American Journal of Bioethics

Article	Citations
Until Adolescents Can Consent for Vaccination, Protecting Them from COVID-19 Will Require Counseling Skeptical Parents	118
Vulnerable Patients, Adult Protective Services Investigations, and Reticent Surrogates: What is the Role of Clinical Ethics?	81
Postponed Withholding: The Wrong Nudge	64
Preserve Patient Autonomy; Resist Expanding the Harm Principle to Override Decisions by Competent Patients	59
Tube Feed or Not Tube Feed: Ethics beyond the Consult Question	58
Prenatal Testing for Non-Medical Traits	54
Participation in Pragmatic Clinical Trials: A Matter of Physicians’ Professional Ethics?	50
Included but Still Invisible?: Considering the Protection-Inclusion Dilemma in Qualitative Research Findings	49
What Difference Can Public Engagement in Genome Editing Make, and for Whom?	48
From “Ought” to “Is”: Surfacing Values in Patient and Family Advocacy in Rare Diseases	46
Don’t Leave the Heart Behind	45
War, Bioethics, and Public Health	41
ECMO as a Palliative Bridge to Death	40
Patient Diversity and Collaborative Co-Reasoning for Ethical Use of Machine Learning-Driven Decision Support Systems	39
Agent-Regret in Healthcare	37
A Patient-Directed Approach: How the U.S. Model of Medical Aid in Dying Balances Compassion with Safeguards	36
Integrating Counterfactual Thinking and Economic Definitions of Regret into Discussions of Agent-Regret in Healthcare	36
Pediatric Brain Death Testing Over Parental Objections: Not an Ethically Preferable Option	32
Emergency Department Boarding of a Teen Requiring Complex Care: How Should an Ethics Consultant Respond?	31
External Dynamics Contextualizing the FDA’s Role in E-Cigarette Regulation	28
Responding to Parental Objections Over Testing for Death by Neurologic Criteria	27
How Philosophy of Science Can Unlock New Methods in Bioethics	27
Is Dupras and Bunnik’s Framework for Assessing Privacy Risks in Multi-Omic Research and Databases Still Too Exceptionalist?	27
Going Back to Basics: What is the Target of Prenatal Screening?	26
Heroism Is Not a Plan—From “Duty to Treat” to “Risk and Rewards”	26

What Does True Equality in Assisted Dying Require?	25
Expanding the Frame: An Afrofuturist Response to Artificial Womb Technology	25
Digital Privacy and Data Protection: From Ethical Principles to Action	24
ChatGPT and the Law of the Horse	23
Moral Stress and Moral Distress: Confronting Challenges in Post- Dobbs Contexts	23
From Classification to Governance: Ethical Challenges of Adaptive Learning in Medicine	23
Context-Sensitivity and the Inclusion of Subjective Beliefs Have Broad Implications	23
Canadian Medical Assistance in Dying and the Hegemony of Privilege	23
Ethical Considerations in Clinical Trials for Rare Genetic Diseases: The Case of Huntington’s Disease	23
“Treatment Pressures” and “Informal Coercion”: “Threats” in Mental Healthcare	23
Is It Ethical to Mandate Vaccination among Incarcerated Persons? Consider Enforcement and Ask People Living in Prisons and Jails	22
What We Owe Those Who Chat Woe: A Relational Lens for Mental Health Apps	22
Respect for Readiness	22
Community-Based Consent Model, Patient Rights, and AI Explainability in Medicine	22
Informed Consensus: The Future of Respect for Persons in Biomedical Research	21
Noninvasive Testing for “Non-Medical” Traits: A Misplaced Expressive Concern, Tough Policy Choices	21
Conscription as a Public Health Crisis: A Missing Dimension in the Bioethics of War	21
Reasons, Persons, Eugenics and an Argument in Favour of Gene Editing	21
When Sanctions Meet Corruption: Reframing Healthcare Access in Russia	21
Comparisons Only Yield Valid Mutual Learnings If Based on Accurate Descriptions of the Comparators	21
Psychedelic Ethics in Palliative Care	20
