguards	31
Pediatric Brain Death Testing Over Parental Objections: Not an Ethically Preferable Option	31
Is Dupras and Bunnik’s Framework for Assessing Privacy Risks in Multi-Omic Research and Databases Still Too Exceptionalist?	30
How Philosophy of Science Can Unlock New Methods in Bioethics	28
Heroism Is Not a Plan—From “Duty to Treat” to “Risk and Rewards”	27
Responding to Parental Objections Over Testing for Death by Neurologic Criteria	27
Going Back to Basics: What is the Target of Prenatal Screening?	26
External Dynamics Contextualizing the FDA’s Role in E-Cigarette Regulation	26

Expanding the Frame: An Afrofuturist Response to Artificial Womb Technology	26
Digital Privacy and Data Protection: From Ethical Principles to Action	25
What Does True Equality in Assisted Dying Require?	25
ChatGPT and the Law of the Horse	24
War, Bioethics, and Public Health	23
From Classification to Governance: Ethical Challenges of Adaptive Learning in Medicine	23
Canadian Medical Assistance in Dying and the Hegemony of Privilege	23
Context-Sensitivity and the Inclusion of Subjective Beliefs Have Broad Implications	22
What We Owe Those Who Chat Woe: A Relational Lens for Mental Health Apps	22
Moral Stress and Moral Distress: Confronting Challenges in Post- Dobbs Contexts	22
Community-Based Consent Model, Patient Rights, and AI Explainability in Medicine	22
“Treatment Pressures” and “Informal Coercion”: “Threats” in Mental Healthcare	22
Ethical Considerations in Clinical Trials for Rare Genetic Diseases: The Case of Huntington’s Disease	22
Respect for Readiness	22
Informed Consensus: The Future of Respect for Persons in Biomedical Research	21
Comparisons Only Yield Valid Mutual Learnings If Based on Accurate Descriptions of the Comparators	21
The Role of Self-Illness Ambiguity and Self-Medication Ambiguity in Clinical Decision-Making	21
Noninvasive Testing for “Non-Medical” Traits: A Misplaced Expressive Concern, Tough Policy Choices	21
Reasons, Persons, Eugenics and an Argument in Favour of Gene Editing	21
Psychedelic Ethics in Palliative Care	20
Racing to the Bottom: Adam Smith’s Hazard Pay Does Not Justify Compensation for Research Risks	20
Examining Moral Stress and Moral Distress Through the Lens of Non-Human Animal Clinicians: Understanding Challenges in Animal Healthcare Systems	20
When Sanctions Meet Corruption: Reframing Healthcare Access in Russia	20
Critically Evaluating MAID in Canada Through an Inequities Lens	20
Knowing You Know Better	20
Conscription as a Public Health Crisis: A Missing Dimension in the Bioethics of War	20
Centering More than Trauma Experiences: Reflections from Launching a Graduate Course on Bioethics & Racial Justice in Canada	19
Goldilocks and the Thanatron: A Response to Open Peer Commentaries	19
Cost-Related Non-Adherence to Prescribed Medicines: What Are Physicians’ Moral Duties?	19
All Healthcare Ethics Consultation ServicesShouldMeet Shared Quality Standards	19
Materializing Systemic Racism, Materializing Health Disparities	18
Medical Interpretation Services: Challenges for LEP Communities	18
Contingency Measures During the COVID-19 Pandemic in China: An Analysis Based on a New Ethical Framework	17
Liberalism and Identity	16
Decisions on Innovation or Research for Devastating Disease	16
Making Structural Discrimination Visible: A Call for Intersectional Bioethics	16
Medicalized Oppression: Labels of “Violence Risk” in the Electronic Medical Record	15
Nurtured Genetics: Prenatal Testing and the Anchoring of Genetic Expectancies	15
Ethical Withdrawal of ECMO Support Over the Objections of Competent Patients	15
Human Genome Editing and Identity: The Precariousness of Existence and the Abundance of Argumentative Options	15
