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ETHICS AND THE BUSINESS OF BIOMEDICINE
A CONFERENCE AT THE UNIVERSITY OF TENNESSEE, KNOXVILLE
APRIL 6 – 8, 2006
Conference Description:
Central to current national discourse are concerns about ethics, costs, and profits in relation to health care. These concerns are driven by major shifts in health care that took place during the 20th century. These shifts include the transformation of the professional practice of medicine from a service orientation to a market orientation; the emergence of powerful pharmaceutical and health care corporations; and development and new, innovative, and expensive biomedical technologies by for profit enterprises. While there are interesting public policy dimensions to this discourse, sound public policy decisions must be informed by careful attention to foundational questions about the specific values (e.g., distribute justice, rights, human dignity, and community welfare) that inform, or should inform organizational decisions and public policy judgments. This conference will focus on foundational questions concerning values in relation to the business of medicine. Conference papers will focus on such topics as:
Conference Participants
Opening Session:
Paresh N. Soni, M.D., Ph.D., FCP (S.A.), Mmed, Pfizer
Executive Director and Therapeutic Area Clinical leader for Gastrointestinal/Hepatology, Pfizer Inc. Paresh is an internist and gastroenterologist and practiced medicine for 15 years prior to joining the pharmaceutical industry. He graduated from the University of Natal in South Africa, where he also completed his postgraduate training and served as senior lecturer and senior physician at the King Edward VIII Hospital in Durban, South Africa. He also worked as an MRC research fellow on clinical aspects of falciparum malaria. From 1993-1995, Paresh was an MRC-funded research fellow in the Division of Hepatology, Royal Free Hospital School of Medicine in London, UK. His research into molecular biologic approaches for the treatment of hepatitis B virus infection earned him a PhD from University College London (UCL). Since joining Pfizer, Paresh has worked in Exploratory Development in the UK and in late phase development in the USA. He currently holds the position of Therapy Area Clinical Leader for Gastrointestinal and Liver Diseases at Pfizer Global Research and Development.
Richard S. Mathis, Ph.D., BlueCross BlueShield of Tennessee
Senior Manager for Medical Policy Research and Development at BlueCross BlueShield of Tennessee (BCBST). In this capacity, Dr. Mathis leads a group that uses evidence-based medicine research to develop Medical Policy and other decision support tools. He has written several articles and three books. His most recent book, Making More of Life with Less: Seeking Humility, Simplicity, and Silence, was published in 2004. His recent article, “Improving Medical Resident Perceptions of Health Plan Decision Making,” was published in the September 2005 issue of The American Journal of Managed Care. Dr. Mathis received his Ph.D. and M.A. in Political Science from the Johns Hopkins University , and his B.A. from the University of Tennessee in Knoxville , where he graduated with highest honors. He is a graduate of the Executive Leadership Program at America ’s Health Insurance Plan and the BlueCross BlueShield Association’s Executive Leadership Forum.
Susan McKay, Tennessee Health Care Campaign
East Tennessee Director, Tennessee Health Care Campaign, a nonprofit organization that advocates for affordable health care for all Tennesseans. Previously, she has organized and directed media for nonprofit groups working on the issues of taxation, the death penalty, living wage, and renewable energy. She earned her Bachelor’s from Central Michigan University, majoring in Broadcast & Cinematic Arts and Political Science. A professional writer since age 19, Susan recently has written policy reports on Medicaid, TennCare, and the state budget. Her background also includes writing and producing for network and cable television and radio, developing corporate communications and political publicity, and managing content for web portals.
New Paper Presenters:
Tom Beauchamp, Georgetown University
Beauchamp is a Professor of Philosophy and a Senior Research Scholar in Georgetown University 's Kennedy Institute of Ethics. He took graduate degrees from Yale University and The Johns Hopkins University, where he received his Ph.D. in 1970. He then joined the faculty of the Philosophy Department at Georgetown University, and in the mid-70s accepted a joint appointment at the Kennedy Institute of Ethics. In 1976, he joined the staff of the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, where he wrote the bulk of The Belmont Report (1978). Beauchamp is the co-author (with James F. Childress) of Principles of Biomedical Ethics, 5 th ed. (2001) as well as A History and Theory of Informed Consent (1986) and other books.
