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LEONARD MICHAEL FLECK, PH.D. Center for Ethics and Humanities C-208 East Fee Hall Michigan State University East Lansing, MI 48824-1316 (517) 355-7552 E-mail: fleck@msu.edu PROFESSIONAL POSITIONS Acting Director, Center for Ethics and Humanities in the Life Sciences, August 2018---- Professor of Philosophy and Medical Ethics, Philosophy Dept. and Center for Ethics and Humanities in the Life Sciences, College of Arts and Letters/ College of Human Medicine, Michigan State University (1994- Co-Principal Investigator for the NIH, ELSI Program [Ethical, Legal, Social Implications of the Human Genome Project] funded project “Communities of Color and Genetics Policy” (1998-2002). This is a joint project of the University of Michigan, Michigan State University, and Tuskegee University funded for $1.1 million. Co-Principal Investigator for the NIH, ELSI Program [Ethical, Legal, Social Implications of the Human Genome Project] funded project “Genome Technology and Reproduction: Values and Public Policy,” (1995-98). This was a joint University of Michigan and Michigan State University project funded for $1.1 million. Member of Hillary Rodham Clinton Task Force on Health Reform, Working Group #17, "Ethical Foundations of the New Health Care System," Washington, D.C. (March-May, 1993). Associate Professor of Medical Humanities [Medical Ethics and Health Policy], Center for Ethics and Humanities in the Life Sciences; Associate Professor of Philosophy, Department of Philosophy, Michigan State University, East Lansing (1988-94 ). Director of the statewide community education/ policy analysis project "Just Caring: Justice, Health Care, and the Good Society" under a Kellogg AULEG grant (1990-92 ). Staff Ethicist for the Governor's Task Force on Access to Health Care (Michigan)(1989-90). Director of the professional education projects "Health Care Policy for the Future: Issues of Justice," and "Managing Medicaid for the 1990's: Balancing Equity and Efficiency," designed for the policy and management staff of the Michigan Medicaid Program, under a grant from the Michigan Department of Social Services (1988-89). Assistant Professor of Medical Humanities [Medical Ethics and Health Policy], Medical Humanities Program, Michigan State University, East Lansing (1985-88). Director of the community education/policy analysis project "Just Caring: Justice, Health Care,

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and the Good Society" for Goshen General Hospital, funded by a grant from the Indiana Committee for the Humanities, (1985-87). Director of the community education/policy analysis project "Pricing Human Life: Moral and Public Policy Dilemmas" in Flint, Michigan, funded by a grant from the Michigan Council for the Humanities, spring and summer, 1986. Visiting Assistant Professor of Philosophy/Public and Environmental Affairs at Indiana University at South Bend (1976-85), with title variations depending on teaching responsibilities. A portion of this position always involved writing grants and directing grant projects as described below. Director of the community needs assessment/social entrepreneur development project "Visions in Progress," funded with a grant from the Bowsher-Booher Foundation to the School of Public and Environmental Affairs, Indiana University at South Bend, (1985-86). Director of the community education/leadership development project "Images and Ideals/Challenges and Choices: Seeking an Agenda for the '80s," funded with grants from the Indiana Committee for the Humanities and matching private corporate contributions, (1980-84). Co-Director of the management training project "Preparing for the '80s: Workshops for Public Officials," (1979-80). Co-Director of the region-wide (24 counties) project "The Search for Health: Alternatives in Care, Conflicting Rights, Uncertain Responsibilities," for the Indiana University School of Public and Environmental Affairs, funded by a grant from the Indiana Committee for the Humanities (1976-78). Assistant Professor of Philosophy at St. Mary's College, Notre Dame, Indiana (1975-76). Acting Chairman of the Philosophy Department at St. Mary's College (1972-74). Instructor in Philosophy at St. Mary's College (1971-75). Full-time Instructor in Philosophy at St. Louis University (1969-71). EDUCATION Loyola University (Chicago) A.B. (1966) Major in Philosophy. St. Louis University 9/66-6/71 Ph.D. (1975). Graduated with a Ph.D. in philosophy. The title of my dissertation was "G.H. Mead's Pragmatic Theory of Knowledge." The dissertation was directed by Professor James D. Collins.

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PROFESSIONAL RECOGNITION

Dean Conley Award from the American College of Healthcare Executives for best health policy/ health management journal article published in 2012.

Elected Fellow of the Brocher Foundation (Geneva, Switzerland) 2012. University Distinguished Faculty Award from Michigan State University (2003). Distinguished Faculty Award, College of Human Medicine, Michigan State University (2003). Elected Fellow of The Hastings Center (June, 2002) 100 People to Watch in the New Millenium Lansing State Journal (Jan. 2000). I was identified

and pictured as one of those 100 people because of my work in genetics and community dialogue.

Ernest A. Lynton Award for Faculty Professional Service and Academic Outreach, to be

presented at conference of the American Association of Higher Education, San Diego CA (Jan., 1999)

Summer fellowship from the National Endowment for the Humanities to participate in a seminar

at the University of Wisconsin with Professor Marcus Singer, a very distinguished member of the Philosophy Department there. The title of the seminar was "Justification and Proof in Ethics."

Summer stipend ($3,000) from the National Endowment for the Humanities for the summer of

1984 to continue work on my book Pricing Human Life: Moral and Public Policy Dilemmas.

An NEH Summer Fellowship for College Teachers to participate in a series of seminars on ethics

and the social services at the State University of New York-Binghamton (1982) — declined because of late notification and conflicting commitment.

An NEH Summer Fellowship for College Teachers to the University of Minnesota to participate in a

seminar on ideals and utopias with Mulford Q. Sibley (1977). Three-year NDEA Fellowship to St. Louis University (1966-69). PROFESSIONAL MEMBERSHIPS American Philosophical Association (Central Division)

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The Hastings Center American Society for Bioethics and Humanities American Society of Law, Medicine and Ethics Ethics Committee of American Board of Pediatrics COMMITTEE WORK FOR MICHIGAN STATE UNIVERSITY (2018-20) University Committee on Faculty Tenure (6 years) Faculty Senate University Council CHM Curriculum Committee CHM Reappointment, Promotion and Tenure Committee (six years) Committee on Diversity Education (CHM) University Stem Cell Committee College Advisory Committee (CHM) College Awards Committee (CHM) Student Awards Committee (CHM) Shared Discovery Advisory Committee (CHM) University Steering Committee (for Faculty Senate and University Council) Planning Committee for Brews and Views Planning Committee for Bioethics for Breakfast MCE Curriculum Development Committee ASK IV Curriculum Development Committee ASK (overall) Curriculum Development Committee Curriculum Development Committee for Intersession “Health System Complexities and Patient

Vulnerabilities.” Honors College Student Awards Committee CHM Leadership Committee CHM Chairs and Directors Committee

