David Rodríguez-Arias
Biographic Data
| ID | 327783 |
|---|---|
| NAME | David Rodríguez-Arias |
| GIVEN NAMES | David |
| FAMILY NAME | Rodríguez-Arias |
| SIGNATURE | RODRÍGUEZ-ARIAS D |
| AFFILIATIONS | Universidad de Granada |
| ORCID | 0000-0002-4555-5259 |
| VERIFIED | Yes |
| TOTAL WORKS | 18 |
| TOTAL CITATIONS | 2 |
| AUTHOR COUNT | 18 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2013 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Patients’ experiences of unbearable suffering in assisted dying requests in Spain and Switzerland
In most countries where assisted dying is regulated, unbearable suffering is a key eligibility criterion. Yet, due to its deeply subjective nature, the assessment of suffering by third parties remains a challenge. Few studies have examined how patients themselves describe this experience. This cross-national qualitative study explores how individuals requesting assisted dying express and describe their experiences of unbearable suffering in Spain…
Between Safeguard and Constraint
There has been an increase in the number of jurisdictions legalizing or decriminalizing Medical Assistance in Dying (MAiD). Legal frameworks worldwide strive to balance respect for autonomy with regulatory safeguards that both operationalize voluntary choice and prevent access to MAiD in cases of remediable despair or coerced decision‐making. However, the implementation of such an equilibrium diverges. Some legal systems prioritize personal auton…
Organ Donation After Medical Aid in Dying
Organ Donation after Medical Aid in Dying (OD‐MAiD) is currently practised in four countries: Belgium, Canada, the Netherlands, and Spain. While OD‐MAiD shares some similarities with MAiD (absent the possibility of organ donation) and with standard organ donation protocols, the combination of OD and MAiD involves unique circumstances that present novel ethical challenges. These challenges revolve around donors' consent and protection, the dead do…
The Ethics of Heart Donation After the Circulatory Determination of Death
In 2023, the National Heart, Lung, and Blood Institute (NHLBI) organized a workshop to identify research gap areas in organ donation after circulatory determination of death (DCDD). We present the findings of the DCDD ethics working group. Heart DCDD, as all DCDD, may disrupt optimal end‐of‐life care. Irrespective of organ donation, research opportunities include identifying which processes of withdrawal of life‐sustaining therapy offer optimum p…
“Just” accuracy? Procedural fairness demands explainability in AI-based medical resource allocations
The increasing application of artificial intelligence (AI) to healthcare raises both hope and ethical concerns. Some advanced machine learning methods provide accurate clinical predictions at the expense of a significant lack of explainability. Alex John London has defended that accuracy is a more important value than explainability in AI medicine. In this article, we locate the trade-off between accurate performance and explainable algorithms in…
Ethical assessments and mitigation strategies for biases in AI-systems used during the Covid-19 pandemic
The main aim of this article is to reflect on the impact of biases related to artificial intelligence (AI) systems developed to tackle issues arising from the COVID-19 pandemic, with special focus on those developed for triage and risk prediction. A secondary aim is to review assessment tools that have been developed to prevent biases in AI systems. In addition, we provide a conceptual clarification for some terms related to biases in this partic…
End-of-Life Narratives of Patients who Request Medical Assistance in Dying
Many groups (healthcare professionals, lawyers, philosophers, non-governmental organisations, bioethics committees, journalists, religious groups, etc.) participate in the bioethical debate about medical assistance in dying (MAiD). Bioethics literature on the topic involve different approaches (analytic, empirical, policy oriented, activist) and various normative perspectives (discourses based on deontological premises as the sanctity of life and…
Testing the Motivational Strength of Positive and Negative Duty Arguments Regarding Global Poverty
Two main types of philosophical arguments have been given in support of the claim that the citizens of affluent societies have stringent moral duties to aid the global poor: “positive duty” arguments based on the notion of beneficence and “negative duty” arguments based on noninterference. Peter Singer’s positive duty argument (Singer 1972) and Thomas Pogge’s negative duty argument (Pogge 2002) are among the most prominent examples. Philosophers …
Attitudes of European students towards family decision-making and the harmonisation of consent systems in deceased organ donation
There is overall division on whether families should have a surrogate role, and substantial opposition to granting them sole authority over decision-making. If European countries were to harmonise their policies on consent for organ donation, an opt-out system that grants families a surrogate decision-making role may enjoy the widest public support