Daniel Callahan, Harvard University and The Hastings Center
Callahan was a cofounder of The Hastings Center in 1969. As Director of the International Program he coordinates contacts and discussions with colleagues in different parts of the world. His project on medicine and the market is examining the impact of market theory, thinking, and practice on health care systems, with a special focus on issues of equity and health care costs. A related interest is that of globalization and it impact on health status in different parts of the world. In addition to his work at the Center, he is a Senior Fellow at the Harvard Medical School , directing its ethics track. Callahan is the author or editor of 36 books, including the forthcoming Medicine and the Market: Choice v. Equity (Johns Hopkins Press); The Research Imperative: What Price Better Health? (University of California Press, 2003) as well as False Hopes (Simon & Schuster & Rutgers University Press, 1998); The Troubled Dream of Life: In Search of a Peaceful Death (Simon & Schuster, 1993); What Kind of Life: The Limits of Medical Progress (Simon & Schuster, 1990); Setting Limits: Medical Goals in an Aging Society (1987); The Tyranny of Survival (1973); Abortion: Law, Choice and Morality (1970); and Ethics in Hard Times (1982). He has contributed articles to Daedalus, Harpers, The Atlantic , the New England Journal of Medicine, the Journal of the American Medical Association, The New Republic , and other journals.
Norman Daniels, Harvard University
Daniels is Professor of Ethics and Population Health at Harvard School of Public Health. Formerly Goldthwaite Professor, Chair of the Tufts Philosophy Department, and Professor of Medical Ethics at Tufts Medical School, where he taught from 1969 until 2002, he has degrees from Wesleyan (B.A. Summa, 1964), Balliol College, Oxford (B.A., First Honors, 1966), and Harvard (Ph.D., Plympton Dissertation Prize, 1971. He has written widely in the philosophy of science (Thomas Reid's `Inquiry': the Geometry of Visibles and the Case for Realism (1974; Stanford, 1989), ethics, political and social philosophy (including Reading Rawls (1975; Stanford, 1989) and medical ethics. He has published over 135 articles in anthologies and such journals as Isis, Philosophy of Science, Journal of Philosophy, Philosophical Review, Ethics, Philosophy and Public Affairs, Philosophical Studies, Philosophy and Phenomenological Research, Revue Internationale de Philosophie, Journal of Medicine and Philosophy, Bioethics, JAMA, New England Journal of Medicine, British Medical Journal, Hastings Center Report,Health Affairs, Nature Medicine, WHO Bulletin, Economics and Philosophy, Daedalus and others. His most recent books include Just Health Care ( Cambridge , 1985); Am I My Parents' Keeper? An Essay on Justice Between the Young and the Old (Oxford, 1988); Seeking Fair Treatment: From the AIDS Epidemic to National Health Care Reform, Oxford, 1995); Justice and Justification: Reflective Equilibrium in Theory and Practice (Cambridge University Press, 1996); (with Donald Light and Ronald Caplan) Benchmarks of Fairness for Health Care Reform (Oxford, 1996); (with Allen Buchanan, Dan Brock, and Dan Wikler) From Chance to Choice: Genetics and Justice (Cambridge, 2000); (with Bruce Kennedy and Ichiro Kawachi) Is Inequality Bad for Our Health? (Beacon Press, 2000); and (with James Sabin) Setting Limits Fairly: Can We Learn to Share Medical Resources? (Oxford, 2002). He is currently doing research on how to adapt the "benchmarks of fairness" for use in less developed countries (WHO Bulletin, June 2000), on limit-setting in various contexts, including pharmacy benefits, and he is working on Just Health, a substantial revision and expansion of Just Health Care.
Richard T. De George, University of Kansas
De George is University Distinguished Professor of Philosophy, of Russian and East European Studies, and of Business Administration, and Co-Director of the International Center for Ethics in Business at the University of Kansas. He received his Ph.D. from Yale University and he has been a research fellow at Yale University, Columbia University, Stanford University, and the Hoover Institution. He is the author of over 190 articles and the author or editor of twenty books, including The Ethics of Information Technology and Business (2003); Business Ethics (2005), now in its sixth edition and also available in Japanese, Russian, Serbian and Chinese; and Competing With Integrity in International Business (Oxford, 1993), also translated into Chinese. He has been the President of several academic organizations, including the American Philosophical Association, the Metaphysical Society of America, the Society for Business Ethics, and International Society for Business, Economics, and Ethics. In November, 1996, he received an honorary doctorate from Nijenrode University in the Netherlands together with Bill Gates and Nelson Mandela.
Carl Elliott, University of Minnesota
Carl Elliott is Professor in the Center for Bioethics at the University of Minnesota. He received his PhD in philosophy from Glasgow University in Scotland and he received his M.D. from the Medical University of South Carolina. Elliott has written on the ethics of enhancement technologies, the philosophy of psychiatry, and ethics in the pharmaceutical industry. His books include Better Than Well: American Medicine Meets the American Dream (W.W. Norton in 2003) and Prozac as a Way of Life (UNC Press, 2003).
