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An analysis of how findings in behavioral economics challenge fundamental assumptions of medical ethics, integrating the latest research in both fields. Bioethicists have long argued for rational persuasion to help patients with medical decisions. But the findings of behavioral economics—popularized in Thaler and Sunstein’s Nudge and other books—show that arguments depending on rational thinking are unlikely to be successful and even that the idea of purely rational persuasion may be a fiction. In Good Ethics and Bad Choices, Jennifer Blumenthal-Barby examines how behavioral economics challenges some of the most fundamental tenets of medical ethics. She not only integrates the latest research from both fields but also provides examples of how physicians apply concepts of behavioral economics in practice. Blumenthal-Barby analyzes ethical issues raised by “nudging” patient decision making and argues that the practice can improve patient decisions, prevent harm, and perhaps enhance autonomy. She then offers a more detailed ethical analysis of further questions that arise, including whether nudging amounts to manipulation, to what extent and at what point these techniques should be used, when and how their use would be wrong, and whether transparency about their use is required. She provides a snapshot of nudging “in the weeds,” reporting on practices she observed in clinical settings including psychiatry, pediatric critical care, and oncology. Warning that there is no “single, simple account of the ethics of nudging,” Blumenthal-Barby offers a qualified defense, arguing that a nudge can be justified in part by the extent to which it makes patients better off.
The essential guide for ethical decision-making in the 21st century, The Power of Ethics depicts “ethical decision-making not in a nebulous philosophical space, but at the point where the rubber meets the road” (Michael Schur, producer and creator of The Good Place). It’s not your imagination: we’re living in a time of moral decline. Publicly, we’re bombarded with reports of government leaders acting against the welfare of their constituents; companies prioritizing profits over health, safety, and our best interests; and technology posing risks to society with few or no repercussions for those responsible. Personally, we may be conflicted about how much privacy to afford our children on the internet; how to make informed choices about our purchases and the companies we buy from; or how to handle misconduct we witness at home and at work. How do we find a way forward? Today’s ethical challenges are increasingly gray, often without a clear right or wrong solution, causing us to teeter on the edge of effective decision-making. With concentrated power structures, rapid advances in technology, and insufficient regulation to protect citizens and consumers, ethics are harder to understand than ever. But in The Power of Ethics, Susan Liautaud shows how ethics can be used to create a sea change of positive decisions that can ripple outward to our families, communities, workplaces, and the wider world—offering unprecedented opportunity for good. Drawing on two decades as an ethics advisor guiding corporations and leaders, academic institutions, nonprofit organizations, and students in her Stanford University ethics courses, Susan Liautaud provides clarity to blurry ethical questions, walking you through a straightforward, four-step process for ethical decision-making you can use every day. Liautaud also explains the six forces driving virtually every ethical choice we face. Exploring some of today’s most challenging ethics dilemmas and showing you how to develop a clear point of view, speak out with authority, make effective decisions, and contribute to a more ethical world for yourself and others, The Power of Ethics is the must-have ethics guide for the 21st century.
SOON TO BE AN HBO SERIES, "THE WHITE HOUSE PLUMBERS," STARRING WOODY HARRELSON AND JUSTIN THEROUX In 1971, Egil "Bud" Krogh was summoned to a closed-door meeting by John Ehrlichman, his mentor and key confidant of President Richard Nixon, in a secluded office in the Western White House. Krogh thought he was walking into a meeting to discuss the drug control program launched on his most recent trip to South Vietnam. Instead, he was handed a file and the responsibility for the SIU, Special Investigations Unit, later to become notorious as "The Plumbers." The unit was to investigate the leaks of top-secret government documents, particularly the Pentagon Papers, to the press. The president considered this task critical to national security. Nixon said he wanted the unit headed up by a "real son of a bitch." He got the studious, zealous, and loyal-to-a-fault Bud Krogh instead. In that instant, Krogh was handed the job that would lead to one of the most famous conspiracies in presidential history and the demise of the Nixon administration. Integrity is Krogh's memoir of his experiences-of what really went on behind closed doors, of how a good man can lose his moral compass, of how exercising power without integrity can destroy a life. It also tells the moving story of how he turned his life back around. For anyone interested in the ethical challenges of leadership, or of professional life, Integrity is thought-provoking and inspiring reading.
This insightful and brilliant analysis of ethics teaches readers valuable skills in evaluating tough choices and arriving at sound conclusions. “A thought-provoking guide to enlightened and progressive personal behavior.” —Jimmy Carter An essential guide to ethical action updated for our challenging times, How Good People Make Tough Choices by Rushworth M. Kidder offers practical tools for dealing with the difficult moral dilemmas we face in our everyday lives. The founder and president of the Institute for Global Ethics, Dr. Kidder provides guidelines for making the important decisions in situations that may not be that clear cut—from most private and personal to the most public and global. Former U.S. senator and NBA legend Bill Bradley calls How Good People Make Tough Choices “a valuable guide to more informed and self-conscious moral judgments.”
