Arthur L Caplan
Dados Biográficos
| ID | 91050 |
|---|---|
| NOME | Arthur L Caplan |
| PRENOMES | Arthur L |
| SOBRENOME | Caplan |
| ASSINATURA | CAPLAN A L |
| AFILIAÇÕES | New York University |
| ORCID | 0000-0002-4061-8011 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 94 |
| TOTAL DE CITAÇÕES | 17 |
| TOTAL COMO AUTOR | 92 |
| TOTAL COMO EDITOR | 3 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1976 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
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…
Public Health Policymaking Outside of the Federal Government
Treating infertility as a missing capability, not a disease
Infertility patients and patient advocates have long argued for classifying infertility as a disease, in the hopes that this recognition would improve coverage for and access to fertility treatment. However, for many fertility patients, including older women, single women and same-sex couples, infertility does not represent a true disease state. Therefore, while calling infertility a ‘disease’ may seem politically advantageous, it might actually …
Why We Can Thrive past Seventy‐Five
About ten years ago, Ezekiel Emanuel wrote an article extolling the benefits of dying at seventy‐five. Since then, longevity and aging interest, research, and funding have exploded. Much of the public is supportive of aging biology research, and books on extending the human lifespan populate bestseller lists. However, the issue remains hotly debated, and many articles published in the lay press spin the research in a negative light. Yet, if we co…
Battling measles
Measles outbreaks remain a significant global health challenge, particularly in low-resource settings, despite the availability of safe and effective vaccines. The resurgence of measles underscores the critical need to address underlying health inequities that hinder vaccination coverage, such as political instability, growing distrust of all vaccines, economic collapse, and weak healthcare systems. Vulnerable populations, including unvaccinated …
Strengthening Research Ethics Capacity in West Africa, 2015–2024
This article reviews the development and evolution of Fogarty International Center-funded research ethics training programs in West Africa over the past decade. In response to local and global challenges in bioethics and biomedical research, these programs are fostering ethical awareness, shaping local and national ethics review systems, and enhancing bioethics capacity in the region. These efforts have expanded alongside increased democratic gov…
Research involving the recently deceased
Research involving recently deceased humans that are physiologically maintained following declaration of death by neurologic criteria—or ‘research involving the recently deceased’—can fill a translational research gap while reducing harm to animals and living human subjects. It also creates new challenges for honouring the donor’s legacy, respecting the rights of donor loved ones, resource allocation and public health. As this research model gain…
Ethical Challenges of Advances in Vaccine Delivery Technologies
Strategies to address misinformation and hesitancy about vaccines, including the fear of needles, and to overcome obstacles to access, such as the refrigeration that some vaccines demand, strongly suggest the need to develop new vaccine delivery technologies. But, given widespread distrust surrounding vaccination, these new technologies must be introduced to the public with the utmost transparency, care, and community involvement. Two emerging te…
Why the Gene Was (Mis)Placed at the Center of American Health Policy
In Tyranny of the Gene: Personalized Medicine and Its Threat to Public Health (Knopf, 2023), James Tabery traces the ascendance of personalized or precision medicine in America, arguing that America's emphasis on genetics offers more hype than transformational power. In his examination of the power struggles, social relationships, and technological advances that centered the gene in American health policy, Tabery demonstrates how an intensive foc…
Regaining Trust in Public Health and Biomedical Science following Covid
Biomedical science suffered a loss of trust during the Covid‐19 pandemic. Why? One reason is a crisis fueled by confusion over the epistemology of science. Attacks on biomedical expertise rest on a mistaken view of what the justification is for crediting scientific information. The ideas that science is characterized by universal agreement and that any evolution or change of beliefs about facts and theories undermines trustworthiness in science a…
Priority vaccination for mental illness, developmental or intellectual disability
