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“Natural” Talents and Dedication—Meanings and Values in Sport
Thomas H. Murray

“Good ethics begins with good facts” is a mantra I learned in my early years at The Hastings Center. The relevant facts include, of course, scientific and medical ones. But just as important are the forces that shape perceptions, motivations, and outcomes. The importance of understanding those factors—call them grounded realities—soon became clear in my first major research assignment: the...

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Albert R. Jonsen

The editors of The American Journal of Bioethics chose well when they invited me to write a preface for this issue devoted to the Insider/Outsider problem in bioethics: I am the original and perpetual insider/outsider in the field. My entry into medical education, in 1972, was marked by an argument over my title: should I be designated Professor of Medical Ethics, as the Dean of University of Ca...

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White Privilege and Playing It Safe
Denise M. Dudzinski

In March of 2016 AJOB published an article, “Bioethicists Can and Should Contribute to Addressing Racism.” Authors Danis, Wilson, and White (2016) write, “This commitment [to justice] is manifest in an obligation to promote health equity—to ensure that all people have full and equal access to opportunities that enable them to lead healthy lives. Differences in health that are avoidable, ...

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Target Article

Performance-Enhancing Drugs, Sport, and the Ideal of Natural Athletic Performance
Sigmund Loland

The use of certain performance-enhancing drugs (PED) is banned in sport. I discuss critically standard justifications of the ban based on arguments from two widely used criteria: fairness and harms to health. I argue that these arguments on their own are inadequate, and only make sense within a normative understanding of athletic performance and the value of sport. In the discourse over PED, the d...

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Were the “Pioneer” Clinical Ethics Consultants “Outsiders”? For Them, Was “Critical Distance” That Critical?
Bruce D. White, Wayne N. Shelton & Cassandra J. Rivais

“Clinical ethics consultants” have been practicing in the United States for about 50 years. Most of the earliest consultants—the “pioneers”—were “outsiders” when they first appeared at patients’ bedsides and in the clinic. However, if they were outsiders initially, they acclimated to the clinical setting and became “insiders” very quickly. Moreover, there was some tensio...

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