American Journal of Bioethics

Article	Citations
Until Adolescents Can Consent for Vaccination, Protecting Them from COVID-19 Will Require Counseling Skeptical Parents	126
Vulnerable Patients, Adult Protective Services Investigations, and Reticent Surrogates: What is the Role of Clinical Ethics?	83
Tube Feed or Not Tube Feed: Ethics beyond the Consult Question	69
Preserve Patient Autonomy; Resist Expanding the Harm Principle to Override Decisions by Competent Patients	69
Prenatal Testing for Non-Medical Traits	60
Included but Still Invisible?: Considering the Protection-Inclusion Dilemma in Qualitative Research Findings	57
Participation in Pragmatic Clinical Trials: A Matter of Physicians’ Professional Ethics?	57
From “Ought” to “Is”: Surfacing Values in Patient and Family Advocacy in Rare Diseases	53
What Difference Can Public Engagement in Genome Editing Make, and for Whom?	53
Don’t Leave the Heart Behind	51
ECMO as a Palliative Bridge to Death	49
Patient Diversity and Collaborative Co-Reasoning for Ethical Use of Machine Learning-Driven Decision Support Systems	44
Integrating Counterfactual Thinking and Economic Definitions of Regret into Discussions of Agent-Regret in Healthcare	42
What Lane Should We Stay In? Medical Relevance, Medical Necessity, and Clinical Genital Alteration of Minors	42
Beyond Integration: Advancing Climate-Conscious Clinical Ethics Through Temporal, Resilience, and Responsibility Frameworks	37
A Patient-Directed Approach: How the U.S. Model of Medical Aid in Dying Balances Compassion with Safeguards	37
Pediatric Brain Death Testing Over Parental Objections: Not an Ethically Preferable Option	36
Emergency Department Boarding of a Teen Requiring Complex Care: How Should an Ethics Consultant Respond?	33
Is Dupras and Bunnik’s Framework for Assessing Privacy Risks in Multi-Omic Research and Databases Still Too Exceptionalist?	31
External Dynamics Contextualizing the FDA’s Role in E-Cigarette Regulation	31
How Philosophy of Science Can Unlock New Methods in Bioethics	28
Heroism Is Not a Plan—From “Duty to Treat” to “Risk and Rewards”	28
Responding to Parental Objections Over Testing for Death by Neurologic Criteria	28
Going Back to Basics: What is the Target of Prenatal Screening?	27
Expanding the Frame: An Afrofuturist Response to Artificial Womb Technology	26

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

Inpatient Hospitalization of Adolescents Diagnosed with Autism Spectrum Disorder: An Ethical Analysis	14
The Fallibility of Personal Experience	14
OrganEx: What Will It Mean?	14
Materialized Oppression in Inpatient Psychiatric Unit Design	14
Instruments of Moral Distress: An Analysis Based on Scientificity and Application Value	14
Power in the Pragmatic View	14
How Ethics Can Better Anticipate the Consequences of Emerging Biotechnologies	14
A Paradigm of Investigator Duty to Multiple Stakeholder Participants	13
Empowering Queer Data Justice	13
Toward Relational Diversity for AI in Psychotherapy	12
Rare Disease, Advocacy, and Caregiver Burnout	12
For Bioethics to Center Justice, We Must Reconsider Funding, Training, and the Taxonomy of Bioethics	12
Patient Consent and The Right to Notice and Explanation of AI Systems Used in Health Care	12
Is the Right to a Healthy Environment Enough? Reckoning with a History of Failures in Chemical Valley	12
Measuring Value with Volume	12
Change the Law to Optimize Organ Donation	11
Advocating for a Context Specific Approach to Tackle Inequities	11
Addressing Environmental Injustices Requires a Public Health Ethics and/or Human Rights Perspective	11
Bioethicists Tomorrow: Identity, Inclusiveness, and Future Directions	11
Beware the Jackalopes	11
Psychedelic Ethics Beside Institutions	10
Law Enforcement Interventionism as Determinant of Decision-Making Among Resuscitated Opioid Users	10
Ethical Pathways: Transitioning Whole-Eye Transplantation Into Clinical Practice	10
Beyond Doomsday Fears: Why We Need to Consider the Potential Harms of AI Psychotherapy	9