Coronavirus vaccines have made their debut. Now, allocation practices have stepped into the spotlight. Following Centers for Disease Control and Prevention guidelines, states and healthcare institutions initially prioritised healthcare personnel and elderly residents of congregant facilities; other groups at elevated risk for severe complications are now becoming eligible through locally administered programmes. The question remains, however: who…
Virtual surgical planning and data ownership
The practice of modern craniomaxillofacial surgery has been defined by emergent technologies allowing for the acquisition, storage, utilization, and transfer of massive amounts of sensitive and identifiable patient data. This alone has thrust providers into an unlikely and unprecedented role as the stewards of vast databases of digital information. This data powers the potent surgical tool of virtual surgical planning, a method by which craniomax…
Phantom premise and a shape-shifting ism
quibble at length with Hassoun's formulation of P1, it runs together two sources of obligation: (1) associative ties that bind community members to one another and (2) role-based obligations of leaders
Ethical considerations for protecting the options of subjects in primary epidemic vaccine trials
The recent review by Monrad1 presents several issues about secondary vaccine trials. It lays out the case in which a vaccine has been tested through phases I–III and is being deployed. Subsequently (emphasis added), consideration is being given to conducting ‘trials for another vaccine for the pathogen’. Monrad states: ‘In summary, we may say that researchers have strong prima facie reasons not to conduct a secondary vaccine trial.’ Monrad discus…
Love thy neighbour? Allocating vaccines in a world of competing obligations
Although a safe, effective, and licensed coronavirus vaccine does not yet exist, there is already controversy over how it ought to be allocated. Justice is clearly at stake, but it is unclear what justice requires in the international distribution of a scarce vaccine during a pandemic. Many are condemning ‘vaccine nationalism’ as an obstacle to equitable global distribution. We argue that limited national partiality in allocating vaccines will be…
Knowledge and Attitudes Toward Covid-19 and Vaccines Among a New York Haredi-Orthodox Jewish Community
Hope to the End
In the book Exploiting Hope: How the Promise of New Medical Interventions Sustains Us—and Makes Us Vulnerable, Jeremy Snyder takes on the dominant theory that exploitation in research ethics involves culpable inequity in transactions between parties. He rightly dismisses that economic explanation as inadequate. His theory of exploitation argues that it happens when those who have a duty of beneficence to someone take advantage of their hope. Expl…
How Should We Regard Information Gathered in Nazi Experiments
Immorally acquired information from Nazi experimentation or other sources infects the body of scientific and biomedical knowledge. Responding to this reality ethically means insisting on good teaching about the horrific history of such information's sources and careful deliberation about how it is referenced and described
Institutional Approaches to Research Integrity in Ghana
The ethics of the unmentionable
For decades The People’s Republic of China has been expanding its capacity to perform organ transplants, primarily kidneys and livers but also hearts, lungs and multiorgan transplants. The annual number of organ transplants performed is estimated to be over 30 000. The number is expected to grow with a projected market for immunosuppressants expected to be over ¥30 billion/$4.3 billion by 2024.1 China is second only to the USA and is expected to …
How Should Physicians Respond When They Learn Patients Are Using Unapproved Gene Editing Interventions
Hundreds of gene therapies are currently in various stages of research and development. A subset of these involve gene editing technologies such as CRISPR. In this hypothetical case, a patient with chronic pain has initiated a CRISPR-based intervention obtained from a clinic in the Cayman Islands. His physician doubts it is approved by the US Food and Drug Administration and worries about its safety. The case presents ethical questions about pote…
Vaccine Trials in Schools
Vaccine Trials in Schools: We Must Not Ignore Progress Alan R. Hinman MD, MPH, David Addiss MD, MPH, Arthur Caplan PhD, Lisa M. Carlson MPH, James V. Lavery PhD, and Walter A. Orenstein MD Affiliation Alan R. Hinman is with the Center for Vaccine Equity, Task Force for Global Health, Decatur, GA. David Addiss is with the Task Force for Global Health. Arthur Caplan is with the Division of Medical Ethics, New York University School of Medicine, New…
Death
Constantin Reliu had been working for twenty years as a cook in Turkey when he returned to his hometown of Barlad, Romania, to discover that, there, he was dead. His former wife had, unbeknownst to him, at some point during his stay in Turkey registered him as deceased in Romania. He has since been living a legal nightmare trying to prove to Romanian authorities that he is, in fact, alive. Reliu is not alone in finding out that the legal system i…