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TEACHING

NOTE: Listed below are my teaching responsibilities for roughly 2011-2019. In any given year for the past ten years this is roughly what my teaching responsibilities have looked like. I teach an occasional offering of an undergraduate bioethics course, PHL 344. I offer my graduate seminar on health care justice at roughly three year intervals. This is PHL 870. I last offered this course in the Fall of 2014. In the Winter of 2005 I taught a Freshman Seminar under the title “Pricing Human Life: Ethics and Public Policy.” I have been doing the Freshman Seminar with different topics every year in the spring since 2005. In the Fall of 2006 I taught an advanced special topics bioethics course PHL 444, “Ethical and Policy Challenges in Genetics and the New Reproductive Technologies.” In the spring of 2017 I taught a new course for a new program, the “Citizen Scholars Program.” The course number was AL 210, “Democratic Deliberation and Health Care Justice.” (4 credits). I have also been teaching a Study Abroad course in London titled “Medical Ethics and Health Policy.” I taught that course for 5-6 weeks each summer from 2005 until 2018. Director of College of Human Medicine course, HM 546/547, Social Context of Clinical

Decisionmaking, 1991-2017 Introductory lecture for SCCD/ HM 546 [HM= Human Medicine] Ethics module small group teaching for HM 546 (16 contact hours) Judging Integrative Exercise presentations (8 contact hours) Module Coordinator for HM 547, Health Policy Module Coordinator for HM 547, Integrative Exercise Small group preceptor for HM 547, Health policy (12 contact hours) Integrative module small group preceptor, HM 547 12 contact hours

Topics vary from year to year and section to section HM 491/ 591: Medical Ethics and Health Care Policy: Comparison of the US and the UK; this is a summer Study Abroad course in London, six academic credits. I have taught this course for eleven years (2005-2008; 2011-2017). Developing readings and introductory materials for thirteen different Integrative Exercise Groups

[Implantable Cardiac Defibrillators; Left Ventricular Assist Devices; Kidney Cancer and the New Biologics; Lung Cancer and the New Biologics; Drug-Eluting Stents vs. Bare Metal Stents]. These topics are about policy decisions that must be made in a resource-constrained context. Medical students must work as a group to produce policy proposals that integrate the relevant medical information and epidemiological information and ethics and economics perspectives.

Concept paper and curriculum development for new CHM experience for first and second year students titled “Longitudinal Chronic Illness Patient Care Experience”: developing the “advanced directive” exercise for the SCCD ethics module, and the “health policy” exercise for the SCCD policy module. Each of these are now in their tenth iteration.

Teaching Graduate Course PHL 870 (Fall, 2014); “Health Care Justice” 45 contact hrs; next

offering (Fall, 2018) Large group lecture for HM 536 domain on ethical issues related to care of AIDS patients

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(2 contact hours)

UGS 101 Freshmen Seminar “Ethics, Genetics, and Public Policy” (Spring, 2010-2020) Lecture and small group preceptor in the Shared Discovery Curriculum (2017, 2018, 2019,

2020), Intersession titled “Health System Complexities and Population Vulnerabilities” (two sections, 10 hrs. each)

Guest lecture for Personalized Medicine Intersession: “Precision Medicine/ Ethical Ambiguity:

Rough Justice and Wicked Problems,” Spring 2019. Small Group Precepting for Ethics section and Health policy section of ASK I (CHM, Shared

Discovery Curriculum). Same responsibilities for ASK II, ASK III, ASK IV. On-line precepting for ASK IV Professionalism sequence (Sept. to Nov., 2019) “The Mature Minor Doctrine: Ethical and Policy Challenges,” video lecture for ECE in the

Shared Discovery Curriculum, Sept. 2019. Guided Independent Learning modules for the ECE portion of the Shared Discovery Curriculum

(2016-17): 3 modules: “Health Reform: How to Pay for Health Care”; “Health Reform: Must Costs be Controlled?”; “Health Reform: Improving Access to Care.” These were all PowerPoint presentations with supplementary essays and readings.

Rotational Ethics modules for the MCE portion of the Shared Discovery Curriculum: four cases

with discussion questions and readings. “Integrating Palliative Care with Disease-Modifying Therapy,” “The Hard Case of Palliative Sedation,” “Emergency Medicine: Does Patient Autonomy Outweigh Duty to Treat?” “Emergency Medicine: Diagnostic Testing for Diseases in the News.”

MCE SIM, small group precepting, “Ambiguous Genitalia,” “Breaking Bad News: Cancer

Panel,” “Cancer Dilemmas: Debates on the Goals of Care,” “Bleeding: Transfusion Refusal by Jehovah’s Witness Patients,” “Hemiplegia Spinal Cord Injury Panel,” “Undocumented Workers and Medical Needs,” “Abdominal Pain, Code Status.”

“Just Caring: Making Wise Health Care Choices,” community dialogue project in East Lansing,

four nights, 2 hours each night. Session 1: “Escalating Health Care Costs: Causes, Consequences, Conundrums”; Session 2: “Medicare: How Much Compassion Can We Afford?”; Session 3 and 4: “Precision Medicine/ Ethical Ambiguity: How Much Cancer Care Can We Afford, and Who Should Get It?”

VM 517: Veterinary Ethics (four lecture hours, and 10 contact hours in small group); this was

until fall of 2015. Scattered residency teaching for Internal Medicine, Pediatrics, Psychiatry, Surgery, Ob/ Gyn in

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Lansing, Grand Rapids, and Flint for both the College of Human Medicine and the College of Osteopathic Medicine (varies from year to year)

Faculty mentor for medical student created elective “Social Responsibility in Medicine,”

developed by Alison Case, Virginia Corbett, and Yasaswi Parachuri (Spring 2015). Scattered guest lectures in PHL 344, College of Communication Arts, College of Engineering,

Lyman Briggs, Social Science seminar Directing Master’s Theses for various Philosophy grad students Doctoral Committee for various Philosophy grad students, either as chair or committee member

TEACHING (prior to/ other than Michigan State University)

University of Michigan-Flint (1988-2014) HCR 504/507 “Health Care Ethics”; evening course every Fall for graduate physical therapy Students HCR 304 “Ethical Issues in Medicine”; evening course every Spring for undergraduate Students with a range of disciplinary backgrounds Indiana University at South Bend (1976-85) Philosophy Dept. An Introduction to Philosophy Philosophy and Practice Logic Contemporary Moral Problems Medical Ethics American Philosophy Social and Political Philosophy: Utopias School of Public and Environmental Affairs (Policy Analysis/Health Policy Program) An Introduction to Public and Environmental Affairs Seminar: Values and the Policy Process Seminar: Policy Analysis and Contemporary Policy Issues Seminar: Health Care Policy and Health Administration Seminar: Ethics, Business and Public Policy Seminar: Citizen Participation Strategies Seminar: Ethics, Economics, and Contemporary Public Policy Seminar: Corporate Responsibility (lunch-time, downtown experimental seminar). Seminar in Health Care Administration (graduate). Honors Seminar: Pricing Human Life: Moral and Public Policy Dilemmas. Health Care in the '80s: Critical Moral Issues in Health Care Policy and Administration

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Health Care Policy: Cost Containment Strategies (graduate). St. Mary's College (1971-76) [South Bend, IN] Philosophy: An Historical Introduction Philosophy and Practice Metaphysics Theory of Knowledge Ethical Theories Medical Ethics 17th Century Philosophy 18th Century Philosophy 19th Century Philosophy Trends in Contemporary Philosophy Contemporary Humanisms American Philosophy: The Classic Figures American Philosophy: Reason and Revolution Seminar: John Dewey Seminar: William James Seminar: Myth, Symbol and Society Seminar: Human Freedom

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RESEARCH MAJOR PUBLICATIONS

BOOK: Just Caring: Health Care Rationing and Democratic Deliberation (Oxford University Press, 2009), 480 pages. BOOK: Fair Resource Allocation and Rationing at the Bedside, edited by Marion Danis,

Leonard Fleck, Samia Hurst, Anne Slowther, and Reidun Forde (Oxford University Press, 2015). This volume is comprised of about 27 essays addressing various aspects of the issue of bedside rationing from both European and American perspectives.