George Khushf, University of South Carolina
Khushf is the Humanities Director of the Center for Bioethics, an Associate Professor in the Department of Philosophy, and a member of the Nanocenter at the University of South Carolina . His current research focuses upon the ethics and philosophy of nanoscale science and technology, developments in molecular medicine and genetics, and administrative and organizational ethics in health care. He is Assistant Editor of the Journal of Medicine and Philosophy, the Editor on the Organizational Ethics section for HEC Forum, and serves on the Editorial Boards of several other journals. His recent publications include the Handbook of Bioethics: Taking Stock of the Field From a Philosophical Perspective (Kluwer, 2004), and “Systems Theory and the Ethics of Enhancement: A Framework for NBIC Convergence,” in Annals of the New York Academy of Sciences (2004).
Paul T. Menzel, Pacific Lutheran University
Menzel is Professor of Philosophy and Provost Emeritus at Pacific Lutheran University . Menzel graduated from Yale and received his Ph.D. from Vanderbilt. He is widely published, especially on philosophical questions about health care economics. His books include Medical Costs, Moral Choices (Yale, 1983) and Strong Medicine: The Rationing of Health Care (Oxford, 1990). Publications since 1999, often in collaboration with health economists, include articles in The Hastings Center Report, The Journal of Ethics, Health Economics, and Medical Care, and in Social Sciences and Medicine.
Mary V. Rorty, Stanford University
A philosopher by training, Rorty has spent the last decade writing and teaching in clinical and organization ethics and working with hospital ethics committees. She was Director of Advanced Studies at the University of Virginia Center for Biomedical Ethics and was one of the authors of the first book on organization ethics in health care. She has written on women's health, reproductive issues and organization ethics. She is associated with the Stanford University Center for Biomedical Ethics as an adjunct clinical professor and serves on the Lucille Packard Children's Hospital ethics committee. Her most recent publication is Ethical Dilemmas in Pediatrics, an edited volume of cases and commentaries.
Daniel Wikler, Harvard University
Wikler is Mary B. Saltonstall Professor of Population Ethics in the Department of Population and International Health at the Harvard School of Public Health. His current fields of interest include ethical dimensions of health resource allocation; the ethics of experimentation with human subjects; and ethical dilemmas of global public health practice. A philosopher by training, Wikler served as the first “staff ethicist” at the World Health Organization in Geneva, working with WHO health programs on ethical issues arising in departments throughout the organization, including health resource allocation, research involving human subjects, and genetics. He was co-founder and second president of the International Association of Bioethics, which places particular emphasis on developing countries, and of the American Association of Bioethics. Prof. Wikler has been Honorary Fellow in the Bioethics Faculty of the Chinese Academy of Social Sciences and Peking Union Medical College, and fellow of the Ford Foundation, the American Council of Learned Societies, and the Leverhulme Trust. Prof Wikler has served on the advisory boards of the Asian Bioethics Association and the Pan American Health Organization Regional Program in Bioethics. His published work addresses many issues in bioethics, focusing in recent years has focused on population health, including issues resource allocation, and global public health. He was senior author of the only monograph on American bioethics published in the USSR. His book series, Studies in Philosophy and Health Policy, was published by Cambridge University Press, as was From Chance to Choice: Genetics and Justice, co-authored by Prof. Wikler and three other philosophers.
Laurie Zoloth, Northwestern University
Zoloth is Professor of Medical Ethics and Humanities, and of Religion, at Northwestern University, the Feinberg School of Medicine. In 2001, she was the President of the American Society for Bioethics and Humanities. She is a member of the NASA National Advisory Council, the nation's highest civilian advisory board for NASA, The NASA Planetary Protection Advisory Committee, the Executive Committee of the International Society for Stem Cell Research, and she is the Chair of the Howard Hughes Medical Institute's Bioethics Advisory Board. Zoloth is also on the national advisory boards of the American Association of the Advancement of Science's Dialogue on Science, Ethics and Religion; the Geron Ethics Advisory Board; The Data Safety Monitoring Board for the NIH International AIDS Clinical Trials Group; The Robert Wood Johnson’s Project on Excellence at the End of Life; The American Association for the Advancement of Science’s Working Group on Human Germ-Line Interventions and on Stem Cell Research; the Ethics Section of the American Academy of Religion; the Western Jewish Studies Association; The Louis Finkelstein Institute for Jewish Social Ethics; The Park Ridge Center's Project on Judaism and Bioethics, and the editorial boards of The American Journal of Law, Medicine and Ethics, Shofar: A Journal of Jewish Studies; The Journal of Clinical Ethics; American Journal of Bioethics; and Second Opinion: A Journal of Health, Faith and Ethics. She is the author or editor of three books including Health Care and the Ethics of Encounter: A Jewish Discussion of Social Justice.