How Should Clinicians Respond When Patients Are Influenced by Celebrities' Cancer Stories
Despite the prodigious medical literature on cancer care, some patients rely on celebrity narratives as frameworks for understanding their experiences of cancer and as benchmarks for decision making. Regardless of whether these narratives are appropriate sources of health information for patients, it has been shown that celebrity narratives influence patterns of care. Three cases-John McCain, Angelina Jolie, and Jimmy Carter-are presented to illu…
The Battle Over Compulsory Vaccination in the United States
AffiliationsArthur L. Caplan is Head, Division of Medical Ethics, New York University School of Medicine, New York, NY
Back to Class
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Bioethics Consultation in the Private Sector
Bioethics consultation is flourishing in the private sector. The corporate clients are aware that their work raises substantive ethical issues, and often they are concerned about how their response to these issues may affect their public image and their financial standing. Many are prepared to compensate ethics consultants at substantial rates. This is a new phenomenon for the field of bioethics. Traditionally, most requests for comment and analy…
In Search of Equity
Ethical Engineers Need Not Apply
Darwinism and deductivist models of theory structure
Embryo disposal practices in IVF clinics in the United States
The disposal of human embryos created in excess at American IVF clinics varies in ways suggesting both moral sensitivity and ethical divergence
Health policy, ethics and human values
The ethics of uncertainty
Sociobiology. Edward O. Wilson
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Ethics, Evolution, and the Milk of Human Kindness
http://dx.doi.org/10.2307/3561495
Special Supplement
Daniel Callahan, Arthur Caplan, Harold Edgar, Laurence McCullough, Tabitha M. Powledge, Margaret Steinfels, Peter Steinfels, Robert M. Veatch, Joseph Walsh, Joel Colton, Lucy S. Dawidowicz, Milton Himmelfarb, Telford Taylor, Special Supplement: Biomedical Ethics and the Shadow of Nazism, The Hastings Center Report, Vol. 6, No. 4 (Aug., 1976), pp. 1-19
Sociobiology. Edward O. Wilson
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Case Studies in Bioethics
A History of DNA
Commentary
Ethics in the Trenches
Darwinism and deductivist models of theory structure
Special Supplement
Of Mice and Men
http://dx.doi.org/10.2307/3560300
Ethical Engineers Need Not Apply
Back to Class
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The Artificial Heart
Random-Sampling
Case Studies
Mrs. X and the Bone Marrow Transplant
The case is presented in which a leukemia patient sought an order from an Iowa district court to compel the University of Iowa Institutional Review Board (IRB) to recontact, specifically on the patient's behalf, a potential bone marrow donor who had refused a general request to participate in the transplant program. Charles Lidz, Alan Meisel, and Loren Roth argue against judicial intervention, primarily on the grounds that a follow-up letter woul…
Concepts of Health and Disease
In Search of Equity
Philosophy in medicine
Darwin, Marx and Freud
Case Studies
A case study is presented in which a hospitalized nurse is suspected of deliberately infecting herself. Curtis discusses the question of whether physicians caring for this patient have an obligation to report the incident to her superiors, while Caplan examines the implications of self-destructive behavior for the professional patient relationship in general. Both commentators consider how staff suspicions might be investigated in the face of the…
Organ Procurement
Caplan disagrees with the conclusions reached by Alfred M. and Blair\nL. Sadler in a companion article, that the current American system of\nvoluntary organ donation is working. Caplan maintains that the unmet increase\nin demand for cadaver organs as a result of advances in transplantation\ntechnology necessitates a change in public policy. After rejecting the market\napproach to organ procurement, he relates the experience with "presumed\nconse…
Is There a Duty to Serve as a Subject in Biomedical Research
Most contemporary discussions of the ethics of human subjects research focus on the adequacies and inadequacies of informed consent in combination with peer review by institutional review boards (IRBs) for protecting subject welfare. Little has been written about the moral reasons that ought to lead someone to participate in research in the first place
In Search of Equity
In Search of Equity
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