BOOK (work in progress): Precision Medicine/Ethical Ambiguity? Wicked Problems, Ragged Edges, Rough Justice. Oxford University Press, late 2020. BOOK (work in progress): The Liberalism Problem, Public Reason, and Health Care Justice. Cambridge University Press, 2021 (anticipated).

1. “Just Caring: Do We Need Philosophical Foundations?” paper for Ethics, Medicine and Public Health (June, 2017). This is the official journal for the International Academy of Medical Ethics and Public Health, jointly sponsored by the Sorbonne and Universite Rene Descartes.

2. “Health Care Priority-Setting: CHAT-ting is Not Enough,” International Journal of Health Policy and Management 7 (Oct., 2018), 961-63.

3. “Precision QALYs, Precisely Unjust,” Cambridge Quarterly of Health Care Ethics (July,

2019): 439-49.

4. “Ethical Considerations Related to Obesity Intervention,” chapter in Obesity in Childhood and Adolescence, Vol. 2 edited by Hiram Fitzgerald and Dele Davies. Praeger, Nov., 2018, pp. 1-38.

5. “Controlling Health Care Costs: Just Cost-effectiveness or ‘Just’ Cost-effectiveness?” Cambridge Quarterly of Healthcare Ethics, special issue on Justice, Health Care, and Well-Being, edited by Tuija Takala, 27 (April, 2018): 271-83.

6. “First Come, First Served in the Intensive Care Unit, Always?” [with Tim Murphy], Cambridge Quarterly of Healthcare Ethics, 27 (Jan. 2018): 52-61.

7. Review of “Understanding Health Inequalities and Justice: New Conversations Across the Disciplines,” edited by Mara Buchbinder et al. Hastings Center Report (Oct. 2017).

8. “Just Caring: Precision Medicine, Cancer Biomarkers, and Ethical Ambiguity,” chapter in

Social and Economic Aspects of Cancer Biomarkers, edited by Anne Bremer and

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Roger Strand (Megaloceros Press, March, 2017), chapter 5.

9. “How Should Therapeutic Decisions About Expensive Drugs Be Made in Imperfect Environments?” AMA Journal of Ethics. 19 (Feb., 2017): 147-56. (with Marion Danis MD as second author).

10. “Just Caring: Parsimonious Care in Certain Uncertain Circumstances.” 30-page paper

Prepared for Western Michigan University Bioethics conference (March, 2016); Archived as epub at: http://scholarworks.wmich.edu

11. “Choosing Wisely: Is Parsimonious Care ‘Just’ Rationing?” Cambridge Quarterly of Healthcare Ethics 25 (2016): 366-76.

12. “Critical Care Limits: What is the Right Balance?” American Journal of Bioethics 16

(2016): 48-50.

13. “Just Rationing in the ICU: What Benefits Count?” Newsletter of the Philosophy and Medicine Committee of the American Philosophical Association (Spring 2016), 6-10 .

14. “Just Caring: The Insufficiency of the Sufficiency Principle in Health Care,” chapter in How Much is Enough? Sufficiency and Thresholds in Health Care. Oxford University Press, (October) 2016: 223-43.

15. “Rationing in the ICU: First Come, First Served,” essay for Newsletter on Philosophy and

Medicine, American Philosophical Association (Spring, 2015), 31-35.

16. “Just Solidarity: The Key to Fair Health Care Rationing,” Diametros (Spring, 2015), 44-54; an online European Philosophy journal. I was invited to contribute to this particular issue because the thematic focus of the issue is “Solidarity and Justice in Health Care.” The question being explored in this issue was the relationship between these two normative notions. DOI: 10.13153/diam.43.2015.713.

17. “Just Caring: The Ethical Challenges of Bedside Rationing,” chapter in Fair Resource Allocation and Rationing at the Bedside, edited by Marion Danis, Leonard Fleck, Samia Hurst, Anne Slowther, and Reidun Forde (Oxford University Press, 2015). Chapter Ten, 171-203. I was also co-author of the “Introduction” to this volume, 1-17; And I was the author of the “Afterword” for this volume, 439-42.

18. “Just Caring: Fair Innings and Priority Setting” (Does a 90-year old have a just claim to an artificial heart?) This paper is a chapter in a book Legitimization and a Framework for Prioritization in Medicine: An International Dialogue, edited by Prof. Eckhard Nagel and Michael Lauerer in cooperation with Valentin Schätzlein. (Springer, 2015), 197-216. Most of the contributors to this volume are from European universities.

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19. “Just Caring: Assessing the Ethical and Economic Costs of Personalized Medicine,” Urologic Oncology: Seminars and Original Investigations 32 ( 2013): 202-06. This essay was part of a series of four essays comprising a journal “seminar” for which I served as the editor.

20. “Parsimonious Care: Does Ockham’s Laser Belong in Medicine’s Black Bag?” article for APA Newsletter on Philosophy and Medicine. This is the formal written version of the presentation that I did in Atlanta at APA Eastern Division Meetings (2012). Fall, 2013.

21. “JUST Rationing or just Rationing: THE Challenge of Health Reform,” (essay for symposium on Allen Buchanan’s book Justice and Health Care: Selected Essays), Jurisprudence (British Law Journal) 6 (2015), 131-37.

22. “Just Caring: Do the Indolent, the Inebriated, and the Irresponsible Deserve Equal Access to Needed Health Care?” Indiana Health Law Review 11 (2) (Spring, 2014), 553-87.

23. “Health Care Rationing,” article for Encyclopedia of Human Biology (Bioethics

Section) (3rd ed), edited by Melvin Simon and John Abelson (Elsevier, 2015).

24. “Genetic Citizenship,” The Encyclopedia of Bioethics (4thed), edited by Bruce Jennings (New York: Macmillan, 2014), 1254-57.

25. “Genetics and Human Behavior: Philosophical and Ethical Issues,” The Encyclopedia of Bioethics (4thed), edited by Bruce Jennings (New York: Macmillan, 2014), 1327-34.

26. “Managed Care and Accountable Care Organizations,” The Encyclopedia of Bioethics (4thed), edited by Bruce Jennings (New York: Macmillan, 2014), 1907-09.

