Julian Savulescu
Datos Biográficos
| ID | 328542 |
|---|---|
| NOMBRE | Julian Savulescu |
| NOMBRES | Julian |
| APELLIDO | Savulescu |
| FIRMA | SAVULESCU J |
| AFILIACIONES | National University of Singapore |
| ORCID | 0000-0003-1691-6403 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 146 |
| TOTAL DE CITAS | 41 |
| TOTAL COMO AUTOR | 142 |
| TOTAL COMO EDITOR | 5 |
| PRIMER AÑO DE PUBLICACIÓN | 2001 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 4 |
Eliciting normative judgments for ethically and politically legitimate policy-making
Contemporary societies face pressing ethical and policy challenges that require politically legitimate decision-making processes. This paper comparatively assesses how two public decision-making procedures – referendums and the empirical bioethical method of Collective Reflective Equilibrium in Practice (CREP) – perform in generating politically legitimate policymaking, using personal responsibility for health in healthcare resource allocation as…
The ethics of wegovy for children
Semaglutide, a glucagon-like peptide-1 receptor agonist (GLP-1 RA) marketed as Wegovy, has gained international attention for its appetite-suppressing and weight-loss effects. Approved by the U.S. FDA in 2022 for paediatric use in children aged 12 and older, Wegovy has since received similar approvals in several countries. Despite this, uptake among youth has been limited. While some clinicians advocate for broader paediatric use of Wegovy as an …
Leaving no one behind
If geroscience research delivers on its promise to increase healthy life years, societies around the globe will face profound moral questions. Unlike research addressing diseases such as cardiovascular disease, cancer, or diabetes, biological targeting of the process of senescence has a far wider, almost unprecedented sweep, potentially benefiting all people across the lifespan and future generations. This paper proposes that geroscience products…
All you need is…. justification
Most ethical guidelines on AI tout algorithmic transparency, the openness of an algorithm’s inner workings to human scrutiny, as an important desideratum in algorithmic deployment. Algorithmic transparency has been touted as important for valuable goals like procedural fairness, AI trustworthiness, contestability and planning around AI decision-making. This paper argues that these goals are better served by a distinct desideratum, algorithmic jus…
The ethics of Wegovy
Semaglutide, marketed as Wegovy, Ozempic, and Rybelsus, is a glucagon-like peptide-1 receptor agonist (GLP-1 RA) that has attracted significant global attention for its appetite-suppressing and weight-loss effects. Approved for pediatric use in children aged 12 and older, Wegovy has been described as a “miracle drug” and hailed as a potential solution to the so-called “obesity epidemic.” However, prescribing medication to children raises complex …
Exploring the ethics of tuberculosis human challenge models
We extend recent conversation about the ethics of human challenge trials to tuberculosis (TB). TB challenge studies could accelerate vaccine development, but ethical concerns regarding risks to trial participants and third parties have been a limiting factor. We analyse the expected social value and risks of different challenge models, concluding that if a TB challenge trial has between a 10% and a 50% chance of leading to the authorisation and n…
Who is a man and who is a woman? Implications of the UK Supreme Court decision
On 16 April 2025, the Supreme Court of the UK ruled that when interpreting the UK’s Equality Act (2010)—the Act of the UK Parliament that details protections against unlawful discrimination—the terms ‘man’, ‘woman’ and ‘sex’ pick out ‘biological sex’ (defined in the Court’s ruling as ‘the sex of a person at birth’) and not also ‘certificated sex’ (defined in the Court’s ruling as ‘the sex attained by the acquisition of a Gender Recognition Certif…
There is no consequentialist ethical justification for registries of conscientious non-objectors
When to create embryos or organoids for research
The development of brain organoids and use of human embryonic neural structures for research each raise distinct ethical considerations that require careful analysis. We propose that rather than attempting to resolve longstanding debates about embryonic moral status, a more productive approach is to examine how different positions on this fundamental question lead to distinct conclusions about appropriate research strategies. For those who ground…
In vitro fertilisation mix-ups and contested parenthood
In 2025, an Australian couple asked to have their remaining embryos moved to another clinic, only to discover that the child they had birthed 2 years earlier had not come from their own embryos, but an embryo belonging to a different couple. These situations can lead to disputes about who is recognised as ‘the parents’ in the biological or social sense, as well as who has moral or legal claims to parental rights and responsibilities. In terms of …