Defining and Defending Personhood: Lessons from the Disease Debate	14
Ethical Responsibilities for Companies That Process Personal Data	14
Is Transparency about the Line between Life and Death Good for Organ Donation?	14
Does Controlled Donation after Circulatory Death Violate the Dead Donor Rule?	14
Cultural Competence as New Racism: Working as Intended?	14
OrganEx: What Will It Mean?	13
The Postponed Withholding Model: An Autoethnographic Analysis	13
Materialized Oppression in Inpatient Psychiatric Unit Design	13
See None, Do None, Teach None: How Dismantling Roe Impacts Medical Education and Physician Training	13
Power in the Pragmatic View	13

The Wrong Argument for a Bad Law	12
Patient Consent and The Right to Notice and Explanation of AI Systems Used in Health Care	12
How Ethics Can Better Anticipate the Consequences of Emerging Biotechnologies	12
Diversifying the Bioethics Funding Landscape: The Case of TMS	12
Instruments of Moral Distress: An Analysis Based on Scientificity and Application Value	12
The Need for a Global Approach to the Ethical Evaluation of Healthcare Machine Learning	12
Inpatient Hospitalization of Adolescents Diagnosed with Autism Spectrum Disorder: An Ethical Analysis	12
The Fallibility of Personal Experience	12
The Importance of Understanding Language in Large Language Models	11
ChatGPT’s Relevance for Bioethics: A Novel Challenge to the Intrinsically Relational, Critical, and Reason-Giving Aspect of Healthcare	11
Empowering Queer Data Justice	11
A Paradigm of Investigator Duty to Multiple Stakeholder Participants	11
For Bioethics to Center Justice, We Must Reconsider Funding, Training, and the Taxonomy of Bioethics	11
Is the Right to a Healthy Environment Enough? Reckoning with a History of Failures in Chemical Valley	10
Measuring Value with Volume	10
Toward Relational Diversity for AI in Psychotherapy	10
Advocating for a Context Specific Approach to Tackle Inequities	9
ChatGPT’s Responses to Dilemmas in Medical Ethics: The Devil is in the Details	9
Bioethicists Tomorrow: Identity, Inclusiveness, and Future Directions	8
Beware the Jackalopes	8
Psychedelic Ethics Beside Institutions	8
Ethical Pathways: Transitioning Whole-Eye Transplantation Into Clinical Practice	8
Rare Disease, Advocacy, and Caregiver Burnout	8
Addressing Environmental Injustices Requires a Public Health Ethics and/or Human Rights Perspective	8
Law Enforcement Interventionism as Determinant of Decision-Making Among Resuscitated Opioid Users	8
Prudently Evaluating Medical Adaptive Machine Learning Systems	8
Change the Law to Optimize Organ Donation	8
Beyond Doomsday Fears: Why We Need to Consider the Potential Harms of AI Psychotherapy	7
What Can Committees Demonstrate That Professional Ethicists Can’t? Impartial Review with Adequate Due Process	7
Assessing Risk and Supportive Care for a Hospital Discharge Refusal	7
You Don’t Have to Be Bad to Work Here: Sustaining Ideals Inside Healthcare Institutions	7
Co-Reasoning and Epistemic Inequality in AI Supported Medical Decision-Making	7
There Is Only One Sphere of Morality	7
Differences in Degree-not-Kind-of Responsibility within Conversational Artificial Intelligence	7
Agent-Regret in Healthcare: Toward a More Precise and Empirical-Based Look into the Dynamics of Agent-Regret Experiences	7
Should the Use of Adaptive Machine Learning Systems in Medicine be Classified as Research?	7
Data Properties or Analytical Methodologies: Too Much Attention to the Former Ignores Concerns About the Latter	7
Parents Have a Right to Refuse Brain Death Testing, Including Apnea Testing	7
From CRISPR to Conscience: Ethical Dilemmas in Gene Editing and Genetic Selection	7
The Slippery Slope Argument and Assisted Death: Which Approach to MAiD Does It Really Support?	7
