American Journal of Bioethics

Article	Citations
Tube Feed or Not Tube Feed: Ethics beyond the Consult Question	101
Prenatal Testing for Non-Medical Traits	97
Participation in Pragmatic Clinical Trials: A Matter of Physicians’ Professional Ethics?	83
Don’t Leave the Heart Behind	73
Patient Diversity and Collaborative Co-Reasoning for Ethical Use of Machine Learning-Driven Decision Support Systems	57
Postponed Withholding: The Wrong Nudge	57
Included but Still Invisible?: Considering the Protection-Inclusion Dilemma in Qualitative Research Findings	52
Integrating Counterfactual Thinking and Economic Definitions of Regret into Discussions of Agent-Regret in Healthcare	51
Beyond Integration: Advancing Climate-Conscious Clinical Ethics Through Temporal, Resilience, and Responsibility Frameworks	50
I Am Not My Genes: Against Genetic Exceptionalism and Essentialism in Justifying Confidentiality Breaches	49
Ethical Considerations in Clinical Trials for Rare Genetic Diseases: The Case of Huntington’s Disease	49
Going Back to Basics: What is the Target of Prenatal Screening?	41
From Classification to Governance: Ethical Challenges of Adaptive Learning in Medicine	40
“Treatment Pressures” and “Informal Coercion”: “Threats” in Mental Healthcare	39
Context-Sensitivity and the Inclusion of Subjective Beliefs Have Broad Implications	37
Moral Stress and Moral Distress: Confronting Challenges in Post- Dobbs Contexts	36
Responding to Parental Objections Over Testing for Death by Neurologic Criteria	35
Canadian Medical Assistance in Dying and the Hegemony of Privilege	34
ChatGPT and the Law of the Horse	34
Pediatric Brain Death Testing Over Parental Objections: Not an Ethically Preferable Option	33
External Dynamics Contextualizing the FDA’s Role in E-Cigarette Regulation	33
Emergency Department Boarding of a Teen Requiring Complex Care: How Should an Ethics Consultant Respond?	33
Vulnerable Patients, Adult Protective Services Investigations, and Reticent Surrogates: What is the Role of Clinical Ethics?	32
Expanding Access to Genomic Sequencing in the Neonatal Intensive Care Unit: A Roadmap to Discharge and Beyond	31
How Philosophy of Science Can Unlock New Methods in Bioethics	31

A Patient-Directed Approach: How the U.S. Model of Medical Aid in Dying Balances Compassion with Safeguards	31
Preserve Patient Autonomy; Resist Expanding the Harm Principle to Override Decisions by Competent Patients	29
The Unattainable Standard	28
Digital Privacy and Data Protection: From Ethical Principles to Action	28
Sharing Agency versus Extending the Self: Relationality and Metaphorical Differences in Dementia Care	28
Expanding the Frame: An Afrofuturist Response to Artificial Womb Technology	28
What Difference Can Public Engagement in Genome Editing Make, and for Whom?	27
The Representation Paradox: Rethinking Ethical Standards Through Anticipatory Autonomy	27
Upstream from Urosepsis: Removing Race from Pediatric Urinary Tract Infection Algorithms	26
The Dubious Benefits of Normalizing Treatments	25
What Does True Equality in Assisted Dying Require?	25
Ad Planetam per Aspera: Beyond Human Health Extensionism	25
War, Bioethics, and Public Health	25
Beyond Fictionality: How Designers and Healthcare Providers Shape the Conceptualization of Conversational AI	25
Conscience Clause Laws Already Permit Secular Hospitals to Withhold or Withdraw Life-Sustaining Treatment over Surrogate Objections	24
Weighing Parents’ Reasons Regarding the Use of GLP-1 Medications in Pediatric Care	24
What Lane Should We Stay In? Medical Relevance, Medical Necessity, and Clinical Genital Alteration of Minors	24
Agent-Regret in Healthcare	24
ECMO as a Palliative Bridge to Death	23
From Empowerment to Offloading: Task Shifting and the Redistribution of Responsibility in Digital Health	23
Comparisons Only Yield Valid Mutual Learnings If Based on Accurate Descriptions of the Comparators	22
Goldilocks and the Thanatron: A Response to Open Peer Commentaries	22
Community-Based Consent Model, Patient Rights, and AI Explainability in Medicine	22
Centering More than Trauma Experiences: Reflections from Launching a Graduate Course on Bioethics & Racial Justice in Canada	22