Knowing You Know Better	20
Goldilocks and the Thanatron: A Response to Open Peer Commentaries	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
Critically Evaluating MAID in Canada Through an Inequities Lens	20
All Healthcare Ethics Consultation ServicesShouldMeet Shared Quality Standards	20
Medical Interpretation Services: Challenges for LEP Communities	19
Centering More than Trauma Experiences: Reflections from Launching a Graduate Course on Bioethics & Racial Justice in Canada	19
Cost-Related Non-Adherence to Prescribed Medicines: What Are Physicians’ Moral Duties?	19
Contingency Measures During the COVID-19 Pandemic in China: An Analysis Based on a New Ethical Framework	18
Materializing Systemic Racism, Materializing Health Disparities	18
Liberalism and Identity	17
Making Structural Discrimination Visible: A Call for Intersectional Bioethics	17
Decisions on Innovation or Research for Devastating Disease	17
Ethical Withdrawal of ECMO Support Over the Objections of Competent Patients	16
Human Genome Editing and Identity: The Precariousness of Existence and the Abundance of Argumentative Options	16
Medicalized Oppression: Labels of “Violence Risk” in the Electronic Medical Record	16
Nurtured Genetics: Prenatal Testing and the Anchoring of Genetic Expectancies	16
Does Controlled Donation after Circulatory Death Violate the Dead Donor Rule?	15
Ethical Care Necessitates Synthesizing the Best Available Evidence	15
Cultural Competence as New Racism: Working as Intended?	15
The Role of Self-Illness Ambiguity and Self-Medication Ambiguity in Clinical Decision-Making	15
See None, Do None, Teach None: How Dismantling Roe Impacts Medical Education and Physician Training	14
Ethical Responsibilities for Companies That Process Personal Data	14
Defining and Defending Personhood: Lessons from the Disease Debate	14
Is Transparency about the Line between Life and Death Good for Organ Donation?	14
The Postponed Withholding Model: An Autoethnographic Analysis	13
OrganEx: What Will It Mean?	13
Power in the Pragmatic View	13

Materialized Oppression in Inpatient Psychiatric Unit Design	13
How Ethics Can Better Anticipate the Consequences of Emerging Biotechnologies	12
Diversifying the Bioethics Funding Landscape: The Case of TMS	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 Wrong Argument for a Bad Law	12
Instruments of Moral Distress: An Analysis Based on Scientificity and Application Value	11
For Bioethics to Center Justice, We Must Reconsider Funding, Training, and the Taxonomy of Bioethics	11
A Paradigm of Investigator Duty to Multiple Stakeholder Participants	11
Empowering Queer Data Justice	11
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	10
Is the Right to a Healthy Environment Enough? Reckoning with a History of Failures in Chemical Valley	10
Prudently Evaluating Medical Adaptive Machine Learning Systems	9
Rare Disease, Advocacy, and Caregiver Burnout	9
Advocating for a Context Specific Approach to Tackle Inequities	9
Toward Relational Diversity for AI in Psychotherapy	9
Measuring Value with Volume	9
What Can Committees Demonstrate That Professional Ethicists Can’t? Impartial Review with Adequate Due Process	8
Addressing Environmental Injustices Requires a Public Health Ethics and/or Human Rights Perspective	8
Beware the Jackalopes	8
Agent-Regret in Healthcare: Toward a More Precise and Empirical-Based Look into the Dynamics of Agent-Regret Experiences	8
Should the Use of Adaptive Machine Learning Systems in Medicine be Classified as Research?	8
Change the Law to Optimize Organ Donation	8
Law Enforcement Interventionism as Determinant of Decision-Making Among Resuscitated Opioid Users	8
Withdrawal of ECMO Support over the Objections of a Capacitated Patient can be Appropriate	8