Withdrawal of ECMO Support over the Objections of a Capacitated Patient can be Appropriate	7
An All-Too-Human Enterprise	7
Moral Stress and Moral Distress in a Novel Space of Virtual Healthcare	7
The Dead Donor Rule Does Require that the Donor is Dead	7
An Opportunity to Reconsider Fiduciary Framing in Medicine	7
A Rejection of “Applied Ethics”: Philosophy’s Real Contributions to Bioethics Found Elsewhere	7
Scapegoat-in-the-Loop? Human Control over Medical AI and the (Mis)Attribution of Responsibility	6
Early AI Lifecycle Co-Reasoning: Ethics Through Integrated and Diverse Team Science	6
Different MAiD Laws, Different MAiD Outcomes: Expected Rather Than “Disturbing”	6
The Concept of Personal Utility in Genomic Testing: Three Ethical Tensions	6
Correction	6
Equipoise and Personal Experience: Maintaining Objectivity in Psychedelic Research	6
Who Is Responsible for Promoting Equity in Rare Disease Research?	6
Current Medical Aid-in-Dying Laws Discriminate against Individuals with Disabilities	6
The Need for an Ethics of Care in the Contingency Response to Public Health Emergencies	6
A Surgeon’s Perspective From the Sharp End of Surgical Innovation	6
Stewardship or Punishment? Ethical Analysis of Transplant Candidacy for a Child from a Low-Resourced Family	6
Enhancing Decision-Making Capacity Assessments Beyond Outlier Cases: A Multi-Faceted Health Care Systems Approach	6
Embrace the Gray: How Tackling the Clinical Complexities of the Gray Zone Will Improve Decision-making	6
Parrots at the Bedside: Making Surrogate Decisions with Stochastic Strangers	6
Complexity of Establishing “Reasonability” in Conscientious Objection Claims	5
Strategies for Data Ethics Governance: Elevating Patient and Community Perspectives	5
Beyond Consent: The MAMLS in the Room	5
Bounded Justice, Inclusion, and the Hyper/Invisibility of Race in Precision Medicine	5
Bioethics Consultation and First-Order Moral Reasoning: Leaving Philosophy at the Hospital Doors	5
Ethically Navigating the Murky Waters of “Contingency Standards of Care”	5
Hospital Ethics Committees and Consultants: How Do Clinicians Perceive Their Utility in Resolving Disagreements About Life-Sustaining Treatments?	5
Environmental Justice: A Missing Core Tenet of Global Health	5
Bias and Epistemic Injustice in Conversational AI	5
Bioethics Theory-Building for Public Health	5
The Bilingual Patient’s Dilemma: Same Question, Different Answer	5
Protecting Health Privacy through Reasonable Inferences	5
Racism and the Textures of Visibility	5
Artificial Womb Technology, Catholic Health Care, and Social Justice	5
Solidarity as an Aspirational Basis for Partnership with Tribal Communities	5
The End of Personhood	5
Building Trauma-Informed Hospital Ethics Cultures	5
Beyond Incommensurability and Appropriateness: Integrating theTelosof Medicine and Addressing Compartmentalization in the Spheres of Morality Framework	5
Using Algorithms to Make Ethical Judgements: METHAD vs. the ADC Model	5
Moral Distress and Moral Stress Among Nurses Facing Challenges in a Health Care System Under Pressure	5

Incorporating Research Burden and Utility Considerations as Limiting Factors in a Framework for Returning IRR	5
Wither Vulnerability? The Over/Under Protection Dilemma and Research Equity	5
The Brainstem Criterion of Death and Accurate Syndromic Diagnosis	5
Patient Rights to Publicity versus Provider Rights to Privacy: Striking a Balance When Blogging in the Medical Setting	5
Enrolling Foster Youth in Clinical Trials: Avoiding the Harm of Exclusion	5
The Complex Relationship between Disability Discrimination and Frailty Scores	5
(Ir)Relevance of Ethics Committees: The Continued Value of Hospital Ethics Committees in Programs with Professional Ethicist Staffing	5