Suicide is not a public health issue and perhaps very few things should be
In her interesting response ‘Suicide is always a public health issue’, Susan Pennings puts forward a critique of a current controversy article written by us, ‘When is suicide a public health issue?’. Most notably, Pennings argues that national suicide prevention strategies have an important expressive function and that the framework proposed in our original piece would undermine this function. In this article, we will be responding to some of the…
Which AI doctor would you like to see? Emulating healthcare provider–patient communication models with GPT-4
Large language models (LLMs) have demonstrated potential in enhancing various aspects of healthcare, including health provider–patient communication. However, some have raised the concern that such communication may adopt implicit communication norms that deviate from what patients want or need from talking with their healthcare provider. This paper explores the possibility of using LLMs to enable patients to choose their preferred communication …
The Ethics of Ozempic and Wegovy
Semaglutide, sold under the brand names of Ozempic, Rybelsus and Wegovy, is one of the most popular drugs on the market. Manufactured by Novo Nordisk, semaglutide is the newest in a family of glucagon-like peptide-1 receptor agonists used most commonly to treat type II diabetes. To date, the results of semaglutide for the treatment of type II diabetes have been overwhelmingly positive. It is for the drug’s effects on appetite suppression and weig…
Misalignments of values and preferences
The ageing of the global population prompts many countries to appropriately allocate healthcare resources that ensure adequate elder care. Nevertheless, the shortages in and burdens of professional care continue to persist. Assistive and remote monitoring technologies for home-use support professional carers in providing care to older persons. With secondary analyses of semistructured interviews with 27 older persons and 23 professional carers in…
Forget Plagiarism
Recent technological advances in AI text generation have arguably made influential concepts in academic integrity guidance and policy documents obsolete. Plagiarism is probably the most high-profile victim of AI text generation. Before we get there, let's take a step back and ask why there are prohibitions—in academic research publishing—against duplicate or redundant publications, of which plagiarized content is only one such variety. In times g…
Assessing Risk Thresholds in Controlled Human Infection Models (CHIM)
Controlled Human Infection Models (CHIMs) are a type of clinical trial involving deliberately exposing human volunteers to an infectious agent. Compared to studies of natural infection, CHIMs offers distinctive benefits, from the ability to study presymptomatic infection to a direct assessment of the efficacy of vaccines and therapeutics in a shorter time and involving fewer participants. Although the CHIMs do not fundamentally differ from other …
Digital Doppelgängers, Human Relationships, and Practical Identity
In this paper, we examine the potential effects of relationships with Large Language Model (LLM)‐based digital doppelgängers (DDs) on users' values, concerns, and interests, that is, on their practical identity. DDs are artificially intelligent conversational agents trained on individuals' data to replicate their speech patterns, mannerisms, and personality traits. We start by showing that practical identity is largely defined by the relationship…
Should Terminal Sedation Be Expanded to Individuals Who Choose to Die Via the Voluntary Stopping of Eating and Drinking
The voluntary stopping of eating and drinking (VSED) is a phenomenon whereby an individual with decision‐making capacity chooses to cease eating and drinking with the intention of ending their own life. This is widely acknowledged as a lawful, albeit uncommon, end‐of‐life decision. It is now generally accepted that patients undertaking VSED should have access to appropriate palliative care, as per any other form of dying. However, it remains uncl…
Public Justification and Normatively Meaningful Bias
In a number of policy, institutional, activist and advocacy contexts, attributing bias to an algorithm does not just describe the algorithm but also imposes a particular, normatively laden conception of bias on others. Given the normative content of such bias attributions, this would involve making moral demands on others to rectify the algorithm, compensate the victims of such bias and/or not unselectively deploy the algorithm. It is also the ca…
The Ethics of Wegovy in Pediatric Mental Health
Semaglutide (Wegovy), a glucagon‐like peptide‐1 receptor agonist (GLP‐1 RA), has attracted global attention for its appetite‐suppressing and weight‐loss effects. Approved by the U.S. FDA in 2022 for adolescents aged 12 and older, it has since been authorized in several other countries. Despite this, its use among youth remains limited, with ongoing concerns about its long‐term safety, efficacy, and suitability during periods of growth and develop…