27. `Review of Truly Human Enhancement: A Philosophical Defense of Limits by Nicholas Agar (MIT Press, 2014) in Notre Dame Philosophical Reviews, (April 16, 2014) at https://ndpr.nd.edu/news/47741-truly-human-enhancement-a-philosophical-defense-of- limits/

20. "Just Caring: Can We Afford the Ethical and Economic Costs of Circumventing Cancer Drug Resistance?" Journal of Personalized Medicine 3(3) ( 2013), 124-43.

21. “Pharmacogenomics and Personalized Medicine: Wicked Problems, Ragged Edges, Ethical Precipices,” paper for theme issue “Personalized Medicine and Diagnostics,” New Biotechnology 29 (Sept. 2012), 757-68.

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22. “Health Reform and Individual Mandates: A Defense,” “Health Reform and

Individual Mandates: Counterpoint,” Debates on U.S. Health Care, edited by Jenna Kronenfeld, Wendy Parmet, Mark Zezza (Sage publications, 2012), 132-45. These two essays were collectively titled by the editors as “Liberty and the Individual Mandate.”

23. “Just Caring: In Defense of the Role of Rational Democratic Deliberation in Health Care Rationing and Priority Setting,” book chapter in Rationing Healthcare: Hard Choices and Unavoidable Trade-offs,” edited by Andre den Exter and Martin Buijsen (Erasmus University), (Antwerp: Maklu Press, 2012), 19-36.

24. “It’s NOT FAIR! Or is it? The Promise and the Tyranny of Evidence-Based Performance Assessment,” Theoretical Medicine and Bioethics, 33 (2012), 293-311. Libby Bogdan-Lovis was first author on this paper.

25. “Review Article: Four Volumes in Health Care Ethics,” Teaching Philosophy (March, 2013), 59-70.

26. “Just Caring: Health Reform and Long Term Care,” Health Progress 93 (Jan. 2012), 41-47.

27. Review of Bioethics, Public Moral Argument, and Social Responsibility, edited by Nancy King and Michael Hyde (Routledge, 2012) in Philosophical Reviews (University of Notre Dame) March 31, 2012 at http://ndpr.nd.edu

28. “Just Genetics: The Ethical Challenges of Personalized Medicine,” chapter in 2nd edition of Medicine and Social Justice, edited by Rosamond Rhodes, Margaret Battin and

Anita Silvers (Oxford University Press, 2012), 461-74..

29. “Just Caring: Health Care Rationing and Democratic Deliberation,” paper prepared For conference on “Public deliberation, Ethics, and Health Policy” at the University of Michigan (Ann Arbor), Sept. 2010. (25pp)

30. “Fair Funding of Extraordinarily Expensive Medications,” [commentary on Swiss Supreme Court case denying patient funding for $500,000 drug for Pompe

Disease] Bioethica Forum 4(Fall, 2011), 96-98.

31. “Whoopie Pies, Super-Sized Fries: “Just” Snacks? “Just” Des(s)erts?” Cambridge Quarterly of Healthcare Ethics 20(Jan. 2012), 5-19.

32. “Just Caring: Health Care Rationing, Terminal Illness, and the Medically Least Well Off,” Journal of Law, Medicine, and Ethics 39 (Summer, 2011), 156-71.

33. “Just Caring: Defining a Basic Benefit Package,” essay for theme issue of

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Journal of Medicine and Philosophy 36 (Dec., 2011). 589-611.

34. “Personalized Medicine’s Ragged Edge,” Hastings Center Report (Sept./Oct. 2010), 16-18.

35. “Just Caring: In Defense of Limited Age-Based Health Care Rationing,” Cambridge

Quarterly of Healthcare Ethics 19 (Jan., 2010), 27-37.

36. “Efficiency in Health Care: Another Costly Anesthetic in the Health Reform Debates,” published as part of the Hastings Center Blog on Health Care Reform and Health Care Cost Containment (July, 2009). http://www.thehastingscenter.org/HealthCareCostMonitor/Default.aspx

37. “Health Care Reform: When is Compromise Unjust?” Hastings Center Health Care Cost

Monitor (Dec. 2009); available at http://healthcarecostmonitor.thehastingscenter.org/leonardfleck.

38. Review of Health, Luck, and Justice by Shlomi Segall (Princeton University Press,

2009). Published in the online journal Notre Dame Philosophical Reviews (Feb. 2010). Web site: http://www.ndpr.nd.edu.

38. “Can Rationing Be Painless?” Hastings Center Health Care Cost Monitor (Sept., 2009).

39. “Sustainable Health Reform: Are Individual Mandates Needed and/or Justified,” Newsletter of the Philosophy and Medicine Committee of the American Philosophical Association, available on the APA website (June, 2010). http://www.apaonline.org/documents/publications/v09n2_Medicine.pdf

40. “Community-Based Dialogue: Engaging Communities of Color in the United States’ Genetics Policy Conversation,” The Journal of Health Care Politics, Policy, and Law, (June, 2009), 325-59. Lead author was Vence Bonham. I am listed as last author.

41. “Stored Blood Spots: Ethical and Policy Challenges” A White Paper prepared for the Institute for Public Policy and Social Research, Michigan State University. Co- authors included Ann Mongoven and Sarah Marzec. 49pp. Accessible on the IPPSR Website 1/12/09.

42. “The Great Awakening: How To Accomplish the Reform that Justice Requires,” Hastings Center Report 38 (March/April, 2008), 4.

43. Response to letters on “Regulating Reproductive Technologies” Hastings Center Report 37 (Nov./Dec., 2007), 10.

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44. “Regulating Reproductive Technologies: Can We Trust Democratic Deliberation?”

Hastings Center Report, 37 (July/August, 2007), 22-25.

45. “Ethical Considerations Related to Obesity Intervention,” chapter for volume titled: Obesity in Childhood and Adolescence: Understanding Development and Prevention, Vol. II edited by Hi Fitzgerald and Dele Davis (Greenwood Press, 2007), 271-303. This chapter was done with Karen Petersmark.

46. “The Costs of Caring: Who Pays? Who Profits? Who Panders?” Hastings Center Report, 36 (May/June, 2006), 13-17.

47. “Priority for Public Health: Contemporary Challenges for Health Care Justice,”

chapter in The Blackwell Guide to Medical Ethics, edited by Rosamond Rhodes, Anita Silvers and Margaret Pabst Battin (Blackwell Publishing, 2006), 323-40.

48. “Just Caring: The Ethical Challenges of Health Care Reform in the USA,” chapter

in Distributing Health Care: Principles, Practices, and Policies, edited by Niall Maclean (University of St. Andrews Press, 2007), 141-87.

49. “Behavioral Genetics: Philosophical and Ethical Issues,” essay for third edition

of The Encyclopedia of Bioethics, edited by Stephen Post (Macmillan, 2004), Vol. 2, pp. 978-85.

50. “How Do You Create a Public Conversation about Behavioral Genetics?” chapter in Wrestling With Behavioral Genetics: Implications For Understanding Selves and Society, edited by Erik Parens, Audrey Chapman, and Nancy Press (Johns Hopkins University Press, 2005), chapter 13, 257-85.

51. “Sharing Genetic Information: What is a Minimally Decent Sibling to Do?” Newsletter for Philosophy and Medicine, American Philosophical Association (Spring, 2004), pp. 35-39.