Beyond Doomsday Fears: Why We Need to Consider the Potential Harms of AI Psychotherapy	8
Ethical Pathways: Transitioning Whole-Eye Transplantation Into Clinical Practice	8
Bioethicists Tomorrow: Identity, Inclusiveness, and Future Directions	8
Psychedelic Ethics Beside Institutions	8
Patient Consent and The Right to Notice and Explanation of AI Systems Used in Health Care	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
Co-Reasoning and Epistemic Inequality in AI Supported Medical Decision-Making	7
Differences in Degree-not-Kind-of Responsibility within Conversational Artificial Intelligence	7
Current Medical Aid-in-Dying Laws Discriminate against Individuals with Disabilities	7
ChatGPT’s Responses to Dilemmas in Medical Ethics: The Devil is in the Details	7
Moral Stress and Moral Distress in a Novel Space of Virtual Healthcare	7
A Rejection of “Applied Ethics”: Philosophy’s Real Contributions to Bioethics Found Elsewhere	7
An Opportunity to Reconsider Fiduciary Framing in Medicine	7
The Slippery Slope Argument and Assisted Death: Which Approach to MAiD Does It Really Support?	7
From CRISPR to Conscience: Ethical Dilemmas in Gene Editing and Genetic Selection	7
An All-Too-Human Enterprise	7
You Don’t Have to Be Bad to Work Here: Sustaining Ideals Inside Healthcare Institutions	7
The Dead Donor Rule Does Require that the Donor is Dead	7
There Is Only One Sphere of Morality	7
Different MAiD Laws, Different MAiD Outcomes: Expected Rather Than “Disturbing”	7
Early AI Lifecycle Co-Reasoning: Ethics Through Integrated and Diverse Team Science	6
Protecting Health Privacy through Reasonable Inferences	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
The Need for an Ethics of Care in the Contingency Response to Public Health Emergencies	6
Who Is Responsible for Promoting Equity in Rare Disease Research?	6
The Complex Relationship between Disability Discrimination and Frailty Scores	6
A Surgeon’s Perspective From the Sharp End of Surgical Innovation	6
Correction	6
Stewardship or Punishment? Ethical Analysis of Transplant Candidacy for a Child from a Low-Resourced Family	6
Complexity of Establishing “Reasonability” in Conscientious Objection Claims	6
Equipoise and Personal Experience: Maintaining Objectivity in Psychedelic Research	6
Enhancing Decision-Making Capacity Assessments Beyond Outlier Cases: A Multi-Faceted Health Care Systems Approach	6
The Concept of Personal Utility in Genomic Testing: Three Ethical Tensions	6
Scapegoat-in-the-Loop? Human Control over Medical AI and the (Mis)Attribution of Responsibility	6
Beyond Consent: The MAMLS in the Room	5
Strategies for Data Ethics Governance: Elevating Patient and Community Perspectives	5
Beyond Incommensurability and Appropriateness: Integrating theTelosof Medicine and Addressing Compartmentalization in the Spheres of Morality Framework	5
Environmental Justice: A Missing Core Tenet of Global Health	5
Behavior Contracts and Lessons from Parenting “Rotten” Kids	5
Solidarity as an Aspirational Basis for Partnership with Tribal Communities	5
The End of Personhood	5
(Ir)Relevance of Ethics Committees: The Continued Value of Hospital Ethics Committees in Programs with Professional Ethicist Staffing	5
Artificial Womb Technology, Catholic Health Care, and Social Justice	5
Using Algorithms to Make Ethical Judgements: METHAD vs. the ADC Model	5
The Brainstem Criterion of Death and Accurate Syndromic Diagnosis	5
The Bilingual Patient’s Dilemma: Same Question, Different Answer	5
Digital Simulacra: Circumventing Diversity and Inclusion	5
Bias and Epistemic Injustice in Conversational AI	5
Bioethics and the Power Asymmetry Contextualizing Experience	5
A Knower Without a Voice: Co-Reasoning with Machine Learning	5
Conscience Clauses and Ideological Bias	5

