The American Journal of Bioethics, Volume 23, Issue 6 (2023)

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The American Journal of Bioethics, Volume 23, Issue 6 (2023)

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Guest Editorial

The ECMO Bridge and 5 Paths
Arthur R. Derse
Pages: 1-4
Published online: 23 May 2023
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Target Article

Target Article
From Bridge to Destination? Ethical Considerations Related to Withdrawal of ECMO Support over the Objections of Capacitated Patients
Andrew Childress, Trevor Bibler, Bryanna Moore, Ryan H. Nelson, Joelle Robertson-Preidler, Olivia Schuman & Janet Malek
Pages: 5-17
Published online: 26 May 2022
AbstractforFrom Bridge to Destination? Ethical Considerations Related to Withdrawal of ECMO Support over the Objections of Capacitated Patients | Full Text | References | PDF (1.3 MB) | EPUB
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Open Peer Commentaries

Article Commentary
Ethical Issues in the Transition to ECMO as a Destination Therapy
Samuel N. Doernberg, Derek R. Soled & Robert D. Truog
Pages: 18-20
Published online: 23 May 2023
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Article Commentary
When Critically Ill Patients with Decision Making Capacity and No Further Therapeutic Options Request Indefinite Life Support
Jason N. Batten, Elizabeth Dzeng, Stuart Finder, Jacob A. Blythe & Michael Nurok
Pages: 21-23
Published online: 23 May 2023
First Page PreviewforWhen Critically Ill Patients with Decision Making Capacity and No Further Therapeutic Options Request Indefinite Life Support | Full Text | References | PDF (788.6 KB) | EPUB
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Article Commentary
“Sorry, but the Ethicist Said Your Life Isn’t Actually Worth Living”: Misunderstanding Ethics and the Role of the Ethics Consultant
Andy Kondrat
Pages: 24-27
Published online: 23 May 2023
First Page Previewfor“Sorry, but the Ethicist Said Your Life Isn’t Actually Worth Living”: Misunderstanding Ethics and the Role of the Ethics Consultant | Full Text | References | PDF (799.9 KB) | EPUB
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Article Commentary
Ethical Withdrawal of ECMO Support Over the Objections of Competent Patients
Dominic Wilkinson, John Fraser, Jacky Suen, Mioko Kasagi Suzuki & Julian Savulescu
Pages: 27-30
Published online: 23 May 2023
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Article Commentary
Withdrawal of ECMO Support over the Objections of a Capacitated Patient can be Appropriate
Alexander A. Kon
Pages: 30-32
Published online: 23 May 2023
First Page PreviewforWithdrawal of ECMO Support over the Objections of a Capacitated Patient can be Appropriate | Full Text | References | PDF (519.2 KB) | EPUB
  • 189 Views
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Article Commentary
Battle of the Bridge: Ethical Considerations Related to Withdrawal of ECMO Support for Pediatric Patients over Family Objections
Jenny Kingsley, Emily R. Berkman & Sabrina F. Derrington
Pages: 32-35
Published online: 23 May 2023
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Article Commentary
ECMO as a Palliative Bridge to Death
Rachel Rutz Voumard, Zied Ltaief, Lucas Liaudet & Ralf J. Jox
Pages: 35-38
Published online: 23 May 2023
First Page PreviewforECMO as a Palliative Bridge to Death | Full Text | References | PDF (810.7 KB) | EPUB
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Open Access
Article Commentary
The Divergence of Technical and Human Teleology
Roxanne E. Kirsch
Pages: 38-41
Published online: 23 May 2023