52. “Children and Organ Donation: Some Cautionary Remarks,” paper for special

issue of Cambridge Quarterly of Healthcare Ethics, edited by Mark Sheldon Vol. 13 (Spring, 2004), 161-66.

53. “Commentary on the case of Dr. Harper: Political Posters,” JAMA Virtual Mentor essay 2003).

54. “Case Commentary: Case of Sophia,” Journal of the Academy of Family Practice (2004).

55. “Can Rationing be Fair?” The Hastings Center Report 32 (Sept./Oct., 2002), 4-5.

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56.“Genetics, Ethics, and Policy: Issues in Medical Practice,” Web essay for session 7 of the SCCD ethics module, HM 546. http://www.msu.edu/course/hm/546/week_7.htm

57. Just Caring: Oregon, Health Care Rationing, and Informed Democratic Deliberation,”

reprinted (from 1994) in Contemporary Issues in Bioethics, edited by Tom Beauchamp and Leroy Walters, Sixth Edition (Wadsworth, 2003), 100-06.

58.“Please Don’t Tell: Case and Commentary,” (reprinted from 1991) in Ethical Issues in Modern Medicine, edited by John Arras and Bonnie Steinbock, Sixth Edition (McGraw Hill, 2003), 117-19.

59.“Ethics and Consent to Treat Issues in Acute Stroke Therapy,” (with Oliver Hayes),

Clinics of North America for Emergency Medicine 20 (Aug., 2002) 703-15. 60. “Last Chance Therapies: Can a Just and Caring Society Do Health Care Rationing When

Life Itself is at Stake?” Yale Journal of Health Policy, Law, and Ethics, 2 (Spring, 2002), 255-98.

61. “Health Reform Requires Health Care Rationing,” The Hastings Center Report, 32

(March/April, 2002), 35-36. 62. “Just Caring: Do Future Possible Children Have a Just Claim to a Sufficiently Healthy

Genome?” chapter for Health Care and Social Justice, edited by Rosamond Rhodes, Anita Silvers, and Margaret Battin (Oxford University Press, 2002), 446-457.

63. “Health Care Justice and Rational Democratic Deliberation,” essay commenting on lead paper by Norman Daniels titled “Justice, Health, and Health Care,” The American Journal of Bioethics, 1 (Spring, 2001), 20-21.

64. Review of “Pricing Life: Why It’s Time for Health Care Rationing,” by Peter Ubel in

Cambridge Quarterly of Healthcare Ethics, 10 (Spring, 2001), 214-18. 65. Review of Prenatal Testing and Disability Rights, edited by Erik Parens and

Adrienne Asch in Philosophy and Medicine Newsletter (Spring, 2002), 165-66

66. Review of From Chance to Choice: Genetics and Justice, by James Buchanan, Dan

Brock, Norman Daniels, and Dan Wikler in Medical Humanities Review (Spring, 2002).

67. Review of The Culture of Death: The Assault on Medical Ethics in America by

Wesley Smith in Philosophy and Medicine Newsletter (Spring, 2001)

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68. “Just Caring: Managed Care and Protease Inhibitors,” Ethical Issues in Modern Medicine, 5th edition, edited by John Arras and Bonnie Steinbock (Mayfield Publishing, 1999), 679-86. This essay has also been reprinted in Intervention and Reflection, 6th edition, edited by Ronald Munson (Wadsworth Publishing, 2000), 767-73.

69. “Ethical Issues in Gene Therapy,” in An Introduction to Molecular Medicine and Gene

Therapy, edited by Thomas Kressina (John Wiley, 2000), 319-46; also a portion of another chapter in that book under the title “Human Embryonic Stem Cell Research: An Ethics Note,” 39-42.

70. “On Being Genetically ‘Irresponsible’,”(equal author) with Judith Andre, Tom

Tomlinson, Kennedy Institute of Ethics Journal, 10 (June, 2000), 129-46. 71. Review of Is There a Duty to Die, edited by James Humber and Robert Almeder

(Humana Press, 2000) for Ethics. 72. “Major Ethical Dilemmas for the 21st Century,” MSU Alumni Magazine (Summer, 1999),

18-21. 73. “Only ‘Paytients’ Need Apply,” (a critical assessment of patients’ rights legislation),

essay for ABC News WebSite at http://www.abcnews.go.com, posted there for July 14-21,1999.

74. “Respect for Patient Values: Competent Patient Decisions,” Web essay for Week 1 of

ethics module of HM 546, (Aug., 2000) roughly 22 double-spaced pages in length at: http://www.course/hm/546w1_intro.

75. “The Role of Universities in the Construction of Public Reason,” Journal of Public

Service and Outreach, 4 (Dec. 1999), 34-42. 76. “Training Tomorrow’s Clinicians Today: Managed Care Essentials/ A Process for

Curriculum Development,” by Christopher Colenda, Wadland, Hayes, Anderson, Priester, Pearson, Keefe, Fleck for The American Journal of Managed Care 6 (May, 2000), 561-72

77. “PUREPAP Rescreening: Plan and Physician Obligations to Patient and Population,”

chapter in Ethical Challenges in Managed Care: A Casebook Minnesota Center for Health Care Ethics, edited by Karen Gervais and others, (Georgetown University Press, 1999), 17-26.

78. “Improving Our Aim,” with Judith Andre (lead author) and Tom Tomlinson, paper

prepared for special issue of Journal of Medicine and Philosophy on the theme of bioethics and the media, edited by Haavi Morreim, 24 (1999), 130-47.

79. “Justice, Rights, and AD Genetics,” chapter for volume Ethics, Genetics, and

Alzheimer’s Disease, edited by Stephen Post and Peter Whitehouse (Johns Hopkins

17

University Press, 1998), 190-208. 80. “My Conscience, Your Money,” case and case commentary reprinted in Cases in

Bioethics, edited by Bette-Jane Crigger (3rd edition) (St. Martin’s Press, 1998), 273-77.

81. “The Clinical Introduction of Genetic Testing for Alzheimer Disease: An Ethical Perspective,’[with 21 other authors] JAMA, 277 (March 12, 1997), 832-36.

82. “Multi-Organ Procurement for Transplantation: Ethical and Religious Issues,” chapter

In volume The Multi-Organ Donor, edited by Higgens, Baldwin, Sanchez, Lorber (Blackwell Science, 1997), 59-80.

83. Review of What Price Mental Health? The Ethics and Politics of Setting Priorities, edited

by Philip Boyle and Daniel Callahan, Ethics, 108 (Oct., 1997), 240-1. 84. “Ethical Stewards of Resources,” commentary for Michigan Health and Hospitals, 33

(March, 1997), 28-29. 85. ‘Just Caring: The Moral and Economic Costs of APOE Genotyping for Alzheimer’s

Disease,” in Apolipoprotein E Genotyping in Alzheimer’s Disease, edited by Norman Relkin, Zaven Khachaturian et al. Annals of the New York Academy of Science. 802 (Dec. 1996):128-38.

