Markkula Center of Applied Ethics

Ethics Articles



Medical Ethics

Kidneys for Sale: A Reconsideration
Ethical issues in a market for human organs
Miriam Schulman
Unavoidable Dilemmas in Bioscience
Center Bioethics Director McLean raises top ethical problems facing scientists and offers a framework for addressing them.
Margaret R. McLean
Pharmacogenomics, Ethics, and Public Policy
How personalized medicine can develop in a way that promotes the good of both individuals and the broader society
Karen Peterson-Iyer
Personalized Medicine: The Ethics of Access
Pharmacogenomics sparks new therapeutic possibilities and new threats to the U.S. health care system.
Karen Peterson-Iyer
Medical Decision Making for Publicly Conserved Individuals: Policy Recommendations
Analysis of problems confronting public guardians making end-of-life care decisions.
Theresa Drought
Assisted Suicide: A Right or a Wrong?
An examination of the ethical issues in physician-assisted death.
Claire Andre and Manuel Velasquez
Don't Take Your Organs to Heaven
An analysis of the ethical issues in organ donation
Margaret R. McLean
Future of Food: An Introduction to the Ethical Issues in Genetically Modified Foods
Center Director of Biotechnology and Health Care Ethics Margaret R. McLean looks at the future of genetically modified food.
Margaret R. McLean
Brief Case for the Moral Permissibility of Stem Cell Research
The central questions regarding the ethics of stem cell research are 2 in number: One, do embryos have any moral status, entities that deserve moral respect and are owed some duty? Two, if embryos have some moral status, what kind, or degree, of respect are they entitled to and what particular duties are they owed by moral agents?
Lawrence J. Nelson
Steroids and Sports: The Ethics of Winning
Steroid use by athletes is a form of cheating.
Michael Dillingham
Neuroethics: The Neuroscience Revolution, Ethics, and the Law
When science expands our understanding of something so central to human existence, these advances will necessarily cause changes in both our society and its laws. This paper seeks to forecast and explore the social and legal changes that neuroscience might bring in four areas: prediction, litigation, confidentiality and privacy, and patents.
Hank Greely
Framework for Thinking Ethically About Human Biotechnology
The Markkula Center for Applied Ethics Framework is applied to issues in biotech.
Margaret R. McLean
Tough Talk: Finding the Words for Living With Loss
Guidelines for discussion of end-of-life issues.
Dale G. Larson
Caring to the End
Ethics for caregivers.
William C. Spohn
When What We Know Outstrips What We Can Do
Our genes contain information that scientists hope will help in the treatment of many diseases. Huntington's dissease provides a window on the choices we face as medicine increases our ability to intervene in human genetics.
Margaret R. McLean
Cloning: Just Because We Can, Should We?
"If we can, we will" is a dangerous motto for medicine.
Margaret Mclean
Law of Advanced Directives
Legal Documents Can Ease End-of-Life Decisions
Karen Markus
Confronting the Ultimate Questions
Advance Directives give patients a voice when they can't speak for themselves.
Margaret McLean
Attack of the Killer Tomatoes?
An exploration of the ethics of genetically modified foods.
Miriam Schulman
The Ethical Quagmire of Quarantine
Some guidelines for imposing isolation on health care workers who have treated Ebola patients
Margaret McLean
Allocating Resources: A Wicked Problem
Planning for the ethical dilemmas that arise in a medical disaster
Margaret R. McLean
The Cost of Dying and Moral Choices at the End of Life
Podcast of a talk on the ethics of end-of-life decision making
Lisa Krieger
Football, Concussions, and Character (podcast)
Fox Sports analyst Pereira explores whether the rules have caught up with the game of football
Mike Pereira
Body Image in Sports: What No One Seems to be Talking About
The problem of eating disorders for college athletes
Matt Savage
Keeping Track of Mom: Motion Sensor-Based Monitoring
Ethical challenges in using motion sensor-based technology to monitor the elderly
Courtenay Bruce
Evolving Vaccine Trials: Adaptive Informed Consent in the Global Context
Challenges of insuring that participants in the developing world understand clinical trials and consent freely
Brenda Everling
Thinking Ethically About MRSA
A set of materials on Methicillin-resistant Staphylococcus aureus for high school and college coaches, trainers, and athletic directors
Thinking Ethically about MRSA
Combatting MRSA, a virulent, antibiotic-resistant staph infection, is a serious medical challenge for coaches and trainers. Spread mostly by skin-to-skin contact, the bacteria can easily be passed from one player to another on the field or in the locker room. But implementing best practices for preventing the infection also has an ethical side: It takes moral courage to bench a star player because he or she is infected.