Diversifying the Bioethics Funding Landscape: The Case of TMS	9
ChatGPT’s Relevance for Bioethics: A Novel Challenge to the Intrinsically Relational, Critical, and Reason-Giving Aspect of Healthcare	9
The Importance of Structured Reassessment for Unrepresented Patients Receiving Burdensome Life-Sustaining Treatments	9
ChatGPT’s Responses to Dilemmas in Medical Ethics: The Devil is in the Details	9
Withdrawal of ECMO Support over the Objections of a Capacitated Patient can be Appropriate	9
Request for Correction of an Article Focused Bodywork as Facilitated Communication: Cautionary Perspectives on Touch in Psychedelic Therapy	9
Prudently Evaluating Medical Adaptive Machine Learning Systems	9
Agent-Regret in Healthcare: Toward a More Precise and Empirical-Based Look into the Dynamics of Agent-Regret Experiences	9
The Need for a Global Approach to the Ethical Evaluation of Healthcare Machine Learning	9
Should the Use of Adaptive Machine Learning Systems in Medicine be Classified as Research?	8
Gender Norms, Altruism and Susceptibility to the Social Value Misconception	8
You Don’t Have to Be Bad to Work Here: Sustaining Ideals Inside Healthcare Institutions	8
What Can Committees Demonstrate That Professional Ethicists Can’t? Impartial Review with Adequate Due Process	8
An All-Too-Human Enterprise	8
Parents Have a Right to Refuse Brain Death Testing, Including Apnea Testing	8
A “Messy Literature” and Administrative Gloss	8
The Importance of Understanding Language in Large Language Models	8
Moral Stress and Moral Distress in a Novel Space of Virtual Healthcare	8
Data Properties or Analytical Methodologies: Too Much Attention to the Former Ignores Concerns About the Latter	8
A Rejection of “Applied Ethics”: Philosophy’s Real Contributions to Bioethics Found Elsewhere	7
Differences in Degree-not-Kind-of Responsibility within Conversational Artificial Intelligence	7
There Is Only One Sphere of Morality	7
The Concept of Personal Utility in Genomic Testing: Three Ethical Tensions	7
Current Medical Aid-in-Dying Laws Discriminate against Individuals with Disabilities	7
Co-Reasoning and Epistemic Inequality in AI Supported Medical Decision-Making	7
The Slippery Slope Argument and Assisted Death: Which Approach to MAiD Does It Really Support?	7
Embrace the Gray: How Tackling the Clinical Complexities of the Gray Zone Will Improve Decision-making	7
Parrots at the Bedside: Making Surrogate Decisions with Stochastic Strangers	7
An Opportunity to Reconsider Fiduciary Framing in Medicine	7
Different MAiD Laws, Different MAiD Outcomes: Expected Rather Than “Disturbing”	7
A Surgeon’s Perspective From the Sharp End of Surgical Innovation	7
Correction	7
Incorporating Research Burden and Utility Considerations as Limiting Factors in a Framework for Returning IRR	6
Stewardship or Punishment? Ethical Analysis of Transplant Candidacy for a Child from a Low-Resourced Family	6
Strategies for Data Ethics Governance: Elevating Patient and Community Perspectives	6
Scapegoat-in-the-Loop? Human Control over Medical AI and the (Mis)Attribution of Responsibility	6
Response to Open Peer Commentaries on “Developing a Reflexive, Anticipatory, and Deliberative Approach to Unanticipated Discoveries: Ethical Lessons from iBlastoids”	6
Artificial Womb Technology, Catholic Health Care, and Social Justice	6
Enhancing Decision-Making Capacity Assessments Beyond Outlier Cases: A Multi-Faceted Health Care Systems Approach	6
Calling for a Multi-Level Green Healthcare Ethics	6
The Brainstem Criterion of Death and Accurate Syndromic Diagnosis	6
Moral Distress and Moral Stress Among Nurses Facing Challenges in a Health Care System Under Pressure	6
Using Algorithms to Make Ethical Judgements: METHAD vs. the ADC Model	6
Digital Simulacra: Circumventing Diversity and Inclusion	6
Equipoise and Personal Experience: Maintaining Objectivity in Psychedelic Research	6
Bias and Epistemic Injustice in Conversational AI	6
The Bilingual Patient’s Dilemma: Same Question, Different Answer	6
