Moral Hazard in Pediatrics

“Moral hazard” is a term familiar in economics and business ethics that illuminates why rational parties sometimes choose decisions with bad moral outcomes without necessarily intending to behave selfishly or immorally. The term is not generally used in medical ethics. Decision makers such as parents and physicians generally do not use the concept or the word in evaluating ethical dilemmas. They may not even be aware of the precise nature of the moral hazard problem they are experiencing, beyond a general concern for the patient's seemingly excessive burden. This article brings the language and logic of moral hazard to pediatrics. The concept reminds us that decision makers in this context are often not the primary party affected by their decisions. It appraises the full scope of risk at issue when decision makers decide on behalf of others and leads us to separate, respect, and prioritize the interests of affected parties.     

The Uses and Abuses of Moral Theory in Bioethics

Moral theory is an important guide to bioethical decision-making, but it can confuse and mislead those who offer ethical advice to clinicians and researchers, delaying decisions that must be made in a timely fashion. In this paper I examine the ways moral theory can lead bioethicists astray. Absent a sensitivity to the empirical realities of ethical problems, moral theory 1) contributes to the disappearance of the persons caught in an ethical quandary, 2) focuses on the puzzle-solving rather than examining the conditions that generate moral problems, and 3) universalizes ethical dilemmas, overlooking local processes for resolving moral questions. Taken together, empirically informed moral theory and theoretically informed empirical research can help bioethicists transcend the is/ought problem in ethical work.     

Student Evaluations and Moral Hazard

Most universities solicit feedback from students at the end of a course in order to assess student perceptions of the course. This feedback is used for various objectives, including for evaluating teaching by academic administrators. One would therefore expect faculty to rationally take this into account while formulating their teaching strategy. In certain cases, such strategic considerations can give rise to moral hazard. I have modelled the situation using the well-known Prisoners Dilemma game and found that in equilibrium, the teaching style will be examination-centric, while considerations of societal good would demand that the teaching style be knowledge-centric. I also discuss the policy implications for this finding.     

中国金融道德风险的伦理分析

本文在对金融道德风险的内涵进行分析的基础上,对道德风险进行了分类.认为道德风险的生成机理源于道德个体的人性诱发、不良社会环境诱发、金融行业的特性诱发及道德的本质属性诱发,为此,应从风险防范理念、金融生态环境、法人治理结构、金融制度、从业人员职业道德等方面进行综合治理.     

The Kantian Moral Hazard Argument for religious fictionalism

In this paper I do three things. Firstly, I defend the view that in his most familiar arguments about morality and the theological postulates, the arguments which appeal to the epistemological doctrines of the first Critique, Kant is as much of a fictionalist as anybody not working explicitly with that conceptual apparatus could be: his notion of faith as subjectively and not objectively grounded is precisely what fictionalists are concerned with in their talk of nondoxastic attitudes. Secondly, I reconstruct a logically distinct argument to a fictionalist conclusion which I argue Kant also gives us, this time an argument to the conclusion that it is a good thing if our commitment to the existence of God is nondoxastic. And finally, I argue that this argument is of continuing interest, to Kantians and non-Kantians alike, not only because it raises interesting questions about the relation of morality to belief in God (which go in the opposite direction to most discussions, which focus on whether and to what extent belief in God can be an aid to morality), but also because this ‘Moral Hazard Argument’ seems to be available to religious realists and non-realists alike, thus suggesting that religious fictionalism is not by any means just an interesting version of religious non-realism.     