HIV Vaccine Development: A Call for Justice
The case for vaccine development as the best approach to the HIV/AIDS pandemic
Erin Cleveland
Taking Stock of Neglected Diseases
Only 10 percent of global health research is dedicated to conditions responsible for 90 percent of the worldwide burden of disease.
Kari Kjos
Honzel Fellowship in Health Care Ethics
New gift supports undergraduate student in health care and bioethics
Palliative Care: An Ethical Obligation
SCU senior honors thesis argues that the principles of beneficence and nonmaleficence require that hospitals, in addition to clinicians, offer palliative care
Stephanie C. Paulus
Culturally Competent Care for Latino Patients: Introduction
An introduction to Culturally Competent Care for Latino Patients
Karen Peterson-Iyer
Conflicts in Physician-Patient Relationships
Chair of the President's Council on Bioethics Edmund Pellegrino discusses the conflicts that can arise between patient autonomy and the personal beliefs of doctors, nurses, and pharmacists
Miriam Schulman
Introduction to Culturally Competent Care
Background on how cultural differences affect the provision of care in a clinical setting
Karen Peterson-Iyer
Culturally Competent Care for Muslim Patients: Introduction to Cases and Reflections
Background on the specific ethical issues involved in providing culturally competent care to Muslim patients.
Karen Peterson-Iyer
Ethics, Autonomy and the Treatment of Tuberculosis in Impoverished Patients in India
Undergraduate research addressing problems in applying the ethical principle of autonomy to contagious disease.
Kelsey Whittier
Medical Ethics Meets Organizational Ethics
Lessons from both clinical and business ethics apply in a hospital context.
Medical Decision Making for Conserved Patients: When There Is No One to Decide
The Markkula Center for Applied Ethics has recommended a pilot study for implementating five recommendations concerning medical decision making for conserved patients.
Friends don't let friends starve themselves
A student reflects on the ethical duties to friends who have eating disorders.
Meg Parker
Minority Patients Need Culture Brokers
Cultural differences must be taken into account in providing medical care.
Margaret R. McLean and Margaret A. Graham
Of SNPS, TRIPS, and Human Dignity: Ethics and Gene Patenting
Report on a Center conference about the law and ethics of gene patenting.
Miriam Schulman
Persistent Indeterminate State: Reflections on the Wendland Case
One of the lawyers in this precedent-setting end-of-life case discusses who should make decisions for incompetent patients.
Lawrence J. Nelson
Reluctant Realism
Research on attitudes toward end-of-life issues in the San Jose Hispanic community.
Margaret R. McLean and Margaret A. Graham
Red Light, Green Light: The California Cloning and Stem Cell Laws
A report on California laws responding to the State's Advsiory Committee on Human Cloning.
Margaret R. McLean
Respecting What We Destroy
A framework for looking at the moral standing of stem cells.
Michael J. Meyer and Lawrence J. Nelson
Secret Behind Lower Teen Pregnancy
The determination of the African-American community to combat teen births, and the success that concerted community action has had in transforming child-bearing behavior.
June Carbone
You Are What You Eat
Personal responsibility in maintaining good health.
Miriam Schulman
Does Old Age Make Suicide Ethical?
Ethical considerations regarding suicide for the terminally ill.
Rob Elder
Should Violent Felons Receive Organ Transplants?
Reflection on the decision to grant a California prisoner a heart transplant.
David Perry
Double or Nothing
A discussion of cloning from scientific, ethical, and religious perspectives.
Robins K. Sterns
Awareness Is Not Enough: Gender in the HIV/AIDS Pandemic in Africa
The role of gender inequality in the spread of AIDs in Africa.
Charlotte Vallaeys
Healing The Wounds that Never Heal
A medical researcher struggles with access to experimental procedures for patients with Epidermolysis Bullosa.
Alfred Lane, M.D.
Who Gets Seen
Access issues in health care.
Peter Facione and Noreen Facione
Aid in Dying
A discussion of physician-assisted death.
Michael J. Meyer
Global Distribution of AIDS Pharmaceuticals
Ethical issues in the distribution of AIDS drugs, especially in the developing world.
David Perry
California Cloning: The Ethics of Human Cloning and Stem Cell Research
Report on a Center conference on the state regulation of cloning.
MCAE
Are you Lost or Something?
A discussion of virtues in a hospital context.
Margaret R. McLean, Ph.D.
Prescribing Under the Influence
The impact of gifts from drug companies to physicians.
E. Haavi Morreim
Memories
In ethics, how we decide is just as important as what we decide
Margaret R. McLean, Ph.D.