Human Genome Editing and Identity: The Precariousness of Existence and the Abundance of Argumentative Options	22
Autonomy Under Ignorance	22
Noninvasive Testing for “Non-Medical” Traits: A Misplaced Expressive Concern, Tough Policy Choices	22
Ethical and Regulatory Concerns Regarding Potential Research Participants Who Are Justice Involved, But Not Incarcerated: Application of 45 CFR 46 Subpart C in the Healthy Brain and Child Development	21
Conscription as a Public Health Crisis: A Missing Dimension in the Bioethics of War	21
Medicalized Oppression: Labels of “Violence Risk” in the Electronic Medical Record	21
Next Steps for Climate-Conscious Clinical Medical Ethics?	21
Ethical Care Necessitates Synthesizing the Best Available Evidence	21
Speaking Without Knowing: Ethical Risks in Public Commentary on Patient Cases	20
When Life Support Becomes Unfair: Issues Related to Resource Allocation in the Smith Case	20
Examining Moral Stress and Moral Distress Through the Lens of Non-Human Animal Clinicians: Understanding Challenges in Animal Healthcare Systems	20
Inequity Lies in the Inability to Reject Marginal Organs	20
Knowing You Know Better	20
Engagement Versus Therapeutic Alliance: Large Language Models in AI Psychotherapy	19
Critically Evaluating MAID in Canada Through an Inequities Lens	19
Artificial Intelligence Can’t Replicate Human Presence in Psychotherapy	19
Ethical Withdrawal of ECMO Support Over the Objections of Competent Patients	19
When It Comes to AI for Mental Health, the Real Problem Isn’t in the AIs Seeking FDA Approval, but in Those That Don’t	19
Informed Consent and Transformative Experiences in Psychedelic Therapy: A Nuanced Approach	18
Medical Interpretation Services: Challenges for LEP Communities	18
Psychedelic Ethics in Palliative Care	18
Racing to the Bottom: Adam Smith’s Hazard Pay Does Not Justify Compensation for Research Risks	17
Informed Consensus: The Future of Respect for Persons in Biomedical Research	17
Genomic Medicine and Equity in Relation to Health Systems	16
What We Owe Those Who Chat Woe: A Relational Lens for Mental Health Apps	15
Cost-Related Non-Adherence to Prescribed Medicines: What Are Physicians’ Moral Duties?	15

Nurtured Genetics: Prenatal Testing and the Anchoring of Genetic Expectancies	15
Use of AI as a Research Recruitment Tool: Ethical Elements, Considerations, and Recommendations	15
Reasons, Persons, Eugenics and an Argument in Favour of Gene Editing	15
How “America First” Abandoned Global Health: The Case for an African Model	15
When Sanctions Meet Corruption: Reframing Healthcare Access in Russia	15
Computer Says: I Don’t Know? – On Epistemic Humility as a Condition for Human-AI Collaboration	15
Do Clinicians Need to Understand?: Rethinking the Role of Comprehension and Secular Bias on Religious Reasons	14
Defining and Defending Personhood: Lessons from the Disease Debate	14
For Bioethics to Center Justice, We Must Reconsider Funding, Training, and the Taxonomy of Bioethics	14
Ethical Responsibilities for Companies That Process Personal Data	14
The Postponed Withholding Model: An Autoethnographic Analysis	14
The Fallibility of Personal Experience	14
Double Binds of Reproductive Injustice: A Response to Kuczewski et al. (2026)	14
OrganEx: What Will It Mean?	14
Power in the Pragmatic View	14
Is Transparency about the Line between Life and Death Good for Organ Donation?	14
Instruments of Moral Distress: An Analysis Based on Scientificity and Application Value	14
Advocating for a Context Specific Approach to Tackle Inequities	13
Beyond Doomsday Fears: Why We Need to Consider the Potential Harms of AI Psychotherapy	13
Is the Right to a Healthy Environment Enough? Reckoning with a History of Failures in Chemical Valley	13
Agent-Regret in Healthcare: Toward a More Precise and Empirical-Based Look into the Dynamics of Agent-Regret Experiences	13
Beware the Jackalopes	13
Waiver of Informed Consent-A Necessary Tool for Just Research in Minimal Risk Studies	13
Ethical Pathways: Transitioning Whole-Eye Transplantation Into Clinical Practice	12
Toward Relational Diversity for AI in Psychotherapy	12
Rare Disease, Advocacy, and Caregiver Burnout	12