86. “Apolipoprotein E Genotyping in Alzheimer’s Disease,” [with 19 other authors, under the

auspices of The National Institute on Aging/ Alzheimer’s Association Working Group] Lancet, 347 (April 20, 1996), 1091-95.

87. “Just Caring: Assisted Suicide and Health Care Rationing,” University of Detroit Mercy

Law Review, Symposium Issue: Assisted Suicide, Health Care, and Medical Treatment Choices, 72 (Summer, 1995), 873-900.

88. "Just Caring: Facing the Ethical Challenges of Managed Care," [with Harriet Squier,

M.D.] Family Practice Management, 2 (October, 1995), 48-55. 89. "Just Genetics: A Problem Agenda," paper prepared for conference "Justice and the

Human Genome," sponsored by the University of Illinois-Chicago College of Medicine (November, 1991). A revised and expanded version of this paper was completed in early 1992 and has been published as part of a volume of conference proceedings, Justice and the Human Genome Project, edited by Marc Lappe and Tim Murphy, (University of California Press, 1994), 133-52.

90. "Case Study: My Conscience, Your Money," [with Stephen Post] Hastings Center

Report, 25 (Sept./Oct., 1995), 28-29. 91. Review of A Matter of Principle? Ferment in U.S. Bioethics, edited by Ron Hamel, Edwin

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Dubose, and Laurence O'Connell (Trinity Press International, 1994) in Ethics, 106 (Jan., 1996), 497.

92. "Just Caring: Gridlock and the Challenge of Health Reform," Review of three books:

Medical Gridlock and Health Reform by Eli Ginzberg (Westview Press, 1994); Self-Interest and Universal Health Care: Why Well-Insured Americans Should Support Coverage for Everyone by Larry Churchill (Harvard University Press, 1994); Health Care Reform: A Human Rights Approach, edited by Audrey Chapman (Georgetown University Press, 1994) in Medical Humanities Review (Fall, 1995), 85-93.

93. "Just Caring: Oregon, Health Care Rationing, and Informed Democratic Deliberation,"

The Journal of Medicine and Philosophy, 19 (Aug., 1994), 367-88. 94. "Just Caring: Health Reform and Health Care Rationing," The Journal of Medicine and

Philosophy, 19 (Oct. 1994), 435-43. 95. "Justice, Age Rationing, and the Problem of Identifiable Lives," chapter in Health Care

for an Aging Population, edited by Chris Hackler (State University of New York Press, 1994), 93-105.

96. "Just Caring: Lessons from Oregon and Canada," chapter in Health Care for an Aging

Population, edited by Chris Hackler (State University of New York Press, 1994), 177-98. 97. “Just Health Care Rationing: A Democratic Decisionmaking Approach," invited paper for

the symposium The Law and Policy of Health Care Rationing: Models and Accountability for the University of Pennsylvania Law Review, Vol. 140 (May, 1992), 1597-1636.

98. "Review of Changing to National Health Care: Ethical and Policy Issues [edited by Robert

Hueffner and Margaret Battin]," Medical Humanities Review, (Fall 1992), 6-7. 99. "Health Care Reform in Michigan: Problems, Policies, and Prospects," with Carol

Weissert and Andrew Hogan, chapter in volume from Michigan State University Press (1993).

100. "Just Caring: An Experiment in Health Policy Formation," as a chapter in book

Improving Access to Health Care: What Can the States Do? edited by Andrew Hogan and Steve Woodbury (Upjohn Institute, 1991), 233-62. This is a version of the paper that I did for the Governor's Task Force on Access to Health Care.

101. "Prior Consent: A Prescription For Health Care Rationing" Review of Strong Medicine: The Ethical Rationing of Health Care, by Paul T. Menzel (Oxford University Press, 1989), in

Medical Humanities Review, 5 (July 1991), 9 pages in manuscript.

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102. Review of Ethics Consultation in Health Care, edited by John Fletcher, Norman Quist, and Albert Jonsen (Health Administration Press, 1989) in The New York State Journal

of Medicine, 91 (December, 1991), 558-59. 103. Review of Ethics and Aging: the Right to Live, The Right to Die, edited by James Thornton

and Earl Winkler (University of British Columbia Press, 1988) in Ethics, 102 (October, 1991), 200.

104. "Just Caring: In Defense of the Oregon Medicaid Rationing Experiment," paper prepared as testimony for a hearing before the Subcommittee on Health and the Environment of the Congress of the United States, chaired by Henry Waxman (Sept. 16, 1991), published under the title Oregon Medicaid Rationing Experiment Serial No. 102-49, (Washington, D.C. Government Printing Office, 1991), 230-51.

105. "The Oregon Medicaid Experiment: Is It Just Enough?" Business and Professional

Ethics Journal, 9 (Fall, 1990) 201-17. Paper presented at the Third International Conference on Justice in Health Care in Chicago (October, 1990).

106. "Is National Health Insurance Congruent with Liberalism?" paper presented at annual

meeting of the North American Society for Social Philosophy, University of Vermont (August, 1990). This has been published in a volume of conference proceedings, edited by Professor Yaeger Hudson and Creighton Peden for the Edwin Mellen Press (1991) under the title Communitarianism, Liberalism and Social Responsibility, pp.199-216.

107. "Justice, HMOs, and the Invisible Rationing of Health Care Resources," in volume titled

Efficacy in Health Care, essays from the First International Conference on Justice in Health Care, edited by Andrew Griffin (Chicago: 1990). This is a reprint (mostly) of the same paper published earlier in 1990 in Bioethics.

108. "National Health Insurance: How Just Must We Be?" chapter in Biomedical Ethics

Reviews: National Health Insurance: For and Against, edited by James Humber and Robert Almeder (New York: Humana Press, 1991), 131-90.

109. "Please Don't Tell," Case study and commentary for The Hastings Center Report, 21 (Nov./Dec., 1991), 39-40. Reprinted in The Social Medicine Reader, edited by Dale

Henderson, Nancy King, et al. (Duke University Press, 1997), 349-52. 110. "Justice, HMOs, and the Invisible Rationing of Health Care Resources," Bioethics,

4 (April, 1990), 97-120. 111. "Pricing Human Life: The Moral Costs of Medical Progress," Centennial Review, 34

(Spring, 1990), 227-54. "Health Care and the Uninsured: Choosing a Just Social Policy," paper prepared for the Governor's Task Force on Access to Health Care (August, 1989), published in The Governor's Task Force on Access to Health Care: Background Research

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Papers, Vol. III (July, 1990), 109-18.

112. "Just Caring: An Experiment in Health Policy Formation," paper prepared for the Governor's Task Force on Access to Health Care (October, 1989), published in The Governor's Task Force on Access to Health Care: Background Research Papers, Vol. III (July, 1990), 335-47.

113. "Just Health Care (I): Is Beneficence Enough?" Theoretical Medicine 10 (June, 1989),

167-82. 114. "Just Health Care (II): Is Equality Too Much?" Theoretical Medicine 10 (October 1989),

301-10. 115. Review of Biomedical Ethics Reviews 1987, edited by James Humber and Robert Almeder (Clifton, N.J.: Humana Press, 1989) in Ethics, 99 (April, 1989), p. 690. 116. Review of Human Embryo Research: Yes or No? Proceedings of a conference sponsored by

the CIBA Foundation (London: Tavistock Publications, 1986) in Infant Mental Health Journal, 10 (Winter, 1989), 2-3 pages in print, judging from galleys.

