Paul T Menzel
Dados Biográficos
| ID | 3572890 |
|---|---|
| NOME | Paul T Menzel |
| PRENOMES | Paul T |
| SOBRENOME | Menzel |
| ASSINATURA | MENZEL P T |
| AFILIAÇÕES | Pacific Lutheran University |
| ORCID | 0000-0001-9206-1529 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 20 |
| TOTAL DE CITAÇÕES | 44 |
| TOTAL COMO AUTOR | 20 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1970 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Reexamining the Udda
This letter responds to the article “Defining Death Anew: Reexamining the Twentieth‐Century Brain Death Debates and the Uniform Determination of Death Act,” by Anne E. Clinton, and the responding commentary, “The Enigma of Brain Death,” by Robert D. Truog in the November‐December 2025 issue of the Hastings Center Report.
Advance directives for oral feeding in dementia
In a recent paper in JME, Shelton and Geppert use an approach by Menzel and Chandler-Cramer to sort out ethical dilemmas about the oral feeding of patients in advanced dementia, ultimately arguing that the usefulness of advance directives about such feeding is highly limited. They misunderstand central aspects of Menzel’s and Chandler-Cramer’s approach, and in making their larger claim that such directives are much less useful than typically pres…
How Should Willingness-to-Pay Values of Quality-Adjusted Life-Years Be Updated and According to Whom
Before updating any willingness-to-pay (WTP) per quality-adjusted life-year (QALY) threshold, a few points must be recognized. Ethical justification for using WTP thresholds and QALYs lies in incorporating the preferences of those whose treatment could be affected by resulting resource allocations. For WTP thresholds, such justification depends on the sufficiency of a match between a group-members of an insurance pool from which health care payme…
Advance Directives for Refusing Life‐Sustaining Treatment in Dementia
Aid‐in‐dying laws in the United States have two important restrictions. First, only patients who are terminally ill, defined as having a prognosis of six months or less to live, qualify. Second, at the time the patients take the lethal medication, they must be competent to make medical decisions. This means that an advance directive requesting aid in dying for a later time when the patient lacks decision‐making capacity would be invalid. However,…
Advance Directives, Dementia, and Withholding Food and Water by Mouth
Competent patients have considerable legal authority to control life‐and‐death care. They may refuse medical life support, including medically delivered food and fluids. Even when they are not in need of any life‐saving care, they may expedite death by refusing food and water by mouth—voluntarily stopping eating and drinking, or VSED. Neither right is limited to terminal illness. In addition, in four U.S. states, competent patients, if terminally…
Saved from Themselves
With his Affordable Care Act decision, Chief Justice Roberts saved conservatives from themselves. A constitutional regime that prohibited a mandate for basic health insurance while permitting Medicare and the Veterans Health Administration, presumably on the basis of government taxing authority, would have been a conservative nightmare. These partial U.S. versions of single payer and national health service are permissible, but a coherent private…
Response to “on the relevance of personal characteristics in setting health care priorities
How Compatible Are Liberty and Equality in Structuring a Health Care System?
In their normative role in shaping the basic structure of a health care system, liberty and equality are often thought to conflict so sharply that health policy is condemned to remain an ideological battleground. In this paper, I will articulate my own view of why much of the apparently fundamental conflict between individual liberty and responsibility, on the one hand, and equality and equality's related concern for cost-efficiency, on the other…
The moral relevance of personal characteristics in setting health care priorities
The role of adaptation to disability and disease in health state valuation
Improving Value Measurement in Cost-Effectiveness Analysis
OBJECTIVE: Before cost-effectiveness analysis (CEA) can fulfill its promise as a tool to guide health care allocation decisions, the method of incorporating societal values into CEA may need to be improved. DESIGN: The study design was a declarative exposition of potential fallacies in the theoretical underpinnings of CEA. Two values held by many people-preferences for giving priority to severely ill patients and preferences to avoid discriminati…
Toward a Broader View of Values in Cost-Effectiveness Analysis of Health
Paul Menzel, Marthe R. Gold, Erik Nord, Jose-Louis Pinto-Prades, Jeff Richardson, Peter Ubel, Toward a Broader View of Values in Cost-Effectiveness Analysis of Health, The Hastings Center Report, Vol. 29, No. 3 (May - Jun., 1999), pp. 7-15
When Comes "The End of the Day?"