When Is It Safe to Introduce an AI System Into Healthcare? A Practical Decision Algorithm for the Ethical Implementation of Black‐Box AI in Medicine
There is mounting global interest in the revolutionary potential of AI tools. However, its use in healthcare carries certain risks. Some argue that opaque (‘black box’) AI systems in particular undermine patients' informed consent. While interpretable models offer an alternative, this approach may be impossible with generative AI and large language models (LLMs). Thus, we propose that AI tools should be evaluated for clinical use based on their i…
Is Consent-GPT valid? Public attitudes to generative AI use in surgical consent
Healthcare systems often delegate surgical consent-seeking to members of the treating team other than the surgeon (e.g., junior doctors in the UK and Australia). Yet, little is known about public attitudes toward this practice compared to emerging AI-supported options. This first large-scale empirical study examines how laypeople evaluate the validity and liability risks of using an AI-supported surgical consent system ( Consent-GPT ). We randoml…
AI preference prediction and policy making
Democratic decision-making is difficult. Representatives often fail to represent the preferences of their constituents, and directly consulting members of the public can be costly. Inspired by these difficulties, several scholars have discussed the use of artificial intelligence (AI) models to support democratic decision-making. One such particular application is the use of AI to represent public policy preferences by predicting them. In this pap…
Critical Engagement
Why is transparency important for the use of AI in healthcare? Responses to this question typically claim that transparency is something owed to the patient – because it is a condition for informed consent, legitimacy, accountability to the patient, etc. In this paper, we draw attention to why transparency can be valuable for medical practitioners. We claim that transparent AI models facilitate critical engagement by medical practitioners with AI…
Institutional objection to abortion care in Australia
Each Australian jurisdiction has decriminalised abortion. Despite this, abortion-seekers face multiple barriers to access, among them is encountering objection by individual health practitioners (conscientious objection) or institutions (institutional objection [IO]). This article reports on a qualitative interview study that examined 41 key interest-holders’ perspectives and experiences of institutional objection to abortion. Framework analysis …
The costs of being consequentialist
Previous work has demonstrated that people are more likely to trust "deontological" agents who reject harming one person to save many others than "consequentialist" agents who endorse such instrumental harms, which could explain the higher prevalence of non-consequentialist moral intuitions. Yet consequentialism involves endorsing not just instrumental harm, but also impartial beneficence, treating the well-being of every individual as equally im…
Uncertainty about the impact of social decisions increases prosocial behaviour
Speciesism, generalized prejudice, and perceptions of prejudiced others
Philosophers have argued there is a normative relationship between our attitudes towards animals ("speciesism") and other prejudices, and psychological work suggests speciesism relies on similar psychological processes and motivations as those underlying other prejudices. But do laypeople perceive such a connection? We compared perceptions of a target who is high or low on speciesism with those of a target who is high or low on racism (Studies 1-…
Doing good by doing nothing? The role of social norms in explaining default effects in altruistic contexts
We explore whether the known preference for default options in choice contexts—default effects—occur in altruistic contexts and the extent to which this can be explained through appeal to social norms. In four experiments, we found that (i) participants were more likely to donate money to charity when this was the default option in an altruistic choice context; (ii) participants perceived the default option to be the socially normative option; (i…
The Meaning of Life, Equality and Eternity
We present an analysis of a notion of the meaning of life, according to which our lives have meaning if we spend them intentionally producing what has value for ourselves or others. In this sense our lives can have meaning even if a science-inspired view of the world is correct, and they are only transient phenomena in a vast universe. Our lives are more or less meaningful in this sense due to the difference in value for ourselves and others we i…
Rethinking human enhancement as collective welfarism
Love drugs
Is the creation of artificial life morally significant
