The triumph of autonomy in bioethics and commercialism in American healthcare.

A New Synthesis in Search of Synthesizing Agents; Comment on “A New Synthesis”

In a recent editorial in this journal Pierre-Gerlier Forest foretells a coming revolution in health policy based on the synthesis of four conceptual innovations and one technological breakthrough. As much as I agree with the intellectual story told in this editorial I present a more skeptical view of the effect of paradigm shifts on healthcare systems on the ground. I argue that ideas triumph w...

U-Form vs. M-Form: How to Understand Decision Autonomy Under Healthcare Decentralization?; Comment on “Decentralisation of Health Services in Fiji: A Decision Space Analysis”

For more than three decades healthcare decentralization has been promoted in developing countries as a way of improving the financing and delivery of public healthcare. Decision autonomy under healthcare decentralization would determine the role and scope of responsibility of local authorities. Jalal Mohammed, Nicola North, and Toni Ashton analyze decision autonomy within decentralized services...

The Why, Who, What, How, and When of Patient Engagement in Healthcare Organizations: A Response to Recent Commentaries

Facilitating Autonomy With Broad Consent.

ISSN: 1526-5161 (Print) 1536-0075 (Online) Journal homepage: http://www.tandfonline.com/loi/uajb20 Facilitating Autonomy With Broad Consent Ryan Spellecy To cite this article: Ryan Spellecy (2015) Facilitating Autonomy With Broad Consent, The American Journal of Bioethics, 15:9, 43-44, DOI: 10.1080/15265161.2015.1062185 To link to this article: http://dx.doi.org/10.1080/15265161.2015.1062185 Pu...

Questioning our principles: anthropological contributions to ethical dilemmas in clinical practice.

This paper presents an analysis of the applicability of a principalist approach for a global, or cross-cultural, bioethics. We focus especially on the principle of individual autonomy, a core value in ethical discourse. We echo some long-standing criticisms of other anthropologists, sociologists, and many medical ethicists, that the individualistic approach to autonomy is a Euro-American value ...