Markkula Center of Applied Ethics

Ethics Articles



Public Health Policy

Women Speak for Themselves: Conscience and the New Catholic Feminism
Summary of a talk by Helen Alvare, professor of law at George Mason University, on the controversy between the HHS contraceptive coverage mandate and appeals to stop the mandate in the name of religious freedom and conscience.
Brian Green
Allocating Resources: A Wicked Problem
Planning for the ethical dilemmas that arise in a medical disaster
Margaret R. McLean
Children as Patients: Fairness in Organ Transplantation
The case of 10-year-old Sarah Murnaghan raises questions about the process for determining who should get scarce organs for transplant.
Ryan Holmes
Ethical Preparedness for Pandemic Influenza: A Toolkit
Practical ethical issues for public health agencies in dealing with a severe pandemic
Margaret R. McLean
Ethical Issues in Dealing With Influenza
Resources for considering the ethical ramifications of seasonal and pandemic flu
Ethical Issues in Dealing With Seasonal Influenza
Ethical Issues in Dealing With Seasonal Influenza
Sarah Ludwig
Influenza Vaccine Shortage: The Ethics of Rationing
Influenza Vaccine Shortage: The Ethics of Rationing
Sarah Ludwig
Seasonal Influenza: The Ethics of Staying Home
Seasonal Influenza: The Ethics of Staying Home
Sarah Ludwig
Medical Marijuana Dispensaries: Ethical Challenges for Cities
Ethical questions for municipal officials on allowing, siting, and monitoring medical marijuana dispensaries
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
IPS Stem Cells: New Ethical Quandaries
Induced pluripotent stem cells raise questions about cloning, privacy, and informed consent
Sally Lehrman
HIV Vaccine Development: A Call for Justice
The case for vaccine development as the best approach to the HIV/AIDS pandemic
Erin Cleveland
Outbreak: Discussion Module
Materials on developing pharmaceuticals for the Developing World, based on the case, The Outbreak, on this Web site.
Kari Kjos
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
Health Care Reform and Social Justice
Blue Shield of California CEO Bruce Bodaken discusses the ethical issues in various proposals for health care reform
Bruce Bodaken
Organ Transplantation: Protecting Donor Dignity
An exploration of organ transplantation after cardiac death
Margaret R. McLean
Health Care Reform: A Case for the Young and Healthy
A case study raising questions of fairness and personal responsibility in insurance coverage for young people.
Kari Kjos
Unavoidable Ethical Dilemmas of Pandemic Flu
Questions for policy makers preparing for pandemics
Kirk O. Hanson
Hospital's Ethical Obligation to the Uninsured
Reflection on the case of a patient with Crohn's disease
Nick Welter
Duty of the Physician to an Uninsured Patient
Reflection on the case of a patient with Crohn's disease
Ella Sanman
Role of Friends in a Medical Emergency
Reflection on the case of a patient with Crohn's disease
Richelle Neal
Perspectives on Cognitive Enhancement
Hank Greely, professor of law at Stanford University, and the Emerging Issues Group at the Ethics Center look at the ethics of taking brain-boosting drugs.
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
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
Cancer: A Failure to Communicate - Reflections by Abdelmalek Yamani
Response to a case study where cultural misunderstandings interfere with medical care for a cancer patient.
Abdelmalek Yamani
Pandemic Influenza Ethics Tool
Ethical issues to consider in preparing for a pandemic, prepared for the Santa Clara County Public Health Department
Margaret R. McLean
Cancer: A Failure to Communicate - Reflections by Karen Peterson-Iyer
Response to a case study where cultural misunderstandings interfere with medical care for a cancer patient.
Karen Peterson-Iyer
Cancer: A Failure to Communicate
A case study of how cultural misunderstandings interfere with medical care for a cancer patient.
Karen Peterson-Iyer
Cancer: A Failure to Communicate - Reflection by Doha Raik Hamza
Response to a case study where cultural misunderstandings interfere with medical care for a cancer patient.
Doha Raik Hamza
Cancer: A Failure to Communicate - Reflections by Dr. Sheik Hassan and Dr. Hossam E. Fadel