Maternal-Fetal Therapy: The (Psycho)Social Dilemma	6
Wither Vulnerability? The Over/Under Protection Dilemma and Research Equity	6
Beyond Consent: The MAMLS in the Room	6
The Dead Donor Rule Does Require that the Donor is Dead	5
Complexity of Establishing “Reasonability” in Conscientious Objection Claims	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
(Ir)Relevance of Ethics Committees: The Continued Value of Hospital Ethics Committees in Programs with Professional Ethicist Staffing	5
Bioethics Consultation and First-Order Moral Reasoning: Leaving Philosophy at the Hospital Doors	5

Hospital Ethics Committees and Consultants: How Do Clinicians Perceive Their Utility in Resolving Disagreements About Life-Sustaining Treatments?	5
The Illusion of Ethical Distinction: Why Qualitative Futility and Best Interests Are Not Meaningfully Different	5
Beyond Incommensurability and Appropriateness: Integrating theTelosof Medicine and Addressing Compartmentalization in the Spheres of Morality Framework	5
Early AI Lifecycle Co-Reasoning: Ethics Through Integrated and Diverse Team Science	5
Protecting Health Privacy through Reasonable Inferences	5
From CRISPR to Conscience: Ethical Dilemmas in Gene Editing and Genetic Selection	5
Who Is Responsible for Promoting Equity in Rare Disease Research?	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
Enrolling Foster Youth in Clinical Trials: Avoiding the Harm of Exclusion	5
Environmental Justice: A Missing Core Tenet of Global Health	5
Bounded Justice, Inclusion, and the Hyper/Invisibility of Race in Precision Medicine	5
The Complex Relationship between Disability Discrimination and Frailty Scores	5
Racism and the Textures of Visibility	5
The Futility Standard Does Not Promote Justice for Unrepresented Patients	5
A Knower Without a Voice: Co-Reasoning with Machine Learning	5
Bioethics and the Power Asymmetry Contextualizing Experience	5
Death is Biologically Real; Laws About Death are Social Constructions	5
Academic and Private Partnership to Improve Informed Consent Forms Using a Data Driven Approach	4
Emerging Paradigms for Ethical Review of Research Using Artificial Intelligence	4
“Sorry, but the Ethicist Said Your Life Isn’t Actually Worth Living”: Misunderstanding Ethics and the Role of the Ethics Consultant	4
Cultivating Patient-Centered Healthcare Artificial Intelligence Transparency: Considerations for AI Documentation	4
“Essentially as One of Fact to Be Determined by Physicians”: Applying Lessons Learned From Brain Death to Normothermic Regional Perfusion	4
Considering Reprogenomics in the Ethical Future of Fetal Therapy Trials	4
Health Equity Frameworks in Bioethical Perspective: Systemic Interventions and Innovative Justice	4
An Eye for an Eye?: Problematic Risk–Benefit Trade-Offs in Whole Eye Transplantation	4
Sorry, Not Sorry: Canadian MAID Is Voluntary, Safe, Carefully Regulated, and Valued	4
“I Can Decide for Myself:” Adolescents Who Wish to Consent for Covid-19 Vaccination	4
Improving Ethics Support: Seeing and Organizing Ethics Support Differently	4
Not All Publics Are the Same—A Note on Power, Diversity, and Lived Expertise in Public Deliberation	4
From Data to Harm: Exploring Ethical and Social Implications of Polygenic Scores for Social Traits	4
Chemical Restraints for Obstetric Violence: Anesthesiology Professionals, Moral Courage, and the Prevention of Forced and Coerced Surgeries	4
The Potential Role of Nudging in Expanded Noninvasive Prenatal Testing	4
Excusing Psychedelics and Accommodating Psychedelics	4
The Dialectics of Racial Invisibility and Hyper-Visibility under the Mestizaje Discourse in Latin America	4
Transforming Behavior Contracts Into Collaborative Commitments With Families	4
Personal but Necessarily Predictive? Developing a Bioethics Research Agenda for AI-Enabled Decision-Making Tools	4
The Intrinsic Value of Public Deliberation in the Governance of Human Genome Editing	4
Clarifying the Philosophical and Legal Foundations of Dobbs	4