Addressing Environmental Injustices Requires a Public Health Ethics and/or Human Rights Perspective	12
Change the Law to Optimize Organ Donation	12
Bioethicists Tomorrow: Identity, Inclusiveness, and Future Directions	12
A Paradigm of Investigator Duty to Multiple Stakeholder Participants	12
A “Messy Literature” and Administrative Gloss	11
See None, Do None, Teach None: How Dismantling Roe Impacts Medical Education and Physician Training	11
The Importance of Structured Reassessment for Unrepresented Patients Receiving Burdensome Life-Sustaining Treatments	11
The Importance of Understanding Language in Large Language Models	11
Prudently Evaluating Medical Adaptive Machine Learning Systems	11
Materialized Oppression in Inpatient Psychiatric Unit Design	11
Law Enforcement Interventionism as Determinant of Decision-Making Among Resuscitated Opioid Users	11
Psychedelic Ethics Beside Institutions	10
Gender Norms, Altruism and Susceptibility to the Social Value Misconception	10
ChatGPT’s Responses to Dilemmas in Medical Ethics: The Devil is in the Details	10
ChatGPT’s Relevance for Bioethics: A Novel Challenge to the Intrinsically Relational, Critical, and Reason-Giving Aspect of Healthcare	9
Request for Correction of an Article Focused Bodywork as Facilitated Communication: Cautionary Perspectives on Touch in Psychedelic Therapy	9
An Ethical Critique of the Doctor’s White Coat and the Patient’s Gown	9
Inpatient Hospitalization of Adolescents Diagnosed with Autism Spectrum Disorder: An Ethical Analysis	9
Premature Birth, Embodied Experience, and Moral Complexity	9
What Can Committees Demonstrate That Professional Ethicists Can’t? Impartial Review with Adequate Due Process	9
Should the Use of Adaptive Machine Learning Systems in Medicine be Classified as Research?	9
Ethical and Clinical Perspectives on Inpatient Psychiatric Care for Adolescents with Autism Spectrum Disorder	9
Embodiment, Medicalization, and Morality	9
Withdrawal of ECMO Support over the Objections of a Capacitated Patient can be Appropriate	8
Parents Have a Right to Refuse Brain Death Testing, Including Apnea Testing	8
Empowering Queer Data Justice	8
A Surgeon’s Perspective From the Sharp End of Surgical Innovation	8
The Slippery Slope Argument and Assisted Death: Which Approach to MAiD Does It Really Support?	8
Patient Consent and The Right to Notice and Explanation of AI Systems Used in Health Care	8
Moral Stress and Moral Distress in a Novel Space of Virtual Healthcare	8
Equipoise and Personal Experience: Maintaining Objectivity in Psychedelic Research	8
A Rejection of “Applied Ethics”: Philosophy’s Real Contributions to Bioethics Found Elsewhere	8
An Opportunity to Reconsider Fiduciary Framing in Medicine	8
Defending the Ethical Permissibility of Laryngeal Transplantation	8
There Is Only One Sphere of Morality	8
Stewardship or Punishment? Ethical Analysis of Transplant Candidacy for a Child from a Low-Resourced Family	8
Embrace the Gray: How Tackling the Clinical Complexities of the Gray Zone Will Improve Decision-making	8
Digital Simulacra: Circumventing Diversity and Inclusion	7
The Brainstem Criterion of Death and Accurate Syndromic Diagnosis	7
Correction	7
Artificial Womb Technology, Catholic Health Care, and Social Justice	7
Co-Reasoning and Epistemic Inequality in AI Supported Medical Decision-Making	7
Current Medical Aid-in-Dying Laws Discriminate against Individuals with Disabilities	7
Strategies for Data Ethics Governance: Elevating Patient and Community Perspectives	7
Environmental Justice: A Missing Core Tenet of Global Health	7
Building Trauma-Informed Hospital Ethics Cultures	7
The Futility Standard Does Not Promote Justice for Unrepresented Patients	7
Death is Biologically Real; Laws About Death are Social Constructions	7
Differences in Degree-not-Kind-of Responsibility within Conversational Artificial Intelligence	7
Parrots at the Bedside: Making Surrogate Decisions with Stochastic Strangers	7
Beyond Incommensurability and Appropriateness: Integrating theTelosof Medicine and Addressing Compartmentalization in the Spheres of Morality Framework	7
Incorporating Research Burden and Utility Considerations as Limiting Factors in a Framework for Returning IRR	7