In 2010, the Venter lab announced that it had created the first bacterium with an entirely synthetic genome. This was reported to be the first instance of 'artificial life,' and in the ethical and policy discussions that followed it was widely assumed that the creation of artificial life is in itself morally significant. We cast doubt on this assumption. First we offer an account of the creation of artificial life that distinguishes this from the…
The ‘Institutional Lottery’
Despite abortion being decriminalised in Victoria, Australia, access remains difficult, especially at later gestations. Institutions (i.e. health services) place restrictions on the availability of late abortions and/or require additional requirements to be satisfied (e.g. Hospital Termination Review Committee approval), as a consequence of local regulation (i.e. policies and processes determined at the institutional level). This paper reports on…
Governing Global Antimicrobial Resistance
Ethics of genetic research on same-sex sexual behaviour
Procreative Beneficence
Eugenic selection of embryos is now possible by employing in vitro fertilization (IVF) and preimplantation genetic diagnosis (PGD). While PGD is currently being employed for the purposes of detecting chromosomal abnormalities or inherited genetic abnormalities, it could in principle be used to test any genetic trait such as hair colour or eye colour. Genetic research is rapidly progressing into the genetic basis of complex traits like intelligenc…
Future People, Involuntary Medical Treatment in Pregnancy and the Duty of Easy Rescue
I argue that pregnant women have a duty to refrain from behaviours (e.g. taking illicit drugs) or to allow certain acts to be done to them (e.g. caesarean section) for the sake of their foetus if the foetus has a reasonable chance of living and being in a harmed state if the woman does not refrain from those behaviours or allow those things to be done to her. There is a proviso: that her refraining from acting or allowing acts to be performed upo…
Genetic Interventions and The Ethics of Enhancement of Human Beings
There has been considerable recent debate on the ethics of human enhancement. A number of prominent authors have been concerned about or critical of the use of technology to alter or enhance human beings, citing threats to human nature and dignity as one basis for these concerns. Frances Kamm has given a detailed rebuttal of Sandel's arguments, arguing that human enhancement is permissible. Nicholas Agar, in his book Liberal Eugenics , argues tha…
The Moral Obligation to Create Children With the Best Chance of the Best Life
According to what we call the Principle of Procreative Beneficence (PB), couples who decide to have a child have a significant moral reason to select the child who, given his or her genetic endowment, can be expected to enjoy the most well‐being. In the first part of this paper, we introduce PB, explain its content, grounds, and implications, and defend it against various objections. In the second part, we argue that PB is superior to competing p…
Unfit for the Future
This text argues that the future of our species depends on radical enhancement of the moral aspects of our nature. Population growth and technological advances are threatening to undermine the conditions of worthwhile life on Earth forever. We need to modify to deal with this challenge.
Evolution, Genetic Engineering, and Human Enhancement
Natural Selection, Childrearing, and the Ethics of Marriage (and Divorce)
We argue that the fragility of contemporary marriages-and the corresponding high rates of divorce-can be explained (in large part) by a three-part mismatch: between our relationship values, our evolved psychobiological natures, and our modern social, physical, and technological environment. "Love drugs" could help address this mismatch by boosting our psychobiologies while keeping our values and our environment intact. While individual couples sh…
Decisiones peligrosas
The Oxford Principles
Religion, Intolerance, and Conflict
The relationship between religion, intolerance, and conflict has been the subject of intense discussion, particularly in the wake of the events of 9-11 and the ongoing threat of terrorism. The chapters in this book investigate the following themes: the role of religion in promoting social cohesion and the conditions under which it will tend to do so; the role of religion in enabling and exacerbating conflict between different social groups and th…
Is the creation of artificial life morally significant
In 2010, the Venter lab announced that it had created the first bacterium with an entirely synthetic genome. This was reported to be the first instance of 'artificial life,' and in the ethical and policy discussions that followed it was widely assumed that the creation of artificial life is in itself morally significant. We cast doubt on this assumption. First we offer an account of the creation of artificial life that distinguishes this from the…
Enhancement and Civic Virtue
Opponents of biomedical enhancement frequently adopt what Allen Buchanan has called the Personal Goods Assumption. On this assumption, the benefits of biomedical enhancement will accrue primarily to those individuals who undergo enhancements, not to wider society. Buchanan has argued that biomedical enhancements might in fact have substantial social benefits by increasing productivity. We outline another way in which enhancements might benefit wi…