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Article Commentary
Personalizing Care and Communication at the Limits of Technology
Wynne Morrison & Katie Moynihan
Pages: 41-43
Published online: 23 May 2023
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Article Commentary
Bridge or Destination: Ethical Complexity, Emotional Unrest
Joel Frader, Erin Paquette, Kelly Michelson & Elaine Morgan
Pages: 44-46
Published online: 23 May 2023
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Article Commentary
ECMO: What Would a Deliberative Public Judge?
Leonard Michael Fleck
Pages: 46-48
Published online: 23 May 2023
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Article Commentary
When the Bridge Crumbles: Balancing ECMO-DT With Transplant Program Needs
Paul J. Hutchison, Neeraj Joshi & Katherine Wasson
Pages: 49-51
Published online: 23 May 2023
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  • 128 Views
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Article Commentary
The Moral Relevance of ECMO Bridge Maintenance
Andrew M. Courtwright
Pages: 52-54
Published online: 23 May 2023
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Article Commentary
A Bridge to Nowhere
Seth Hollander & Danton Char
Pages: 54-56
Published online: 23 May 2023
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Article Commentary
ECMO as a Destination Therapy is Not a Bridge to Nowhere
William (Bill) Lawrence Allen
Pages: 57-59
Published online: 23 May 2023
First Page PreviewforECMO as a Destination Therapy is Not a Bridge to Nowhere | Full Text | References | PDF (620 KB) | EPUB
  • 143 Views
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Article Commentary
Can the Extraordinary Become Ordinary? Re-Examining the Ethics of ECMO-DT
Eric J. Kim & Jonathan M. Marron
Pages: 59-61
Published online: 23 May 2023
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  • 149 Views
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Article Commentary
The Human and Humanity that Differentiate Withholding from Withdrawing Life-Sustaining Therapy: An ECMO Bridge to Nowhere
Jonah Rubin, Ellen Robinson & Emily B. Rubin
Pages: 62-64
Published online: 23 May 2023
First Page PreviewforThe Human and Humanity that Differentiate Withholding from Withdrawing Life-Sustaining Therapy: An ECMO Bridge to Nowhere | Full Text | References | PDF (362.8 KB) | EPUB
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Article Commentary
Fairly Distributing the Distributive Justice Argument Permits Stopping ECMO
Erica Andrist
Pages: 65-67
Published online: 23 May 2023
First Page PreviewforFairly Distributing the Distributive Justice Argument Permits Stopping ECMO | Full Text | References | PDF (421.7 KB) | EPUB
  • 129 Views
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Article Commentary
Unilateral Withdrawal, Technological Creep, and the Role of Proportionality in ECMO Policy
Brendan Leier & Gurmeet Singh
Pages: 68-70
Published online: 23 May 2023
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  • 128 Views
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Article Commentary
Why Deny ECMO-DT to the Incapacitated?
Kyle E. Karches
Pages: 70-72
Published online: 23 May 2023
First Page PreviewforWhy Deny ECMO-DT to the Incapacitated? | Full Text | References | PDF (573 KB) | EPUB
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Article Commentary
Unilateral ECMO Withdrawal and the Argument From Distributive Justice
Daniel Edward Callies
Pages: 72-74
Published online: 23 May 2023
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Target Article