Hospital Ethics Committees and Consultants: How Do Clinicians Perceive Their Utility in Resolving Disagreements About Life-Sustaining Treatments?	5
Enrolling Foster Youth in Clinical Trials: Avoiding the Harm of Exclusion	5
Racism and the Textures of Visibility	5
Bounded Justice, Inclusion, and the Hyper/Invisibility of Race in Precision Medicine	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
Maternal-Fetal Therapy: The (Psycho)Social Dilemma	5
Ethically Navigating the Murky Waters of “Contingency Standards of Care”	5
Protecting Privacy While Optimizing the Use of (Health)Data: The Importance of Measures and Safeguards	5
Bioethics Consultation and First-Order Moral Reasoning: Leaving Philosophy at the Hospital Doors	5
Lessons Learned from Reproductive Justice: Communication with the Public to Earn and Maintain Trust of New and Existing Innovations	5
Building Trauma-Informed Hospital Ethics Cultures	5
Response to Open Peer Commentaries on “Developing a Reflexive, Anticipatory, and Deliberative Approach to Unanticipated Discoveries: Ethical Lessons from iBlastoids”	5
Wither Vulnerability? The Over/Under Protection Dilemma and Research Equity	5
Bioethics Theory-Building for Public Health	5
Lost in Gestation: On Fetonates, Perinates, and Gestatelings	4
The Benefits of Experience Greatly Exceed the Liabilities	4
Accommodating Aid-in-Dying Safeguards for Patients with Neurologic Disease	4
Dementia, Frailty and Triage in a Pandemic	4
Chemical Restraints for Obstetric Violence: Anesthesiology Professionals, Moral Courage, and the Prevention of Forced and Coerced Surgeries	4
Epistemic Value of Digital Simulacra for Patients	4
The Potential Role of Nudging in Expanded Noninvasive Prenatal Testing	4
Applying the Harm Principle to Elder Care	4
Common Rule Revisions to Govern Machine Learning on Indigenous Data: Implementing the Expectations	4
The Unified Brain-Based Determination of Death Conceptually Justifies Death Determination in DCDD and NRP Protocols	4
AUTOGEN and the Ethics of Co-Creation with Personalized LLMs—Reply to the Commentaries	4
The Patient Preference Predictor: A Timely Boost for Personalized Medicine	4
Rare Disease, Advocacy and Justice: Intersecting Disparities in Research and Clinical Care	4
Another Cautionary Lesson from COVID Research	4
Improving Ethics Support: Seeing and Organizing Ethics Support Differently	4
Cultivating Patient-Centered Healthcare Artificial Intelligence Transparency: Considerations for AI Documentation	4
Sorry, Not Sorry: Canadian MAID Is Voluntary, Safe, Carefully Regulated, and Valued	4
Is Gene Editing Harmless? Two Arguments for Gene Editing	4
Transforming Behavior Contracts Into Collaborative Commitments With Families	4
The Dialectics of Racial Invisibility and Hyper-Visibility under the Mestizaje Discourse in Latin America	4
Academic and Private Partnership to Improve Informed Consent Forms Using a Data Driven Approach	4
Social Value, Beneficial Information, and Obligations to Participants in a Trial of Novel COVID-19 Vaccines	4
Erasing Blackness From Bioethics	4
Response to Open Peer Commentaries on Toward a Framework for Assessing Privacy Risks in Multi-Omic Research and Databases	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
From Data to Harm: Exploring Ethical and Social Implications of Polygenic Scores for Social Traits	4
Psychedelics and Psychotherapy: What Can be Learned from a Historical Analysis of General Anesthesia and Surgery?	4
A Justice-Based Defense of a Litmus Test	4
Navigating Tensions Between Law and Ethics in Surrogate Decision Making	4
A Disabled Bioethicist’s Critique of Canada’s Medical Assistance in Dying (MAID)	4
Making Ethical Considerations Transparent in the Formulation of Public Health Guidance	4