Digital Simulacra: Circumventing Diversity and Inclusion	5
Maternal-Fetal Therapy: The (Psycho)Social Dilemma	5
Response to Open Peer Commentaries on “Developing a Reflexive, Anticipatory, and Deliberative Approach to Unanticipated Discoveries: Ethical Lessons from iBlastoids”	5
From Data to Harm: Exploring Ethical and Social Implications of Polygenic Scores for Social Traits	4
Transforming Behavior Contracts Into Collaborative Commitments With Families	4
Consultation with Doctor Twitter: Consent Fatigue, and the Role of Developers in Digital Medical Ethics	4
The Benefits of Experience Greatly Exceed the Liabilities	4
Response to Open Peer Commentaries on Toward a Framework for Assessing Privacy Risks in Multi-Omic Research and Databases	4
Dementia, Frailty and Triage in a Pandemic	4
Conscience Clauses and Ideological Bias	4
Epistemic Value of Digital Simulacra for Patients	4
Emerging Paradigms for Ethical Review of Research Using Artificial Intelligence	4
Applying the Harm Principle to Elder Care	4
Navigating Tensions Between Law and Ethics in Surrogate Decision Making	4
Social Value, Beneficial Information, and Obligations to Participants in a Trial of Novel COVID-19 Vaccines	4
Another Cautionary Lesson from COVID Research	4
Interests and Choices in Determining Death by Neurological Criteria	4
Protecting Privacy While Optimizing the Use of (Health)Data: The Importance of Measures and Safeguards	4
Rare Disease, Advocacy and Justice: Intersecting Disparities in Research and Clinical Care	4
Supported Decisions as the Patient’s Own?	4
Psychedelics and Psychotherapy: What Can be Learned from a Historical Analysis of General Anesthesia and Surgery?	4
Wrongful Birth: AI-Tools for Moral Decisions in Clinical Care in the Absence of Disability Ethics	4
AUTOGEN and the Ethics of Co-Creation with Personalized LLMs—Reply to the Commentaries	4
Privacy, Health, and Race Equity in the Digital Age	4
Common Rule Revisions to Govern Machine Learning on Indigenous Data: Implementing the Expectations	4
Promising Practices for Inclusive Precision Medicine Research and the Contribution to Public and Population Health	4
“What Does a Life Worth Living Mean to You?” Narrative Approaches to Ethics Consultation in the Context of Trauma, Treatment Refractory Depression, and Life-Sustaining Care Refusals	4
Academic and Private Partnership to Improve Informed Consent Forms Using a Data Driven Approach	4
My Story is Traumatic, You Probably Would Not Understand	4
Erasing Blackness From Bioethics	4
Cultivating Patient-Centered Healthcare Artificial Intelligence Transparency: Considerations for AI Documentation	4
“Sorry, but the Ethicist Said Your Life Isn’t Actually Worth Living”: Misunderstanding Ethics and the Role of the Ethics Consultant	4
An Eye for an Eye?: Problematic Risk–Benefit Trade-Offs in Whole Eye Transplantation	4
Making Culture a Verb: Implications for Health Equity	4
“I Can Decide for Myself:” Adolescents Who Wish to Consent for Covid-19 Vaccination	4
Accommodating Aid-in-Dying Safeguards for Patients with Neurologic Disease	4
Bioethics and the Power Asymmetry Contextualizing Experience	4
Not All Publics Are the Same—A Note on Power, Diversity, and Lived Expertise in Public Deliberation	4
Behavior Contracts and Lessons from Parenting “Rotten” Kids	4
Considering Reprogenomics in the Ethical Future of Fetal Therapy Trials	4
Sorry, Not Sorry: Canadian MAID Is Voluntary, Safe, Carefully Regulated, and Valued	4
A Justice-Based Defense of a Litmus Test	4
The Unified Brain-Based Determination of Death Conceptually Justifies Death Determination in DCDD and NRP Protocols	4
The Dialectics of Racial Invisibility and Hyper-Visibility under the Mestizaje Discourse in Latin America	4