Target Article
IRBs and the Protection-Inclusion Dilemma: Finding a Balance
Phoebe Friesen, Luke Gelinas, Aaron Kirby, David H. Strauss & Barbara E. Bierer
Pages: 75-88
Published online: 28 Apr 2022
AbstractforIRBs and the Protection-Inclusion Dilemma: Finding a Balance | Full Text | References | PDF (1.2 MB) | EPUB
  • 1079 Views
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Open Peer Commentaries

Article Commentary
What is Fair Representation in Research?
Jennifer E. Miller & Stephen Latham
Pages: 89-91
Published online: 23 May 2023
First Page PreviewforWhat is Fair Representation in Research? | Full Text | References | PDF (645.1 KB) | EPUB
  • 132 Views
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Article Commentary
Significant Protection-Inclusion Tensions in Research on Medical Emergencies: A Practical Challenge for IRBs
Rachel C. Conrad, Neal W. Dickert & Benjamin C. Silverman
Pages: 91-93
Published online: 23 May 2023
First Page PreviewforSignificant Protection-Inclusion Tensions in Research on Medical Emergencies: A Practical Challenge for IRBs | Full Text | References | PDF (681.4 KB) | EPUB
  • 78 Views
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Article Commentary
Integrating Community Perspectives on Inclusion and Protection into IRB Structures
Isabella Li & Christine Grady
Pages: 94-97
Published online: 23 May 2023
First Page PreviewforIntegrating Community Perspectives on Inclusion and Protection into IRB Structures | Full Text | References | PDF (692.6 KB) | EPUB
  • 144 Views
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Article Commentary
Included but Still Invisible?: Considering the Protection-Inclusion Dilemma in Qualitative Research Findings
Erika Versalovic, Asad Beck & Timothy E. Brown
Pages: 97-100
Published online: 23 May 2023
First Page PreviewforIncluded but Still Invisible?: Considering the Protection-Inclusion Dilemma in Qualitative Research Findings | Full Text | References | PDF (796.8 KB) | EPUB
  • 110 Views
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Article Commentary
Community Engagement and the Protection-Inclusion Dilemma
Rebekah McWhirter, Azure Hermes, Sharon Huebner & Alex Brown
Pages: 100-102
Published online: 23 May 2023
First Page PreviewforCommunity Engagement and the Protection-Inclusion Dilemma | Full Text | References | PDF (787.9 KB) | EPUB
  • 208 Views
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Article Commentary
The Research Protection-Inclusion Dilemma in Pregnancy: Who is Being Protected? Who is Being Included?
Carl Terhune D'Angio & Lainie Ross
Pages: 103-106
Published online: 23 May 2023
First Page PreviewforThe Research Protection-Inclusion Dilemma in Pregnancy: Who is Being Protected? Who is Being Included? | Full Text | References | PDF (788.8 KB) | EPUB
  • 71 Views
  • 1 CrossRef citations
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Article Commentary
Researching Those in the Shadows: Undocumented Immigrants, Vulnerability, and the Significance of Research
Brian Tuohy & Jillian Jatres
Pages: 106-109
Published online: 23 May 2023
First Page PreviewforResearching Those in the Shadows: Undocumented Immigrants, Vulnerability, and the Significance of Research | Full Text | References | PDF (706.2 KB) | EPUB
  • 126 Views
  • 1 CrossRef citations
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Article Commentary
Adolescents, Sensitive Topics, and Appropriate Access to Biomedical Prevention Research
Mary A. Ott
Pages: 110-112
Published online: 23 May 2023
First Page PreviewforAdolescents, Sensitive Topics, and Appropriate Access to Biomedical Prevention Research | Full Text | References | PDF (470.8 KB) | EPUB
  • 63 Views
  • 1 CrossRef citations
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Article Commentary
Wither Vulnerability? The Over/Under Protection Dilemma and Research Equity
Amelia K. Barwise, Megan A. Allyse, Jessica R. Hirsch, Michelle L. McGowan, Karen M. Meaghar & Kirsten A. Riggan
Pages: 113-116
Published online: 23 May 2023
First Page PreviewforWither Vulnerability? The Over/Under Protection Dilemma and Research Equity | Full Text | References | PDF (1.2 MB) | EPUB
  • 142 Views
  • 1 CrossRef citations
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Article Commentary
Balancing Protection and Inclusion by Including More Non-Scientist and Nonaffiliated Members on IRBs
Emily E. Anderson
Pages: 116-118
Published online: 23 May 2023
First Page PreviewforBalancing Protection and Inclusion by Including More Non-Scientist and Nonaffiliated Members on IRBs | Full Text | References | PDF (570.9 KB) | EPUB
  • 69 Views
  • 1 CrossRef citations
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Article Commentary
Leveraging the Power of the Centralized IRB Review
Holly A. Taylor
Pages: 118-119
Published online: 23 May 2023
CitationforLeveraging the Power of the Centralized IRB Review | Full Text | References | PDF (410.8 KB) | EPUB
  • 58 Views
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Article Commentary
The Protection-Inclusion Dilemma: A Global Distributive Justice Perspective
Eman Ahmed
Pages: 120-121
Published online: 23 May 2023
CitationforThe Protection-Inclusion Dilemma: A Global Distributive Justice Perspective | Full Text | References | PDF (302.8 KB) | EPUB
  • 58 Views
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Article Commentary
IRBs and Industry Sponsors: Clash of Priorities
Jacquelyn Harootunian-Cutts
Pages: 122-124
Published online: 23 May 2023
First Page PreviewforIRBs and Industry Sponsors: Clash of Priorities | Full Text | References | PDF (727.5 KB) | EPUB
  • 50 Views
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Article Commentary
Don’t Ask Too Much: Non-maleficence as the Guiding Principle in IRB Decision-Making
Bryan Pilkington & Elli Gourna Paleoudis
Pages: 124-126
Published online: 23 May 2023
First Page PreviewforDon’t Ask Too Much: Non-maleficence as the Guiding Principle in IRB Decision-Making | Full Text | References | PDF (733.2 KB) | EPUB
  • 449 Views
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Article Commentary
Reflection Requires Representation
Stephen S. Hanson
Pages: 126-128
Published online: 23 May 2023
First Page PreviewforReflection Requires Representation | Full Text | References | PDF (471.1 KB) | EPUB
  • 55 Views
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