Response to a case study where cultural misunderstandings interfere with medical care for a cancer patient.
Dr. Sheik Hassan and Dr. Hossam E. Fadel
Confronting a Fetal Abnormality: Sensitivity to a Muslim Patient
A case study raising issues of culturally competent health care for a Muslim woman.
Karen Peterson-Iyer
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
Confronting a Fetal Abnormality: Reflections by Doha Raik Hamza
Response to a case raising issues in culturally competent health care for a Muslim woman.
Doha Raik Hamza
Confronting a Fetal Abnormality: Reflections by Sheik N. Hassan and Hossam E. Fadel
Response to a case raising issues in culturally competent health care for a Muslim woman.
Sheik N. Hassan and Hossam E. Fadel
Confronting a Fetal Abnormality: Reflections by Karen Peterson-Iyer
Response to a case raising issues in culturally competent health care for a Muslim woman.
Karen Peterson-Iyer
Confronting a Fetal Abnormality: Reflections by Abdelmalek Yamani
Response to a case raising issues in culturally competent health care for a Muslim woman.
Abdelmalek Yamani
Expanding Health Care Coverage: A Balm for California?
Applying Catholic social teaching to the problem of the uninsured.
Margaret R. McLean
Coming Pandemic: Ethical Preparedness
Procedural and distributive justice considerations in triage during a pandemic.
Margaret R. McLean
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
With Health Care and Justice for All
Catholic social teaching and the ethics of access to health care.
Margaret R. McLean
'J' Is for Justice
What principles should guide the distribution of scarce medical resources such as organs for transplant?
Margaret R. McLean
Pandemic Ethics
Questions for health care institutions about preparing ethically for a disaster.
Margaret R. McLean
The Outbreak
This fictionalized case addresses the ethical issues confronting governments, NGOs, and pharmaceutical companies when faced with an epidemic.
Kirk O. Hanson
Pharmaceutical Decisions in Response to Epidemics: A Case Study
A video presentation, from the Ethics Center Conference, "The Future of Pharmaceuticals," which was held Oct. 3, 2003.
Markkula Center for Applied Ethics
Gruesome tests on cadavers betray donors
We need a national system that eliminates for-profit middlemen and offers complete and accurate information to donors and their families about how donated bodies and parts might be used.
Michael Meyer
Short People
Implications of the FDA decision to allow the use of human growth hormone to treat short stature of unknown origin.
Miriam Schulman
Homeland Health Security
The SARS epidemic should convince us to prepare for the terror of disease-bearing microbes.
Margaret R. McLean
Minority Patients Need Culture Brokers
Cultural differences must be taken into account in providing medical care.
Margaret R. McLean and Margaret A. Graham
Is smallpox the real threat?
Post 9/11, we focus on protecting ourselves against a biological assault, but our crumbling health care infrastructure is a more immediate danger.
Margaret R. McLean
Russian Hostage Rescue Shows the Danger of 'non-lethal' Weapons
Ethical issues in the deployment of supposedly non-lethal weapons.
Margaret R. McLean and S.L. Bachman
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
Should Violent Felons Receive Organ Transplants?
Reflection on the decision to grant a California prisoner a heart transplant.
David Perry
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
Who Gets Seen
Access issues in health care.
Peter Facione and Noreen Facione
The Sole Remaining Supplier
What are the ethical questions involved when a company is the only supplier of a high-risk, life-saving product?
Thomas Shanks
Global Distribution of AIDS Pharmaceuticals
Ethical issues in the distribution of AIDS drugs, especially in the developing world.
David Perry
The Long Distance Cancer Treatment
Does an HMO have a responsibility to provide care at the closest possible medical center?
Thomas Shanks
Prescribing Under the Influence
The impact of gifts from drug companies to physicians.
E. Haavi Morreim
Medical Amnesty
Podcast of a discussion on university Good Samaritan policies related to alcohol consumption
Emerging Issues Group