117. Review of Ethics and the Clinical Encounter by Richard Zaner(New York: Prentice-Hall,

1988) for Teaching Philosophy, 12 (March, 1989), 61-64. 118. Commentary on medical ethics case titled "Spending Down" for the journal PA88:

Physician Assistants in Primary and Hospital Care, 5(Jan., 1988), 19. 119. Commentary on medical ethics case titled "Minor Referral" for the journal PA88, 5(April

1988), 111-112. 120. "Pricing Human Life: The Visibility Issue," in Freedom, Equality and Social Change,

edited by Creighton Peden and James Sterba (New York: Edwin Mellen Press, 1989), 286-99. This paper was originally presented at a conference sponsored by the North American Society for Social Philosophy in Colorado Springs (Summer, 1985).

121. "Surrogate Motherhood: Is It Morally Equivalent to Selling Babies?" Logos, 9 (1988),

135-145. This paper was originally delivered at a conference at the University of Santa Clara in April of 1988. The topic of the conference (and the theme of this issue of the journal) was "Manufactured Motherhood: The Ethics of the New Reproductive Techniques."

122. Review of Just Health Care by Norman Daniels for The Journal of Medical Humanities and Bioethics (Fall, 1987). 123. Review essay of Toward a Just Social Order by Derek Phillips. (Princeton University Press,

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1986), for The Journal of Medical Humanities and Bioethics, (Spring 1987). 124. Review of Research Guide in Philosophy, by Martin Bertman, Teaching Philosophy, 2

(Spring, 1977), pp.77-79. 125. "Evaluating Executive Ethics: Is the ACHE Code Enough?" Michigan Hospitals,

24 (December, 1988), 13-18. Earlier this paper was presented at a conference sponsored by The Ethics Center at Mercy College (Detroit) for health care executives.

126. "Moral Implications of the Shifting Power Equilibrium in Hospitals: From Medical

Monopolization to Managerial Mandaranism," paper presented at the annual meeting of the Society for Health and Human Values in Chicago (November, 1988), 39 pp. in manuscript. This paper was the subject of the lead article in the newsletter Hospital Ethics, 5 (Feb. 1989) published by the American Hospital Association, under the title "Power Shifts Lead to Moral Twilight Zone for Hospitals."

127. Confidentiality, ethics module prepared for MERN and distributed to hospital ethics committees in Michigan (1990), 80 pp. 128. "DRGs: Justice and the Invisible Rationing of Health Care Resources," The Journal of Medicine and Philosophy, 12 (May, 1987), pp. 165-96. A shorter version of this paper

was presented as a workshop at the Annual Meeting of The Society for Health and Human Values, New Orleans (October, 1986).

129. "Decisions of Justice and Health Care," Journal of Gerontological Nursing, (March,

1987), pp. 40-46. 130. "The War Between Technology and Health Care Costs," OR Nurse 9 (Sept., 1987), 15-21. 131. "The Physician and the Rationing of Health Care Resources," for The Philosophy and

Medicine Newsletter, (Summer, 1987), 1-3. 132. "Confidentiality: Moral Obligation or Outmoded Concept," Health Progress, 67 (May,

1986), pp. 17-20, 61. This paper has also been reprinted with permission in the Journal of the American Medical Records Association (1986).

133. Just Caring: Justice, Health Care, and the Good Society: An Agenda for Community

Inquiry (Goshen Hospital Found. 1987): 36pp. This booklet was distributed to the Goshen community. It represented the results/ recommendations from the original version of the "Just Caring" project (1985-87).

134. "Mending Mother Nature: Alpha, Beta, and Omega Pills," Philosophical Studies, 46 (November, 1984), pp. 381-93. This paper is a response to James Montmarquet's paper

"Messing with Mother Nature: Fleck and the Omega Pill," also published in

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Philosophical Studies. His paper was a critique of my earlier paper "Abortion, Deformed Fetuses and the Omega Pill," published in that journal in 1979.

135. "Indiana in the Eighties: The Politics and Policy of Retrenching and Reneging," in

Politics and Policy in Indiana: Prospects for Change in State and Local Government, edited by William Hojnacki, Kendall-Hunt Publishing Company, 1982, pp. 167-99.

136. "Pricing Human Life: Moral and Public Policy Dilemmas," published in Making Medical Decisions, edited by Patrick Herrmann (Northern Indiana Health Systems Agency, 1982),

pp. 60-75. This volume represents the proceedings of a conference sponsored by the Health Systems Agency and the Indiana Committee for the Humanities.

137. "Science Fiction as a Tool of Speculative Philosophy: A Philosophic Analysis of Selected Anarchistic Utopian Themes in LeGuin's The Dispossessed," in Selected Proceedings of

the Science Fiction Research Association (1978) National Conference, edited by Thomas Remington, Cedar Falls, Iowa. University of Northern Iowa Press, 1979, pp. 133-145. Seventeen papers were selected for this volume out of 49 conference papers.

138. "The Liberating Function of Philosophy in Education," Interdisciplinary Perspectives, 10

(Winter, 1979), pp. 2-11. This paper had been presented at the Annual Conference of the Association for General and Liberal Studies, Drake University (October, 1978).

139. "Abortion, Deformed Fetuses, and the Omega Pill," Philosophical Studies, 36 (October,

1979), pp. 271-283. This paper was first presented at a Philosophy Department colloquium at the University of Notre Dame, and subsequently at the Fall (1976) meeting of the Indiana Philosophical Association. By special request, the paper was later presented at a Philosophy Department colloquium at Purdue University (May, 1980).

140. "Mead on Knowledge and Action," presented before the American Catholic Philosophical

Association in Montreal (April, 1973). This paper was subsequently published in the Proceedings of the ACPA, Vol. 47, pp. 76-87.

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MAJOR ACADEMIC PAPERS/PRESENTATIONS

1. “Precision Medicine/ Ethical Ambiguity: Wicked Problems, Rough Justice, Ragged

Edges,” keynote address for conference on personalised medicine, sponsored by Erasmus University. Conference located in Salerno Italy (Nov. 2019).

2. “Precision Medicine: Medicare, Health Care Justice, and Risks of Ageism,” part of a panel presentation “Ageism in History, Moral Thought, and Healthcare Decisions,” American Society for Bioethics and Humanities Annual Conference, Pittsburgh Pennsylvania (Oct., 2019).

3. “Precision Medicine and the Fragmentation of Solidarity,” presentation at European Philosophy and Medicine conference, Oslo Norway (August 2019).

4. “Whither Frailty: Ethical, Economic, Medical, and Political Challenges,” presentation at the annual International Bioethics Retreat, Paris France (June 2019).

5. “Parsimonious Precision Medicine: Wicked Justice Problems,” American Society for

Bioethics and Humanities Annual Conference, Anaheim CA. (Oct., 2018).