新型农村合作医疗中的道德风险及防范

以“新乡模式”为例对商业保险公司参与承办新型农村合作医疗进行了有益的探索。对商业保险公司利益激励不足致使其参与新农舍的积极性不高,而激励不足主要是源于制度不足导致对新农合中的道德风险约束无力。探讨了对道德风险的防范措施。     

Health Policies and Bioethics: A Psychosocial Perspective in Managing the Moral Question

In Western democratic society, the specificity of the bioethical debate over the life-sciences involves bringing together many different study factors. The dilemmas raised by the new scientific discoveries highlight how contemporary common sense is plagued by a profound feeling of anguish over possible future anthropological developments. One of the central problems is the social construction of consent as a psychological strategy seeking to orient public opinion toward accepting new applications of science and technology. On the one hand, the general features in the epistemological analysis of the mind-brain identity are called into question; and on the other, together with all those research directions concerned with the “meaning of life,” we enter the dimension of the complex issue inherent in the possibility of establishing if there exists something transcending thought and what it may be. In both cases a problem is raised on which the meaning of human life and the world depend, while between the two universes described by medical science and ethical-philosophical thought a window of opportunity for important psychological research is opened. In order to understand such phenomena the present article defends the theory that social psychology must adopt as its subject matter “thinking society,” that is, society characterized by discussion and reasoning on themes relevant to bioethics.     

Confronting Deep Moral Disagreement: The President's Council on Bioethics,Moral Status,and Human Embryos

The report of the President's Council on Bioethics, Human Cloning and Human Dignity, addresses the central ethical, political, and policy issue in human embryonic stem cell research: the moral status of extracorporeal human embryos. The Council members were in sharp disagreement on this issue and essentially failed to adequately engage and respectfully acknowledge each others' deepest moral concerns, despite their stated commitment to do so. This essay provides a detailed critique of the two extreme views on the Council (i.e., embryos have full moral status or they have none at all) and then gives theoretical grounding for our judgment about the intermediate moral status of embryos. It also supplies an account of how to address profound moral disagreements in the public arena, especially by way of constructing a middle ground that deliberately pays sincere respect to the views of those with whom it has deep disagreements.     

自然语言处理预测抑郁症的技术陷阱与道德风险

抑郁症患者倾向于在网络社交平台上发布带有抑郁信号的推文。基于这些文字信息，借助自然语言处理进行分析，提取归纳用户的语言特征，可以预测潜在用户的抑郁症状况。由于隐私信息的敏感、相关技术的不成熟等原因，出现了诸如信息获取与隐私侵犯、算法偏见与信息误判、信息权利与信息利益、责任界定与权限模糊等现实问题，成为进一步发展的掣肘。进行算法技术升级、完善法律法规、加强行业伦理约束等是避免道德风险的重要措施。     

道德冲突世界中的生命伦理学:基本争论及干细胞辩论的要点

世界上存在着道德多元性,它表现为生命伦理学的实际道德分布的特征,它是使用人类胚胎作为干细胞来源的争论的根本原因。在世俗文化中,干细胞的使用甚至也会出现疑问。只以从传统的基督教道德直觉和期望的残留影响角度去理解这种现象。关于干细胞的争论反映了更深层次的文化错位。我们正生活在文化战争频发的年代。有必要对罗尔斯学派的关于公共讨论及理性的道德多元化给予重新的关注和评价。     

Moral Hazard: German Public Opinion on the Greek Debt Crisis

The recent Eurozone crisis and negotiations over bailout packages to Greece are more than a simple controversy about financial resources. They have a decidedly moralistic overtone. Giving more funds is thought by some to be unfair to hard‐working taxpayers and does not teach Greece an important moral lesson. Yet much international political economy scholarship neglects such considerations. We build on moral psychology to understand the ethical drivers of both German support and opposition to the 2015 Greek government bailout package. We analyze original survey data to show how morality is an essential factor in Germany's hard‐line approach. Our results show that caring and European attachment are associated with bailout support, while authority, national attachment, and retributive fairness drive opposition. Some morals also have boundaries: National attachment attenuates the effect of harm/care on support for foreign financial assistance but strengthens the effect of fairness on bailout opposition. Moral psychology helps us understand foreign policy but must be adapted to account for multiple potential ingroups.     

Misapplying autonomy: why patient wishes cannot settle treatment decisions

Theoretical Medicine and Bioethics - The principle of autonomy is widely recognized to be of utmost importance in bioethics; however, we argue that this principle is often misapplied when one fails...