Beyond Consent: The MAMLS in the Room	7
The Illusion of Ethical Distinction: Why Qualitative Futility and Best Interests Are Not Meaningfully Different	7

Hospital Ethics Committees and Consultants: How Do Clinicians Perceive Their Utility in Resolving Disagreements About Life-Sustaining Treatments?	7
Different MAiD Laws, Different MAiD Outcomes: Expected Rather Than “Disturbing”	7
Lessons Learned from Reproductive Justice: Communication with the Public to Earn and Maintain Trust of New and Existing Innovations	7
The Dangers of Using AI Psychotherapy Chatbots to Treat Eating Disorders	6
Scapegoat-in-the-Loop? Human Control over Medical AI and the (Mis)Attribution of Responsibility	6
Calling for a Multi-Level Green Healthcare Ethics	6
Abortion and Embodiment: Anatomy, Physiology, and Personhood	6
Wither Vulnerability? The Over/Under Protection Dilemma and Research Equity	6
The Concept of Personal Utility in Genomic Testing: Three Ethical Tensions	6
Early AI Lifecycle Co-Reasoning: Ethics Through Integrated and Diverse Team Science	6
Bias and Epistemic Injustice in Conversational AI	6
Racism and the Textures of Visibility	6
From Fiction to Fiduciary: Reframing AI Trust in Mental Healthcare	6
Complexity of Establishing “Reasonability” in Conscientious Objection Claims	6
Who Is Responsible for Promoting Equity in Rare Disease Research?	6
Potentially Life-Saving Law Should Not be Trumped by Individual or Corporate Conscience	6
Bounded Justice, Inclusion, and the Hyper/Invisibility of Race in Precision Medicine	6
The Dead Donor Rule Does Require that the Donor is Dead	6
The End of Personhood	6
The Bilingual Patient’s Dilemma: Same Question, Different Answer	6
From a Restrictive to Relational Approach: the Concept of Parental Utility in Germline Genomic Testing	6
From CRISPR to Conscience: Ethical Dilemmas in Gene Editing and Genetic Selection	6
(Ir)Relevance of Ethics Committees: The Continued Value of Hospital Ethics Committees in Programs with Professional Ethicist Staffing	6
You Don’t Have to Be Bad to Work Here: Sustaining Ideals Inside Healthcare Institutions	6
Enhancing Decision-Making Capacity Assessments Beyond Outlier Cases: A Multi-Faceted Health Care Systems Approach	6
Moral Distress and Moral Stress Among Nurses Facing Challenges in a Health Care System Under Pressure	6
Health Equity Frameworks in Bioethical Perspective: Systemic Interventions and Innovative Justice	5
“Essentially as One of Fact to Be Determined by Physicians”: Applying Lessons Learned From Brain Death to Normothermic Regional Perfusion	5
Is Gene Editing Harmless? Two Arguments for Gene Editing	5
Making Ethical Considerations Transparent in the Formulation of Public Health Guidance	5
Accommodating Aid-in-Dying Safeguards for Patients with Neurologic Disease	5
An Eye for an Eye?: Problematic Risk–Benefit Trade-Offs in Whole Eye Transplantation	5
Social Value, Beneficial Information, and Obligations to Participants in a Trial of Novel COVID-19 Vaccines	5
The Potential Role of Nudging in Expanded Noninvasive Prenatal Testing	5
Why a Rejection of Principlistic Equality Risks Harming People with Disabilities	5
Psychedelics and Psychotherapy: What Can be Learned from a Historical Analysis of General Anesthesia and Surgery?	5
Recontextualizing Suffering: When Pain Has Purpose	5
Sorry, Not Sorry: Canadian MAID Is Voluntary, Safe, Carefully Regulated, and Valued	5
The Dialectics of Racial Invisibility and Hyper-Visibility under the Mestizaje Discourse in Latin America	5
A Knower Without a Voice: Co-Reasoning with Machine Learning	5
Response to Open Peer Commentaries on Toward a Framework for Assessing Privacy Risks in Multi-Omic Research and Databases	5
Psychological Safety and Ethically Fraught Discharges: A Reflection from the Rehabilitation Space	5
Common Rule Revisions to Govern Machine Learning on Indigenous Data: Implementing the Expectations	5
Navigating Tensions Between Law and Ethics in Surrogate Decision Making	5
Lost in Gestation: On Fetonates, Perinates, and Gestatelings	5
A Disabled Bioethicist’s Critique of Canada’s Medical Assistance in Dying (MAID)	5