Is Gene Editing Harmless? Two Arguments for Gene Editing	4
Applying the Harm Principle to Elder Care	4
The Two Sides of the Social Value Misconception	4
Physician Responsibility to Discuss Palliative Unproven Therapies With Out-of-Option Patients	4
Protecting Privacy While Optimizing the Use of (Health)Data: The Importance of Measures and Safeguards	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
The Patient Preference Predictor: A Timely Boost for Personalized Medicine	4
The Unified Brain-Based Determination of Death Conceptually Justifies Death Determination in DCDD and NRP Protocols	4
Another Cautionary Lesson from COVID Research	4
Bridge or Destination: Ethical Complexity, Emotional Unrest	4
Wrongful Birth: AI-Tools for Moral Decisions in Clinical Care in the Absence of Disability Ethics	4
Environmental Injustices within Us: The Case of the Human Microbiome and the Need for More Creative Bioethics	4
Response to Open Peer Commentaries on Toward a Framework for Assessing Privacy Risks in Multi-Omic Research and Databases	4
Privacy, Health, and Race Equity in the Digital Age	4
Research on the Clinical Translation of Health Care Machine Learning: Ethicists Experiences on Lessons Learned	4
Promising Practices for Inclusive Precision Medicine Research and the Contribution to Public and Population Health	4
Dementia, Frailty and Triage in a Pandemic	4
Social Value, Beneficial Information, and Obligations to Participants in a Trial of Novel COVID-19 Vaccines	4
Epistemic Value of Digital Simulacra for Patients	4
The Medical Profession Determines Standards for Death Determination	4
Making Ethical Considerations Transparent in the Formulation of Public Health Guidance	4
Recontextualizing Suffering: When Pain Has Purpose	4
The Human and Humanity that Differentiate Withholding from Withdrawing Life-Sustaining Therapy: An ECMO Bridge to Nowhere	4
Supported Decisions as the Patient’s Own?	4
A Disabled Bioethicist’s Critique of Canada’s Medical Assistance in Dying (MAID)	4
Accommodating Aid-in-Dying Safeguards for Patients with Neurologic Disease	4
Rare Disease, Advocacy and Justice: Intersecting Disparities in Research and Clinical Care	4
Navigating Tensions Between Law and Ethics in Surrogate Decision Making	4
Common Rule Revisions to Govern Machine Learning on Indigenous Data: Implementing the Expectations	4
AUTOGEN and the Ethics of Co-Creation with Personalized LLMs—Reply to the Commentaries	4
Interests and Choices in Determining Death by Neurological Criteria	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
The Predictive Value of Moral Diversity in Bioethics	4
My Story is Traumatic, You Probably Would Not Understand	4
Reestablishing Circulation in Donors: To What Degree Does It Matter?	4
Lost in Gestation: On Fetonates, Perinates, and Gestatelings	4
The Benefits of Experience Greatly Exceed the Liabilities	4
Erasing Blackness From Bioethics	4
Eliminating or Calibrating the Role of Chance? Acute Resource Scarcity as a Challenge for Luck Egalitarianism	4
Ethics, Engagement, and Escalating Interventions	3
Reconfiguring Health: The Importance of Recognizing Embodied Subjectivity and Social Dynamics in Health	3
Postponed Withholding: Harmful for the Infant and Increasing the Complexity of Decision-Making	3
Challenges of Bioethics Frameworks for Non-Democratic Contexts	3
Special Considerations When Research is Embedded within Community Health Centers	3
Who’s Experience, Which Liability?	3
What Bioethics Owes Reproductive Justice	3
Challenging the Centrality of Anti-Racism in Bioethics	3
Supportive Touch in Psychedelic Assisted Therapy	3
Trojan Horses, Clinical Utility, and Parfitian Puzzles	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
Deconstructing Structural Injustices in the Clinic, Classroom, and Boardroom	3
Adolescents, Sensitive Topics, and Appropriate Access to Biomedical Prevention Research	3
What Is a Physician? Navigating Incommensurable Spheres of Role Morality	3