La eficiencia no basta. Análisis ético y recomendaciones para la distribución de recursos escasos en situación de pandemia
Elaborar una herramienta de apoyo que ayude a tomar decisiones en el marco de la pandemia de COVID-19. Se parte de una búsqueda de diferentes recomendaciones éticas surgidas en España sobre priorización de recursos sanitarios escasos en la pandemia de COVID-19, así como de una revisión narrativa de modelos teóricos sobre distribución en pandemias para definir una fundamentación ética. Finalmente, se extraen recomendaciones para su posible aplicac…
La confiscación de órganos a la luz del derecho constitucional a la protección de la salud
En este trabajo analizamos los argumentos a favor y en contra del que hemos denominado modelo de obtención automática en relación con los órganos de fallecidos. Para ello aportamos datos empíricos que permiten valorar su potencial impacto en las cifras de donación y en la opinión pública. Específicamente, por un lado, examinamos las razones que lo respaldan, haciendo especial referencia a aquellas relativas a la utilidad y la justicia. Por otro l…
How do people use ‘killing’, ‘letting die’ and related bioethical concepts? Contrasting descriptive and normative hypotheses
Bioethicists involved in end‐of‐life debates routinely distinguish between ‘killing’ and ‘letting die’. Meanwhile, previous work in cognitive science has revealed that when people characterize behaviour as either actively ‘doing’ or passively ‘allowing’, they do so not purely on descriptive grounds, but also as a function of the behaviour’s perceived morality. In the present report, we extend this line of research by examining how medical student…
Do Publics Share Experts' Concerns about Brain-Computer Interfaces? A Trinational Survey on the Ethics of Neural Technology
Since the 1960s, scientists, engineers, and healthcare professionals have developed brain-computer interface (BCI) technologies, connecting the user's brain activity to communication or motor devices. This new technology has also captured the imagination of publics, industry, and ethicists. Academic ethics has highlighted the ethical challenges of BCIs, although these conclusions often rely on speculative or conceptual methods rather than empiric…
Uncontrolled DCD
Uncontrolled donation after circulatory death, which occurs when an individual has experienced unexpected cardiac arrest, usually not in a hospital, generates both excitement and concern. On the one hand, uDCD programs have the capacity to significantly increase organ donation rates, with good transplant outcomes—mainly for kidneys, but also for livers and lungs. On the other hand, uDCD raises a number of ethical challenges. In this essay, we foc…
Dying and multiplying life
It was only after James P. Lovette's death, in 2006, that I discovered that the twenty‐four‐year‐old colleague and friend with whom I had spent so many afternoons debating issues in organ transplantation had been the first successful child heart transplantee in the world and one of the longest‐living survivors of a second transplant. During the years we met, he never even hinted at the fact that three different hearts had beaten in his chest. The…
Casting Light and Doubt on Uncontrolled DCDD Protocols
The ever‐increasing demand for organs led Spain, France, and other European countries to promote uncontrolled donation after circulatory determination of death (uDCDD). For the same reason, New York City has recently developed its own uDCDD protocol, which differs from European programs in some key ways. The New York protocol incorporates a series of technical and management improvements that address some practical problems identified in response…
The Death Debates
In this issue of the Report, James L. Bernat proposes an innovative and sophisticated distinction to justify the introduction of permanent cessation as a valid substitute standard for irreversible cessation in death determination. He differentiates two approaches to conceptualizing and determining death: the biological concept and the prevailing medical practice standard. While irreversibility is required by the biological concept, the weaker cri…
Ni vivo ni muerto, sino todo lo contrario. Reflexiones sobre la muerte cerebral
Determinar el momento exacto en que tiene lugar la muerte siempre ha sido un problema de difícil resolución. Las propuestas tradicionales y contemporáneas para justificar los criterios legales de determinación de la muerte se han visto condicionadas por intereses sociales —en particular, recientemente, relativos a los trasplantes de órganos—. Los criterios legalmente aceptados para declarar la muerte siguen careciendo de soporte conceptual o cien…
Do Publics Share Experts' Concerns about Brain-Computer Interfaces? A Trinational Survey on the Ethics of Neural Technology