Discussants:
Norman E. Bowie, University of Minnesota , Twin Cities
Bowie is the Elmer L Andersen Chair in Corporate Responsibility at the University of Minnesota . He is the author or editor of 15 books and over 75 scholarly articles in business ethics and related fields. His most recent book is Management Ethics and his most recent edited book is Blackwell Guide to Business Ethics. His authoritative co-edited text Ethical Theory and Business is in its seventh edition. He has held a position as Dixons Professor of Business Ethics and Social Responsibility at the London Business School and been a fellow at Harvard’s Program in Ethics and the Professions.
George Brenkert, Georgetown University
Brenkert specializes in business ethics, social and political philosophy, and normative and theoretical ethics. His current research focuses on marketing ethics, cross-cultural marketing and morality, and modern ethical philosophy. He teaches courses in business ethics and the social responsibility of business. He has published in numerous books and journals including: a Companion to Business Ethics; Trust Within and Between Organizations; Consumption; Environmental Ethics and Business Ethics Perspectives; Business and the Humanities; Women's Studies and Business Ethics; The Journal of Ethics; Business Ethics Quarterly; and Public Affairs Quarterly. He formerly served as editor-in-chief of Business Ethics Quarterly.
E. Haavi Morreim, University of Tennessee , Memphis
Morreim is Professor of bioethics in the College of Medicine, University of Tennessee, Memphis. For 23 years, initially at the University of Virginia School of Medicine and thereafter at the University of Tennessee, she has done clinical teaching and consulting in medical ethics. She also chairs the Independent Patient Advocacy Council created to serve patients enrolled in the AbioCor artificial heart trial. She is on the editorial board of several journals, including IRB: Ethics and Human Research. Dr. Morreim is author of two books and over 100 publications in journals of medicine, and ethics, including the Journal of the American Medical Association, Archives of Internal Medicine, and Hastings Center Report. Her first book, Balancing Act: the New Medical Ethics of Medicine's New Economics, first appeared in 1991 and was republished in paperback by Georgetown University Press in 1995. Her book, Holding Health Care Accountable was published by Oxford in 2001.
Patricia Werhane, DePaul University and University of Virginia
Werhane is Professor of Philosophy and Wicklander Chair of Business Ethics at DePaul University and Ruffin Professor of Business Ethics at the University of Virginia. Werhane graduated from Wellesley College, and received a Ph.D. in philosophy from Northwestern University. She has been a Rockefeller Fellow at Dartmouth, Arthur Andersen Visiting Professor at the University of Cambridge, and Erskine Visiting Fellow at the University of Canterbury (New Zealand). Professor Werhane has published numerous articles and is the author or editor of fifteen books including Ethical Issues in Business (with T. Donaldson and Margaret Cording, seventh edition), Persons, Rights and Corporations, Adam Smith and His Legacy for Modern Capitalism, and Moral Imagination and Managerial Decision-Making with Oxford University Press. Her latest book is Employment and Employee Rights (with Tara J. Radin and Norman Bowie) with Blackwell. She is a Past President of the Society for Business Ethics, the founder and former Editor-in-Chief of Business Ethics Quarterly and the co-founder and co-Editor-in-Chief of Organizational Ethics: Healthcare, Business, and Policy.
Program:
A final program in PDF format may be download by clicking here: Final Program (Updated 3/31/06).
Organizing Committee:
Denis Arnold , Assistant Professor of Philosophy (lead organizer)
John Hardwig , Professor of Philosophy and Department Head
Charles Reynolds, Professor of Religion
Conference Sponsors:
Office of the Chancellor
Office of Research
Humanities Initiative Committee, CAS
Haines-Morris Grant, CAS
Center for Applied and Professional Ethics, Department of Philosophy, CAS
College of Business Administration
Issues Committee
College of Law
Department of Religious Studies
Physician MBA Program, CBA
Baker Center for Public Policy
Registration:
This conference is free to citizens of Tennessee and all UT students. To obtain guaranteed seating and the complete conference program (including conference papers) registration is required.
To register for the conference download this form and submit by mail: Registration Form
Update: On site registration available on a space available basis.
Hotel Information:
Conference Hotel:
Hilton Knoxville
501 West Church Avenue, Knoxville, Tennessee, 37902
(865) 523-2300
Special Group Rate: $70 per night, plus taxes.
Reference group code CEB to get the discounted rate.
In-house reservations direct: (865) 251-2578
Click here to go to the reservations web page.Knoxville is served by the McGhee Tyson Airport (TYS)
Click here to go to the TYS web page.Conference events will be held on campus April 6 and 7 and at the Hilton on April 8.
Contacts:
Conference Organizer: Denis Arnold, Department of Philosophy, UT-K: darnold1@utk.
Administrative Assistant: Ann Beardsley, Department of Philosophy, UT-K: abeard@utk.edu
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