AUTOGEN and the Ethics of Co-Creation with Personalized LLMs—Reply to the Commentaries	5
The Medical Profession Determines Standards for Death Determination	5
The Two Sides of the Social Value Misconception	5
Not All Publics Are the Same—A Note on Power, Diversity, and Lived Expertise in Public Deliberation	5
Bridge or Destination: Ethical Complexity, Emotional Unrest	5
Eliminating or Calibrating the Role of Chance? Acute Resource Scarcity as a Challenge for Luck Egalitarianism	5
“What Does a Life Worth Living Mean to You?” Narrative Approaches to Ethics Consultation in the Context of Trauma, Treatment Refractory Depression, and Life-Sustaining Care Refusals	5
From Data to Harm: Exploring Ethical and Social Implications of Polygenic Scores for Social Traits	5
The Human and Humanity that Differentiate Withholding from Withdrawing Life-Sustaining Therapy: An ECMO Bridge to Nowhere	5
Bioethics Consultation and First-Order Moral Reasoning: Leaving Philosophy at the Hospital Doors	5
Interests and Choices in Determining Death by Neurological Criteria	5
A Justice-Based Defense of a Litmus Test	5
A Communitarian Ethics Approach to Ambient Intelligence Systems in Healthcare	5
Polygenic Risk Scoring and the Duty to Warn	5
Reproductive Autonomy in Light of Expanded Prenatal Genomic Testing: the Use of Polygenic Risk Score for Embryo Selection	4
When ICE Brings You the Patient … Hospitals Must Stop Victimizing Forensic Patients	4
Appreciating Language in Bioethics: From Theory to Practice	4
Capacity, Rationality, and the Promotion of Autonomy: A Trauma-Informed Approach to Refusals of Care After Opioid Poisoning	4
Putting the Agency in Agent-Regret	4
High Standards: Hiring Fellowship-Trained Clinical Ethics Consultants	4
Virtue Ethics and the Spheres of Morality Framework	4
Adaptive Machine Learning as Research: Does the Cure Fit the Disease?	4
Data Safety Monitoring and Collateral Benefits in Decentralized Trials	4
Global Pharmaceutical Companies’ Obligations to Restart Clinical Research in Ukraine	4
From “Human in the Loop” to a Participatory System of Governance for AI in Healthcare	4
Some Problems with the ‘It Has Been Decided That You Will Die and Are No Longer in Need of Your Organs Donor Rule’	4
We Need Role Fidelity and Integrity to Avoid Moral Compartmentalization, Not Sphere or Role Moralities	4
Reconfiguring Health: The Importance of Recognizing Embodied Subjectivity and Social Dynamics in Health	4
Special Considerations When Research is Embedded within Community Health Centers	4
Specifying Procedural Justice in Organ Allocation	4
Drug Delivery Through Placenta and Then Breastmilk for Fetal Cystic Fibrosis: Collateral Benefit and Social Good Do Not Make an Acceptable Risk: Benefit Ratio	4
Adaptive Medical Machine Learning Models Should Not Be Classified as Perpetual Research, but Do Require New Regulatory Solutions	4
Current Ethical Considerations of Human Whole Eye Transplantation is Short-Sighted	4
Translating Commercial Health Data Privacy Ethics into Change	4
International Bioethics Conferencing: “Can the Subaltern Speak?”	4
Excusing Psychedelics and Accommodating Psychedelics	4
What Can We Ask of Hospitals? Conceptual Foundations for an Ethics of Healthcare Organizations	4
Slowing the Slide Down the Slippery Slope of Medical Assistance in Dying: Mutual Learnings for Canada and the US	4
What’s Wrong with Medicalization?	4
Ethical Issues in Death by Neurologic Criteria Require Critical Scrutiny: Lack of Engagement with Sound Arguments to Save Medical Dogma	4
Challenges of Bioethics Frameworks for Non-Democratic Contexts	4
Breaching Confidentiality to Share Genetic Results: Contextualizing Features to Aid in Decision-Making Processes	4
Challenging the Centrality of Anti-Racism in Bioethics	4
Even Offense Can Be a ‘Normatively Substantive Problem’ in Bioethics: Specificity and Relationality as Alternatives to ‘Personhood’	4
Invidious Discrimination v. Conscientious Objection: C’mon, a rose is a rose is a rose!	4
Suspending Ignorance and Broad Consent	4
Epistemic Value of Digital Simulacra for Patients	4
Progressing from “Whether to” to “How to” Conduct Pragmatic Trials	4
Clarifying the DDR and DCD	4