Supported Decisions as the Patient’s Own?	4
The Intrinsic Value of Public Deliberation in the Governance of Human Genome Editing	4
Privacy, Health, and Race Equity in the Digital Age	4
Bridge or Destination: Ethical Complexity, Emotional Unrest	4
Promising Practices for Inclusive Precision Medicine Research and the Contribution to Public and Population Health	4
Research on the Clinical Translation of Health Care Machine Learning: Ethicists Experiences on Lessons Learned	4
Personal but Necessarily Predictive? Developing a Bioethics Research Agenda for AI-Enabled Decision-Making Tools	4
Not All Publics Are the Same—A Note on Power, Diversity, and Lived Expertise in Public Deliberation	4
Clarifying the Philosophical and Legal Foundations of Dobbs	4
Interests and Choices in Determining Death by Neurological Criteria	4
Health Disparities, Systemic Racism, and Failures of Cultural Competence: Authors’ Response to Commentaries	4
Wrongful Birth: AI-Tools for Moral Decisions in Clinical Care in the Absence of Disability Ethics	4
The Human and Humanity that Differentiate Withholding from Withdrawing Life-Sustaining Therapy: An ECMO Bridge to Nowhere	4
Eliminating or Calibrating the Role of Chance? Acute Resource Scarcity as a Challenge for Luck Egalitarianism	4
Health Equity Frameworks in Bioethical Perspective: Systemic Interventions and Innovative Justice	4
Emerging Paradigms for Ethical Review of Research Using Artificial Intelligence	4
“Essentially as One of Fact to Be Determined by Physicians”: Applying Lessons Learned From Brain Death to Normothermic Regional Perfusion	4
“I Can Decide for Myself:” Adolescents Who Wish to Consent for Covid-19 Vaccination	4
Considering Reprogenomics in the Ethical Future of Fetal Therapy Trials	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
Physician Responsibility to Discuss Palliative Unproven Therapies With Out-of-Option Patients	4
My Story is Traumatic, You Probably Would Not Understand	4
Reestablishing Circulation in Donors: To What Degree Does It Matter?	4
DCD Donors Are Dying, but Not Dead	3
Putting the Asymmetry Debate in Its Place	3
Challenging the Centrality of Anti-Racism in Bioethics	3
Comparing the Results of Two Surveys on the Views of Bioethicists	3
Postponed Withholding: Harmful for the Infant and Increasing the Complexity of Decision-Making	3
Capacity, Rationality, and the Promotion of Autonomy: A Trauma-Informed Approach to Refusals of Care After Opioid Poisoning	3
Reconfiguring Health: The Importance of Recognizing Embodied Subjectivity and Social Dynamics in Health	3
What Is a Physician? Navigating Incommensurable Spheres of Role Morality	3
Same Same but Different: On Psychedelic Exceptionalism	3
Place-Based Thoughtfulness and Decision-Making in Gene Editing and Genetic Selection	3
The Authenticity Requirement: Why Using Digital Twins for Achieving Person-Span Extension Goods Can Be Self-Defeating	3
Appreciating Language in Bioethics: From Theory to Practice	3
Trojan Horses, Clinical Utility, and Parfitian Puzzles	3
Who’s Experience, Which Liability?	3
What Bioethics Owes Reproductive Justice	3
Ethics, Engagement, and Escalating Interventions	3
REDI in Bioethics Cannot Be Achieved Without the Promotion of Anti-Ableism	3
A Heuristic for Notifying Patients About AI: From Institutional Declarations to Informed Consent	3
The Social Value Misconception in Clinical Research	3
Current Ethical Considerations of Human Whole Eye Transplantation is Short-Sighted	3
Invidious Discrimination v. Conscientious Objection: C’mon, a rose is a rose is a rose!	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
Ethical Issues in Death by Neurologic Criteria Require Critical Scrutiny: Lack of Engagement with Sound Arguments to Save Medical Dogma	3