Thursday, 27 August 2015

The Essay on Reproductive and Population Ethics that Commissioned from Torbjörn Tännsjö, But Didn't Dare Publish

Indeed. For the informed in philosophical ethics, the ideas argued by professor of practical philosophy at Stockholm University and formerly my colleague in Gothenburg and once doctoral supervisor Torbjörn Tännsjö is no news. Apparently, though, it scared the socks off the editors, who decided to give in a to a perceived heckler vote and scrap a commissioned piece popularly presenting one of several well-known standard positions in population and reproductive ethics. Of course, this is very good reason to spread the article as widely as poosible, so please download it here. Naturally, this has nothing to do with whether or not you agree with Tännsjö on the issue.

Brian Leiter has the backgroundstory here, including link to a response from the Vox editors, apparently produced in a panic at being faced with a minor uproar around Twitter and other places. Read it, and I think you'll agree that it only strengthen the reasons to continue having their underwear pulled down in public. Apparently it is Vox's official position that if a person holds what they take to be a pro-life opinion on abortion (which ironically Tännsjö don't, he's radically pro-choice! and pro-life positions on the politics of abortion is in no way implied by his argument), they cannot be published in Vox provided the editors don't feel sufficiently "comfortable" about they themselves promoting the view in question. I suppose they universalize this maxim, and publish only opinions they themselves personally feel comfortable promoting – good luck with that sorry excuse for publishing policy! That in addition to their more carefully elaborated exposition of their own  lack of journalistic spunk.

Tuesday, 25 August 2015

Alice Dreger Resigns from Northwestern University Following Pathetic Censoring by Management

Today, I learned that Alice Dreger, professor of clinical medical humanities and bioethics at Northwestern University's Feinberg School of Medicine, internationally celebrated for her work on the practices and policies around intersex and ambiguous sex conditions, especially in small children, yesterday chose to hand in her letter of resignation, following a pathetically prude and spineless piece of ham-handed censorship of her and a colleagues' work by her own medical school dean,  Eric Nielson last year, and subsequent lack of university provost, Daniel Linzer, to assure her that anything like that would never occur again.

Read it all in Alice's own words, including the letter of resignation itself, at her website and blog, here.

As Alice has just published and already won acclaim for the book, Galileo's Middle Finger, which centers around exactly the issue of censorship and supression of academic publication and scientific ideas, the development has a bizarre twist to it, indeed. Today, apparently, it is not the clerics or the many versions of politburos that academics and scientists have to fear will silence what they have to tell the world, but the leaders of the very institutions supposed to sternly guard against anything in that vein.

Tuesday, 11 August 2015

New Article Presenting Framework for Identifying Ethical Aspects in Health Technology Assessment

I'm happy to announce the publication of a new article, available for free download and reading online, that presents a novel framework for systematic identification of ethical aspects in so-called Health Technology Assessment (HTA). This is the organised and systematiced discipline of assessing the evidence for the value of new treatments and methods for health care purposes (pharmaceuticals, new procedures, technical tools, diagnostic tests, and so on). The idea of having ethical issues integrated into such assessment has been seriously discussed for about ten years, and I have the last two of these been fortunate to take part in a project to this effect, organised by the Swedish national health technology assessment agency, SBU. This work produced a new guideline in Swedish and an update of the ethics section of the SBU method handbook. We then continued to develop a presentation of what we think are both novel and useful results also in an international perspective, which can increase the ambition and quality of attempts to integrate ethical aspects in HTA work, into an international publication, which we are now happy to have out in the International Journal of Technology Assessment in Health Care:

And the abstract runs:

Objectives: Assessment of ethical aspects of a technology is an important component of health technology assessment (HTA). Nevertheless, how the implementation of ethical assessment in HTA is to be organized and adapted to specific regulatory and organizational settings remains unclear. The objective of this study is to present a framework for systematic identification of ethical aspects of health technologies. Furthermore, the process of developing and adapting the framework to a specific setting is described.
Methods: The framework was developed based on an inventory of existing approaches to identification and assessment of ethical aspects in HTA. In addition, the framework was adapted to the Swedish legal and organizational healthcare context, to the role of the HTA agency and to the use of non-ethicists. The framework was reviewed by a group of ethicists working in the field as well as by a wider set of interested parties including industry, interest groups, and other potential users.
Results: The framework consists of twelve items with sub-questions, short explanations, and a concluding overall summary. The items are organized into four different themes: the effects of the intervention on health, its compatibility with ethical norms, structural factors with ethical implications, and long term ethical consequences of using the intervention.
Conclusions: In this study, a framework for identifying ethical aspects of health technologies is proposed. The general considerations and methodological approach to this venture will hopefully inspire and present important insights to organizations in other national contexts interested in making similar adaptations.

The article is so-called open access, meaning that it can be freely downloaded and read online by anyone. You are also free to re-use, distribute, and reproduce in any medium, provided the original work is properly cited. Find out more here or download the pdf directly here!