I work to bring philosophical inquiry to the practice of medicine, nursing, and public health. In addition to being a scholar, I am also a practicing healthcare ethics consultant. That work includes case consultation, ethics education, and policy development. I have led or served on institutional review boards, animal care and use committees, scarce-resource allocation committees, vaccine mandate exemption committees, and a hospital committee on therapeutic termination of pregnancy. More recently I completed a nursing degree, passed the NCLEX, and worked as a bedside nurse. I want to understand healthcare ethics from both inside and outside the system.
My research focuses on vaccine ethics and policy, clinical ethics, and public health ethics. I have published two monographs, Values and Vaccine Refusal (Routledge, 2016) and America's New Vaccine Wars (Oxford University Press, 2023, with Katie Attwell), along with three edited volumes and nearly a hundred articles and book chapters. My work appears in journals including JAMA, JAMA Pediatrics, Pediatrics, Milbank Quarterly, Hastings Center Report, and the American Journal of Bioethics.
My op-eds and essays have appeared in The New York Times, Time, STAT, NBCNews, and The Conversation. I have been interviewed by the Washington Post, Vox, NPR, CBC Radio, and outlets in Japan, Hong Kong, and Australia.
Speaking & Engagement
I am available to speak at conferences, grand rounds, colloquia, and other events. To inquire about a talk, please email me.
Topics
Vaccines and Immunization
- Vaccine mandates and exemption policy
- Vaccine hesitancy, refusal, and the people behind it
- Vaccine communication with skeptical patients and parents
Pediatric Ethics
- Pediatric assent and the role of children's preferences
- When clinicians should override family decisions
- Conflict between parents, between parents and clinicians, and between parents and adolescents
Clinical Ethics
- Treatment over patient objection
- Surrogate decision-making for incapacitated adults
- Conscientious objection by clinicians
- Informed consent at the bedside
- The work of clinical ethics consultation
Public Health Ethics
- The political philosophy of public health
- Reciprocity, vulnerability, and obligations to the community
- Scarce resource allocation (lessons from COVID and beyond)
- Nudges, mandates, and the ethics of behavior change in public health
Nursing and Bedside Care
- The moral labor of nurses in informed consent
- Philosophy at the bedside (a philosopher's nursing education)
- Hierarchy, delegation, and moral responsibility on clinical teams
Bigger Picture
- The political-philosophy preconditions for ethical practice
- Reflective equilibrium and clinical wisdom
- How heterodox positions get marginalized in bioethics
Recorded Talks and Videos
Research
Books
Selected Journal Articles
Filter by area, or see my CV for a complete list.
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"Vaccine Policy and Eliminating Nonmedical Exemptions — Read the Room"
Vaccine
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"America's Vaccine Policy Whiplash — Finding the Way Forward"
Vaccine
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"No Vaccine, No Organ? Ethics of Vaccine Mandates for Pediatric Transplant"
Vaccine
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"Eliminating Nonmedical Exemptions: A Radical Shift in How Childhood Vaccine Mandates Govern"
Vaccine
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"Mandatory Vaccination: Scope, Sanctions, Severity, Selectivity, and Salience"
Vaccine
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"Limits on Parental Discretion in Medical Decision-Making: Pediatric Intervention Principles"
Clinical
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"Three Kinds of Decision-Making Capacity for Refusing Medical Interventions"
Clinical
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"Treatment Over Objection — Moral Reasons for Reluctance"
Clinical
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"Capacity for Preferences and Pediatric Assent: Implications for Pediatric Practice"
Clinical
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"Reciprocity, Vulnerability, and the Moral Significance of Herd Immunity"
Public Health Phil
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"Pox Parties for Grannies? Chickenpox, Exogenous Boosting, and Harmful Injustices"
Public Health Phil
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"Competing Epistemic Spaces: How Social Epistemology Helps Explain and Evaluate Vaccine Denialism"
Public Health Phil
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"Imperfect Immunization Communication on School District Websites: A Mixed Methods Review"
Nursing
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"Perspectives of Public Health Nurses on the Ethics of Mandated Vaccine Education"
Nursing
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"Sincerity, Accuracy, and Selective Conscientious Objection"
Political
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"Luck and Oppression"
Political