An analysis of how findings in behavioral economics challenge fundamental assumptions of medical ethics, integrating the latest research in both fields. Bioethicists have long argued for rational persuasion to help patients with medical decisions. But the findings of behavioral economics—popularized in Thaler and Sunstein’s Nudge and other books—show that arguments depending on rational thinking are unlikely to be successful and even that the idea of purely rational persuasion may be a fiction. In Good Ethics and Bad Choices, Jennifer Blumenthal-Barby examines how behavioral economics challenges some of the most fundamental tenets of medical ethics. She not only integrates the latest research from both fields but also provides examples of how physicians apply concepts of behavioral economics in practice. Blumenthal-Barby analyzes ethical issues raised by “nudging” patient decision making and argues that the practice can improve patient decisions, prevent harm, and perhaps enhance autonomy. She then offers a more detailed ethical analysis of further questions that arise, including whether nudging amounts to manipulation, to what extent and at what point these techniques should be used, when and how their use would be wrong, and whether transparency about their use is required. She provides a snapshot of nudging “in the weeds,” reporting on practices she observed in clinical settings including psychiatry, pediatric critical care, and oncology. Warning that there is no “single, simple account of the ethics of nudging,” Blumenthal-Barby offers a qualified defense, arguing that a nudge can be justified in part by the extent to which it makes patients better off.
Reviews the issues involved in most of the principal medical-ethical dilemmas that face our society from a multidisciplinary point of view. Updated to reflect the many changes that have occurred in medical-ethical issues.
This book is an accessible, research-based introduction to behavioral ethics. Often ethics education is incomplete because it ignores how and why people make moral decisions. But using exciting new research from fields such as behavioural psychology, cognitive science, and evolutionary biology, the study of behavioural ethics uncovers the common reasons why good people often screw up. Scientists have long studied the ways human beings make decisions, but only recently have researchers begun to focus specifically on ethical decision making. Unlike philosophy and religion, which aim to tell people how to think and act about various moral issues, behavioral ethics research reveals the factors that influence how people really make moral decisions. Most people get into ethical trouble for doing obviously wrong things. Aristotle cannot help, but learning about behavioral ethics can. By supplementing traditional approaches to teaching ethics with a clear, detailed, research-based introduction to behavioral ethics, beginners can quickly become familiar with the important elements of this new field. This book includes the bonus of being coordinated with Ethics Unwrapped – a free, online, educational resource featuring award-winning videos and teaching materials on a variety of behavioral ethics (and general ethics) topics. This book is a useful supplement for virtually every ethics course, and important in any course where incorporating practical ethics in an engaging manner is paramount. The content applies to every discipline –business ethics, journalism, medicine, legal ethics, and others – because its chief subject is the nature of moral decision making. The book is also highly relevant to practitioners across all sectors.
If we are kind people, we care about others, including others who tend to hurt themselves. We all have friends or family members who have potential but squander or even ruin their lives from things like drug abuse, unwise spending decisions, or poor dietary habits. Concern for others often motivates us to endorse laws or private interventions meant to keep people from harming themselves even if that’s what they want to do in the moment. However, it is far from clear that such paternalistic measures are, on net, benign, and they tend to violate an understanding that we should let adults make their own decisions. In this little book, William Glod argues that it’s OK to allow people to make bad choices. It’s OK even if those choices risk causing a lot of harm. Most defenders of paternalism agree that some bad choices are not harmful enough to require laws to stop them. However, Glod goes further. He argues that some people might want – and deserve – the freedom to make truly bad choices because such freedom is the only way they can act responsibly. He also argues that some "bad" choices may not even be bad, even if we can't know with confidence a person's true desires. In addition, the book explores choices that are bad because they might impose high monetary costs on others, arguing that mandatory insurance may be a better solution than eliminating the choice. Finally, it explores the potential pitfalls of paternalistic laws and policies – and how unintended, costly consequences can sabotage the most well-intended plans. Key Features Introduces key concepts for understanding paternalism and freedom of choice for undergraduates and general readers Discusses how many of our preferences are not easily understood by others, and shows how assumptions of what our true preferences can often backfire Explores ways in which people may want the freedom to make mistakes Examines the unintended consequences and associated problems of many paternalistic laws and regulations
Presents the thoughts and hard-won experiences of men and women who have had to face thorny ethical issues in their roles as managers. Shows how to be ethical and still be a success, how managers can recognize ethical situations, and how to resolve problems that involve ethical considerations. Toffler's book is not what others think ethics "ought" to be for managers. It is what practicing managers say it is. Its unique format "let[s] the managers talk" about the actual situations in which they were responsible for decisions which had ethical consequences. All managers will be able to identify with the situations. The author has added her own introductory and concluding commentary to the interviews to help readers get the most out of it.
Tough Decisions places readers in realistic composites of cases the authors have actually seen or managed where they must make tough medical decisions. What happens in them often depends on the reader's decisions and thus gives a sense of pressures that bear on clinical-decision making.