Since the 1960s, scientists, engineers, and healthcare professionals have developed brain-computer interface (BCI) technologies, connecting the user's brain activity to communication or motor devices. This new technology has also captured the imagination of publics, industry, and ethicists. Academic ethics has highlighted the ethical challenges of BCIs, although these conclusions often rely on speculative or conceptual methods rather than empiric…
Casting Light and Doubt on Uncontrolled DCDD Protocols
The ever‐increasing demand for organs led Spain, France, and other European countries to promote uncontrolled donation after circulatory determination of death (uDCDD). For the same reason, New York City has recently developed its own uDCDD protocol, which differs from European programs in some key ways. The New York protocol incorporates a series of technical and management improvements that address some practical problems identified in response…
The Death Debates
In this issue of the Report, James L. Bernat proposes an innovative and sophisticated distinction to justify the introduction of permanent cessation as a valid substitute standard for irreversible cessation in death determination. He differentiates two approaches to conceptualizing and determining death: the biological concept and the prevailing medical practice standard. While irreversibility is required by the biological concept, the weaker cri…
Ni vivo ni muerto, sino todo lo contrario. Reflexiones sobre la muerte cerebral
Determinar el momento exacto en que tiene lugar la muerte siempre ha sido un problema de difícil resolución. Las propuestas tradicionales y contemporáneas para justificar los criterios legales de determinación de la muerte se han visto condicionadas por intereses sociales —en particular, recientemente, relativos a los trasplantes de órganos—. Los criterios legalmente aceptados para declarar la muerte siguen careciendo de soporte conceptual o cien…
Dying and multiplying life
It was only after James P. Lovette's death, in 2006, that I discovered that the twenty‐four‐year‐old colleague and friend with whom I had spent so many afternoons debating issues in organ transplantation had been the first successful child heart transplantee in the world and one of the longest‐living survivors of a second transplant. During the years we met, he never even hinted at the fact that three different hearts had beaten in his chest. The…
Uncontrolled DCD
Uncontrolled donation after circulatory death, which occurs when an individual has experienced unexpected cardiac arrest, usually not in a hospital, generates both excitement and concern. On the one hand, uDCD programs have the capacity to significantly increase organ donation rates, with good transplant outcomes—mainly for kidneys, but also for livers and lungs. On the other hand, uDCD raises a number of ethical challenges. In this essay, we foc…
How do people use ‘killing’, ‘letting die’ and related bioethical concepts? Contrasting descriptive and normative hypotheses
Bioethicists involved in end‐of‐life debates routinely distinguish between ‘killing’ and ‘letting die’. Meanwhile, previous work in cognitive science has revealed that when people characterize behaviour as either actively ‘doing’ or passively ‘allowing’, they do so not purely on descriptive grounds, but also as a function of the behaviour’s perceived morality. In the present report, we extend this line of research by examining how medical student…
Do Publics Share Experts' Concerns about Brain-Computer Interfaces? A Trinational Survey on the Ethics of Neural Technology
Since the 1960s, scientists, engineers, and healthcare professionals have developed brain-computer interface (BCI) technologies, connecting the user's brain activity to communication or motor devices. This new technology has also captured the imagination of publics, industry, and ethicists. Academic ethics has highlighted the ethical challenges of BCIs, although these conclusions often rely on speculative or conceptual methods rather than empiric…
La eficiencia no basta. Análisis ético y recomendaciones para la distribución de recursos escasos en situación de pandemia
Elaborar una herramienta de apoyo que ayude a tomar decisiones en el marco de la pandemia de COVID-19. Se parte de una búsqueda de diferentes recomendaciones éticas surgidas en España sobre priorización de recursos sanitarios escasos en la pandemia de COVID-19, así como de una revisión narrativa de modelos teóricos sobre distribución en pandemias para definir una fundamentación ética. Finalmente, se extraen recomendaciones para su posible aplicac…
La confiscación de órganos a la luz del derecho constitucional a la protección de la salud
En este trabajo analizamos los argumentos a favor y en contra del que hemos denominado modelo de obtención automática en relación con los órganos de fallecidos. Para ello aportamos datos empíricos que permiten valorar su potencial impacto en las cifras de donación y en la opinión pública. Específicamente, por un lado, examinamos las razones que lo respaldan, haciendo especial referencia a aquellas relativas a la utilidad y la justicia. Por otro l…