Denis G. Arnold, Paul T. Menzel, When Comes "The End of the Day?": A Comment on the Dialogue between Dax Cowart and Robert Burt, The Hastings Center Report, Vol. 28, No. 1 (Jan. - Feb., 1998), pp. 25-27
Rescuing Lives Can't We Count
How can transplant centers justify ultimately letting two or more\npersons somewhere down the queue likely die because they have drawn so much\nout of the organ bank to save one? And why should the press play along with\nthis lifesaving delusion and publicize appeals to unknowing financial donors\nwithout telling them the morally relevant facts? If donors knew, why should\nthey feel good about having contributed to a net
Healthy Realism
Oregon's Denial Disabilities and Quality of Life
Rationing that considers quality of life must be allowed to go\nforward even if at times it happens to disadvantage some persons with\ndisabilities. Indeed, it is questionable whether we could ever devise a\nsystem of priority-setting that was not informed in some measure by\nassessments of quality of life. Disadvantage, however, is not the same thing\nas the invidious discrimination the ADA [Americans with Disabilities Act 1990]\nseeks to preclu…
The State of the Great Northwest
Medical Costs, Moral Choices
Fetal Research
The June 1975 issue of the Hastings Center Report published the Deliberations and Recommendations of the National Commission for the Protection of Human Subjects concerning the regulation of fetal experimentation. The Commission's most controversial conclusions were as follows: First, it voted to allow non-therapeutic research on the human fetus, provided important biomedical knowledge could not be gained in any other way, proper consent had been…
Epiphenomenalism and metaethical non-naturalism
Epiphenomenalism and metaethical non-naturalism
Fetal Research
The June 1975 issue of the Hastings Center Report published the Deliberations and Recommendations of the National Commission for the Protection of Human Subjects concerning the regulation of fetal experimentation. The Commission's most controversial conclusions were as follows: First, it voted to allow non-therapeutic research on the human fetus, provided important biomedical knowledge could not be gained in any other way, proper consent had been…
Medical Costs, Moral Choices
Oregon's Denial Disabilities and Quality of Life
Rationing that considers quality of life must be allowed to go\nforward even if at times it happens to disadvantage some persons with\ndisabilities. Indeed, it is questionable whether we could ever devise a\nsystem of priority-setting that was not informed in some measure by\nassessments of quality of life. Disadvantage, however, is not the same thing\nas the invidious discrimination the ADA [Americans with Disabilities Act 1990]\nseeks to preclu…
The State of the Great Northwest
Healthy Realism
Rescuing Lives Can't We Count
How can transplant centers justify ultimately letting two or more\npersons somewhere down the queue likely die because they have drawn so much\nout of the organ bank to save one? And why should the press play along with\nthis lifesaving delusion and publicize appeals to unknowing financial donors\nwithout telling them the morally relevant facts? If donors knew, why should\nthey feel good about having contributed to a net
When Comes "The End of the Day?"
