You’ve got to be in it to win it: The promise and practice of vaccine lotteries

By Jane Williams, Chris Degeling, Angus Dawson, Stacy Carter Following the 2009 H1N1 pandemic there was a small explosion in the ethics literature on how to allocate scarce pandemic vaccine. There were many different suggestions about how we should distribute vaccine in an ethical way. One proposal was that a random allocation through a lottery, weighted […]

Read More…

Up close and personal: Using AI to predict patient preferences?

By Nikola Biller-Andorno. Have you ever tried to put together a ballpoint pen that has fallen apart? Or, more ambitiously, tried to repair your child’s programmable toy robot that continues to bump into walls? There is nothing like building, taking apart and rebuilding to understand a gadget or system’s flaws and weaknesses. This is what […]

Read More…

Connecting the Dots: COVID-19, BAME Communities, and Racial Injustice

By Aileen Editha The COVID-19 pandemic impacted England (and the world) in ways that no one could have imagined. One that is incredibly disappointing, however, is the disproportionate impact of the pandemic on Black, Asian and minority ethnic (BAME) communities in terms of exposure and mortality rates, as well as the recent data on vaccination […]

Read More…

Informed consent and medical device registries

By Daniel B. Kramer, Elizabeth Roe and Efthimios Parasidis. Regulators charged with evaluating new medical devices face several unenviable trade-offs. Extensive pre-market evaluation may delay market entry for useful technology, but a rushed assessment may fail to identify important safety concerns. Rigorous post-market studies may help balance these competing concerns, but must also weigh the […]

Read More…

Is it irrational not to have a plan? Should there have been national guidance on rationing in the NHS?

By Dominic Wilkinson and Jonathan Pugh. Last April, in the first wave of the COVID-19 pandemic, a number of academics, lawyers, doctors and ethicists wrote publicly about the need for national ethical guidance relating to resource allocation (e.g., see here, here, here). At the time there was concern that there would be insufficient intensive care […]

Read More…

Is the conceptualisation of trust in NHS’ code of conduct for artificial intelligence problematic?

By Soogeun S Lee. In 2018, the UK government published a Code of Conduct, hereafter the Code, for using artificial intelligence (AI) technologies in the NHS. The Code contains ten principles that outline a gold-standard of ethical conduct of AI developers and implementers within the NHS. Considering the importance of trust in traditional medical practice, […]

Read More…

Who should get to choose their surrogates?

By Mark Christopher Navin, Jason Adam Wasserman, Devan Stahl, and Tom Tomlinson, Clinical ethics consultants regularly witness something like the following progression: A patient is determined to lack decision-making capacity (DMC). In the absence of an Advanced Care Planning document that names a surrogate decision maker (e.g. a Durable Power of Attorney for Health Care), […]

Read More…

Discrimination on the basis of vaccination status (is inherently wrong)

By Michael Kowalik. The worldwide spread of SARS-CoV-2 has re-invigorated the debate about the ethical permissibility of vaccine mandates and immunity certification. Public attitudes towards this complex issue are nevertheless dominated by fear, half-truths and ungrounded value-judgements, limiting the scope of rational deliberation in favour of ideological partisanship. My paper, ‘Ethics of Vaccine Refusal’, is […]

Read More…

Self-experimentation with vaccines

By Jonathan Pugh, Dominic Wilkinson and Julian Savulescu. A group of citizen scientists has launched a non-profit, non-commercial organisation named ‘RaDVaC’, which aims to rapidly develop, produce, and self-administer an intranasally delivered COVID-19 vaccine. As an open source project, a white paper detailing RaDVaC’s vaccine rationale, design, materials, protocols, and testing is freely available online. […]

Read More…