‘Utilitarian’ judgments in sacrificial moral dilemmas do not reflect impartial concern for the greater good
A growing body of research has focused on so-called 'utilitarian' judgments in moral dilemmas in which participants have to choose whether to sacrifice one person in order to save the lives of a greater number. However, the relation between such 'utilitarian' judgments and genuine utilitarian impartial concern for the greater good remains unclear. Across four studies, we investigated the relationship between 'utilitarian' judgment in such sacrifi…
Is mandating elective single embryo transfer ethically justifiable in young women
Doing good by doing nothing? The role of social norms in explaining default effects in altruistic contexts
We explore whether the known preference for default options in choice contexts—default effects—occur in altruistic contexts and the extent to which this can be explained through appeal to social norms. In four experiments, we found that (i) participants were more likely to donate money to charity when this was the default option in an altruistic choice context; (ii) participants perceived the default option to be the socially normative option; (i…
The Ethics of Human Enhancement
We humans can enhance some of our mental and physical abilities above the normal upper limits for our species with the use of particular drug therapies and medical procedures. We will be able to enhance many more of our abilities and be able to do so in more ways in the not-too-distant future. Some commentators have welcomed the prospect of human enhancement technologies becoming widely used, while others have viewed it with alarm and have made c…
Ethics of Human Enhancement
Posthumous conception by presumed consent. A pragmatic position for a rare but ethically challenging dilemma
Genetic interventions and the ethics of enhancement of human beings
Grupo de investigación Antropología y Filosofía (SEJ-126). Universidad de Granada. - Área de Antropología Social. Universidad de Jaén. - Laborarorio de Antropología Social y Cultural (HUM-472). Universidad de Almería. - Departamento de Filosofía II. Universidad de Granada
Promoting Biodiversity
Zika, contraception and the non‐identity problem
The 2016 outbreak of the Zika arbovirus was associated with large numbers of cases of the newly‐recognised Congenital Zika Syndrome ( CZS ). This novel teratogenic epidemic raises significant ethical and practical issues. Many of these arise from strategies used to avoid cases of CZS , with contraception in particular being one proposed strategy that is atypical in epidemic control. Using contraception to reduce the burden of CZS has an ethical c…
Better Minds, Better Morals
Making more moral decisions - an uncontroversial goal, if ever there was one. But how to go about it? In this article, we offer a practical guide on ways to promote good judgment in our personal and professional lives. We will do this not by outlining what the good life consists in or which values we should accept.Rather, we offer a theory of procedural reliability : a set of dimensions of thought that are generally conducive to good moral reason…
Taxing Meat
Antibiotic use in animal farming is one of the main drivers of antibiotic resistance both in animals and in humans. In this paper we propose that one feasible and fair way to address this problem is to tax animal products obtained with the use of antibiotics. We argue that such tax is supported both by (a) deontological arguments, which are based on the duty individuals have to compensate society for the antibiotic resistance to which they are co…
Beyond sacrificial harm
(see record 2018-15704-001). The copyright attribution was incorrectly listed, and the Creative Commons CC-BY license disclaimer was incorrectly omitted from the author note. The correct copyright is "© 2017 The Author(s)" and the omitted disclaimer is found in the erratum. All versions of this article have been corrected.] Recent research has relied on trolley-type sacrificial moral dilemmas to study utilitarian versus nonutilitarian modes of mo…
The Right to Know
During the course of biomedical research, researchers sometimes obtain information on participants that is outside the aim of the study but may nonetheless be relevant to the participants. These incidental findings, as they are known, have been the focus of a substantial amount of discussion in the bioethics literature, and a consensus has begun to emerge about what researchers should do in light of the possibility of incidental findings. A conse…
Political science (73 obras) · Psychology (71 obras) · Law (62 obras) · Medicine (54 obras) · Computer Science (46 obras) · Sociology (35 obras) · Social Psychology (34 obras) · Epistemology (29 obras) · Neuroethics, Human Enhancement, Biomedical Innovations (28 obras) · Ethics in medical practice (27 obras)