Denis G. Arnold, Paul T. Menzel, When Comes "The End of the Day?": A Comment on the Dialogue between Dax Cowart and Robert Burt, The Hastings Center Report, Vol. 28, No. 1 (Jan. - Feb., 1998), pp. 25-27
Toward a Broader View of Values in Cost-Effectiveness Analysis of Health
Paul Menzel, Marthe R. Gold, Erik Nord, Jose-Louis Pinto-Prades, Jeff Richardson, Peter Ubel, Toward a Broader View of Values in Cost-Effectiveness Analysis of Health, The Hastings Center Report, Vol. 29, No. 3 (May - Jun., 1999), pp. 7-15
Improving Value Measurement in Cost-Effectiveness Analysis
OBJECTIVE: Before cost-effectiveness analysis (CEA) can fulfill its promise as a tool to guide health care allocation decisions, the method of incorporating societal values into CEA may need to be improved. DESIGN: The study design was a declarative exposition of potential fallacies in the theoretical underpinnings of CEA. Two values held by many people-preferences for giving priority to severely ill patients and preferences to avoid discriminati…
The role of adaptation to disability and disease in health state valuation
How Compatible Are Liberty and Equality in Structuring a Health Care System?
In their normative role in shaping the basic structure of a health care system, liberty and equality are often thought to conflict so sharply that health policy is condemned to remain an ideological battleground. In this paper, I will articulate my own view of why much of the apparently fundamental conflict between individual liberty and responsibility, on the one hand, and equality and equality's related concern for cost-efficiency, on the other…
The moral relevance of personal characteristics in setting health care priorities
Response to “on the relevance of personal characteristics in setting health care priorities
Saved from Themselves
With his Affordable Care Act decision, Chief Justice Roberts saved conservatives from themselves. A constitutional regime that prohibited a mandate for basic health insurance while permitting Medicare and the Veterans Health Administration, presumably on the basis of government taxing authority, would have been a conservative nightmare. These partial U.S. versions of single payer and national health service are permissible, but a coherent private…
Advance Directives, Dementia, and Withholding Food and Water by Mouth
Competent patients have considerable legal authority to control life‐and‐death care. They may refuse medical life support, including medically delivered food and fluids. Even when they are not in need of any life‐saving care, they may expedite death by refusing food and water by mouth—voluntarily stopping eating and drinking, or VSED. Neither right is limited to terminal illness. In addition, in four U.S. states, competent patients, if terminally…
Advance Directives for Refusing Life‐Sustaining Treatment in Dementia
Aid‐in‐dying laws in the United States have two important restrictions. First, only patients who are terminally ill, defined as having a prognosis of six months or less to live, qualify. Second, at the time the patients take the lethal medication, they must be competent to make medical decisions. This means that an advance directive requesting aid in dying for a later time when the patient lacks decision‐making capacity would be invalid. However,…
How Should Willingness-to-Pay Values of Quality-Adjusted Life-Years Be Updated and According to Whom
Before updating any willingness-to-pay (WTP) per quality-adjusted life-year (QALY) threshold, a few points must be recognized. Ethical justification for using WTP thresholds and QALYs lies in incorporating the preferences of those whose treatment could be affected by resulting resource allocations. For WTP thresholds, such justification depends on the sufficiency of a match between a group-members of an insurance pool from which health care payme…
Advance directives for oral feeding in dementia
In a recent paper in JME, Shelton and Geppert use an approach by Menzel and Chandler-Cramer to sort out ethical dilemmas about the oral feeding of patients in advanced dementia, ultimately arguing that the usefulness of advance directives about such feeding is highly limited. They misunderstand central aspects of Menzel’s and Chandler-Cramer’s approach, and in making their larger claim that such directives are much less useful than typically pres…
Reexamining the Udda
This letter responds to the article “Defining Death Anew: Reexamining the Twentieth‐Century Brain Death Debates and the Uniform Determination of Death Act,” by Anne E. Clinton, and the responding commentary, “The Enigma of Brain Death,” by Robert D. Truog in the November‐December 2025 issue of the Hastings Center Report.
Psychology (11 obras) · Medicine (7 obras) · Computer Science (6 obras) · Healthcare Policy and Management (6 obras) · Law (6 obras) · Palliative Care and End-of-Life Issues (6 obras) · Political science (6 obras) · Economics (5 obras) · Health care (5 obras) · Health Systems, Economic Evaluations, Quality of Life (5 obras)