Eliminating or Calibrating the Role of Chance? Acute Resource Scarcity as a Challenge for Luck Egalitarianism	4
Reestablishing Circulation in Donors: To What Degree Does It Matter?	4
Is Gene Editing Harmless? Two Arguments for Gene Editing	4
Health Disparities, Systemic Racism, and Failures of Cultural Competence: Authors’ Response to Commentaries	4
The Potential Role of Nudging in Expanded Noninvasive Prenatal Testing	4
Personal but Necessarily Predictive? Developing a Bioethics Research Agenda for AI-Enabled Decision-Making Tools	4
“Essentially as One of Fact to Be Determined by Physicians”: Applying Lessons Learned From Brain Death to Normothermic Regional Perfusion	4
Clarifying the Philosophical and Legal Foundations of Dobbs	4
Research on the Clinical Translation of Health Care Machine Learning: Ethicists Experiences on Lessons Learned	4
Lost in Gestation: On Fetonates, Perinates, and Gestatelings	4
The Patient Preference Predictor: A Timely Boost for Personalized Medicine	4
The Intrinsic Value of Public Deliberation in the Governance of Human Genome Editing	4
Making Ethical Considerations Transparent in the Formulation of Public Health Guidance	4
Chemical Restraints for Obstetric Violence: Anesthesiology Professionals, Moral Courage, and the Prevention of Forced and Coerced Surgeries	4
A Disabled Bioethicist’s Critique of Canada’s Medical Assistance in Dying (MAID)	4
Physician Responsibility to Discuss Palliative Unproven Therapies With Out-of-Option Patients	4
A Knower Without a Voice: Co-Reasoning with Machine Learning	4
Improving Ethics Support: Seeing and Organizing Ethics Support Differently	4
Bridge or Destination: Ethical Complexity, Emotional Unrest	4
The Human and Humanity that Differentiate Withholding from Withdrawing Life-Sustaining Therapy: An ECMO Bridge to Nowhere	4
Excusing Psychedelics and Accommodating Psychedelics	4
A Different Type of “Against Medical Advice”: When Patients Refuse Discharge	3
Ethical Issues in Death by Neurologic Criteria Require Critical Scrutiny: Lack of Engagement with Sound Arguments to Save Medical Dogma	3
The Authenticity Requirement: Why Using Digital Twins for Achieving Person-Span Extension Goods Can Be Self-Defeating	3
Comparing the Results of Two Surveys on the Views of Bioethicists	3
Pathways to Drug Liberalization: Racial Justice, Public Health, and Human Rights	3
Ethics, Engagement, and Escalating Interventions	3
Reconfiguring Health: The Importance of Recognizing Embodied Subjectivity and Social Dynamics in Health	3
What Bioethics Owes Reproductive Justice	3
Embracing Epistemic Humility: Rethinking Psychedelic Exceptionalism Through Diverse Perspectives	3
Including Non-Medical Traits in the NIPT: What Can We Learn from an Ethics of Care Approach?	3
Capacity, Rationality, and the Promotion of Autonomy: A Trauma-Informed Approach to Refusals of Care After Opioid Poisoning	3
Invidious Discrimination v. Conscientious Objection: C’mon, a rose is a rose is a rose!	3
Appreciating Language in Bioethics: From Theory to Practice	3
Who’s Experience, Which Liability?	3
Special Considerations When Research is Embedded within Community Health Centers	3
Place-Based Thoughtfulness and Decision-Making in Gene Editing and Genetic Selection	3
The Fallacy of Relevance and Moral Risks	3
Current Ethical Considerations of Human Whole Eye Transplantation is Short-Sighted	3
A Clarified Interpretation of Permanence Justifies Death Determination in NRP Protocols	3
Postponed Withholding: Harmful for the Infant and Increasing the Complexity of Decision-Making	3
Not Dead, but Close Enough? You Cannot Have Your Cake and Eat It Too in Satisfying the DDR in cDCD	3
How Medical Technologies Materialize Oppression	3
Trojan Horses, Clinical Utility, and Parfitian Puzzles	3