Testing the Motivational Strength of Positive and Negative Duty Arguments Regarding Global Poverty
Two main types of philosophical arguments have been given in support of the claim that the citizens of affluent societies have stringent moral duties to aid the global poor: “positive duty” arguments based on the notion of beneficence and “negative duty” arguments based on noninterference. Peter Singer’s positive duty argument (Singer 1972) and Thomas Pogge’s negative duty argument (Pogge 2002) are among the most prominent examples. Philosophers …
Attitudes of European students towards family decision-making and the harmonisation of consent systems in deceased organ donation
There is overall division on whether families should have a surrogate role, and substantial opposition to granting them sole authority over decision-making. If European countries were to harmonise their policies on consent for organ donation, an opt-out system that grants families a surrogate decision-making role may enjoy the widest public support
Ethical assessments and mitigation strategies for biases in AI-systems used during the Covid-19 pandemic
The main aim of this article is to reflect on the impact of biases related to artificial intelligence (AI) systems developed to tackle issues arising from the COVID-19 pandemic, with special focus on those developed for triage and risk prediction. A secondary aim is to review assessment tools that have been developed to prevent biases in AI systems. In addition, we provide a conceptual clarification for some terms related to biases in this partic…
End-of-Life Narratives of Patients who Request Medical Assistance in Dying
Many groups (healthcare professionals, lawyers, philosophers, non-governmental organisations, bioethics committees, journalists, religious groups, etc.) participate in the bioethical debate about medical assistance in dying (MAiD). Bioethics literature on the topic involve different approaches (analytic, empirical, policy oriented, activist) and various normative perspectives (discourses based on deontological premises as the sanctity of life and…
“Just” accuracy? Procedural fairness demands explainability in AI-based medical resource allocations
The increasing application of artificial intelligence (AI) to healthcare raises both hope and ethical concerns. Some advanced machine learning methods provide accurate clinical predictions at the expense of a significant lack of explainability. Alex John London has defended that accuracy is a more important value than explainability in AI medicine. In this article, we locate the trade-off between accurate performance and explainable algorithms in…
The Ethics of Heart Donation After the Circulatory Determination of Death
In 2023, the National Heart, Lung, and Blood Institute (NHLBI) organized a workshop to identify research gap areas in organ donation after circulatory determination of death (DCDD). We present the findings of the DCDD ethics working group. Heart DCDD, as all DCDD, may disrupt optimal end‐of‐life care. Irrespective of organ donation, research opportunities include identifying which processes of withdrawal of life‐sustaining therapy offer optimum p…
Patients’ experiences of unbearable suffering in assisted dying requests in Spain and Switzerland
In most countries where assisted dying is regulated, unbearable suffering is a key eligibility criterion. Yet, due to its deeply subjective nature, the assessment of suffering by third parties remains a challenge. Few studies have examined how patients themselves describe this experience. This cross-national qualitative study explores how individuals requesting assisted dying express and describe their experiences of unbearable suffering in Spain…
Between Safeguard and Constraint
There has been an increase in the number of jurisdictions legalizing or decriminalizing Medical Assistance in Dying (MAiD). Legal frameworks worldwide strive to balance respect for autonomy with regulatory safeguards that both operationalize voluntary choice and prevent access to MAiD in cases of remediable despair or coerced decision‐making. However, the implementation of such an equilibrium diverges. Some legal systems prioritize personal auton…
Organ Donation After Medical Aid in Dying
Organ Donation after Medical Aid in Dying (OD‐MAiD) is currently practised in four countries: Belgium, Canada, the Netherlands, and Spain. While OD‐MAiD shares some similarities with MAiD (absent the possibility of organ donation) and with standard organ donation protocols, the combination of OD and MAiD involves unique circumstances that present novel ethical challenges. These challenges revolve around donors' consent and protection, the dead do…
Political science (10 works) · Psychology (10 works) · Law (9 works) · Organ Donation and Transplantation (9 works) · Palliative Care and End-of-Life Issues (9 works) · Medicine (7 works) · Computer Science (6 works) · Epistemology (6 works) · Social Psychology (6 works) · Sociology (6 works)