6. “Just Caring: The Ethical Challenges of Health Reform and Health Care Cost Containment,” Helen DeVos Children’s Hospital, Grand Rapids, Pediatric and Internal Medicine residents (Oct., 2017; Sept., 2018; Sept., 2019).

7. “Just Caring: Parsimonious Physicians and Non-Compliant Patients,” presentation for annual conference of health providers for federally qualified health plans, northern Michigan (May, 2019).

8. “Tough Cases, Tough Calls: Pediatric Cases,” Michigan American Academy of Pediatrics Annual Conference (Bay City, MI) (Sept. 2018).

9. “Ethical Issues in Environmental and Occupational Health,” Michigan Academy of

Environmental and Occupational Health, Grand Rapids (Sept. 2018).

10. “Personalized Medicine? Precision Medicine? What is Just Enough?” presentation for International Bioethics Retreat, Paris, France (June 27-29, 2018).

11. “Just Caring Challenges: Visible Biomarkers and Invisible Rationing,” keynote address for the 6th Annual Center for Cancer Biomarkers Symposium, Solstrand Conference Center, Norway (May, 2018).

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12. “Precision Medicine, Ethical Ambiguity: Rough Justice, Ragged Edges,” Faculty seminar for University of Bergen’s Center for the Study of the Sciences and the Humanities, Norway (May, 2018)

13. “Just Caring: Health Reform, Cost Control, and the Fate of Children with Life-Altering Illnesses,” keynote address for Bioethics Day, given at 8AM for Norton Women’s and Children’s Hospital—St. Matthews and at noon for Norton Children’s Hospital, Louisville KY (Sept. 20, 2017).

14. “Precision Medicine, Ethical Ambiguity,” keynote presentation for Great Lakes Biospecimen Research Network conference, Beaumont Hospital, Royal Oak MI (Nov., 2017).

15. “Just Caring: The Ethical Challenges of Health Reform and Health Care Cost Containment,” Helen DeVos Children’s Hospital, Grand Rapids, Pediatric and Internal Medicine residents (Oct., 2017).

16. “Just Caring: Health Reform, Cost Control, and the Fate of Children with Life-Altering Illnesses,” Grand Rounds for Pediatrics Department, Spectrum Health, Grand Rapids (Nov., 2017).

17. “Precision QALYs: Precisely Unjust,” presentation for annual American Society for Bioethics and Humanities conference in Kansas City (Oct. 18-21, 2017).

18. “Last Chance Therapies: LVAD and a Heart Transplant?” presentation at International

Bioethics Retreat in Paris France (June 26-28, 2017).

19. “Just Caring: The Sufficiency Principle and the Needs of the Medically Least Well Off.” Colloquium presentation for the Philosophy department at MSU (Nov. 4, 2016).

20. “Curing Hepatitis C: Whose Cost? Whose Responsibility?” presented at the 20th Annual Conference on Bioethics of the Michigan State Medical Society in Ann Arbor (Nov. 12, 2016). The theme of the conference was “Ethical Issues in the Pharmaceutical Industry: Current Controversies and Challenges.”

21. “Just Caring: The Ethical Challenges of Health Care Reform.” presentation for the primary care pediatric residency program at Spectrum Health in Grand Rapids (Oct. 2016).

22. “What is Enough? Sufficiency, Justice, and Health”. Session for the Philosophy and

Medicine Committee at the Eastern Division Meetings of the APA in Baltimore (Jan. 4-8, 2017). Speakers included Sean Aas (Georgetown University), Efrat Ram-Tiktin (Bar-Ilan

University), Liam Shields (University of Manchester), and Len Fleck as chair.

23. “Last Chance Therapies: LVAD and a Heart Transplant?” presentation at annual ASBH

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meetings in Washington DC (Oct. 6-9, 2016).

24. “Whole Genome Sequencing in Children: Ethical Issues.” 3rd International Neuroethics Conference, Reid Hall, Paris France (June 2016).

25. “Just Caring: The Insufficiency of the Sufficiency Principle in Health Care.” International Bioethics Conference, Edinburgh Scotland (June 2016).

26. “Removing Patients from the ICU: Is It Ever Morally Justifiable?” Panel presentation for Philosophy and Medicine Committee at the Eastern Division Meetings of the American Philosophical Association, Washington DC, Jan. 6-9, 2016.

27. “Priority Setting in Health Care: Meeting the Challenges of Equity and Efficiency,” presentation for conference Prioritizing Health Care: Tension and Interplay between Legal, Political, Economic and Professional Perspectives, Bergen Norway, May 27-31, 2015. This conference is sponsored by the Norwegian National Council on Priority Setting in Health Care under a three-year grant.

28. “Priority Setting in Health Care: Sublime Principles and Subversive Practices,” 17th

International Bioethics Conference, Reid Hall, Paris France, June 28---July 3, 2015.

29. “Precision Medicine/ Ethical Ambiguity,” presentation at annual ASBH conference in Houston Texas, Oct. 2015.

30. “Precision Medicine: Can We Afford Either the Ethical or the Economic Costs,” lecture For Alumni Conference at the Brocher Foundation (Geneva Switzerland),

June 17-19, 2015.

31. “Parsimonious Care: Just Rationing or ‘Just’ Rationing?” lecture for annual scientific Meeting of the Michigan Osteopathic Association, Dearborn MI (May 17, 2015).

32. “Just Palliation: Is Palliative Care Stealthy Rationing?” for the Michigan State Medical Society’s annual ethics conference (Ann Arbor), Nov. 2014.

33. “Whole Genome Sequencing: The Devil in the DNA,” 16th Annual International

Bioethics Conference, Reid Hall, Paris France , June 30---July 3, 2014. 27. “Pharmacogenomics and Precision Medicine: Ethical Challenges.” DeVos Colloquium

(Sept. 2014) Grand Rapids MI.

34. “Pharmacogenomics and Personalized Medicine: The Ethical Challenges (Rough Justice, Ragged Edges, Rugged Moral Terrain,” lecture for annual scientific meeting of the Michigan Osteopathic Association, Detroit MI (May 17, 2014).

35. “Parsimonious Care: Penurious Promises or Just Prudence?” Presentation for annual

26

meeting of the American Society of Bioethics and Humanities (Atlanta Georgia) Oct. 2013.

36. “Just Caring: Do the Indolent, the Inebriated, and the Irresponsible Deserve Equal Access

to Needed Health Care?” Lecture for day-long conference on Health Law and Ethics at the Law School of Indiana University in Indianapolis, March 8, 2013.

37. “Teaching Clinical Economics Ethically: Steering Between the Scylla of Disingenuity and

the Charybdis of Patient Betrayal.” Presentation for the Third Cambridge Medical Ethics conference, Reid Hall, Paris France, June 21-23, 2013.

38. “Just Caring: The Insufficiency of the Sufficiency Principle in Health Care.” Presentation

for 15th Annual International Bioethics Conference, Reid Hall, Paris France, June 25-27. This will also be a paper in an edited volume to be published by Oxford on the topic of health care justice and the principle of sufficiency, edited by Annette Rid et al (King’s College).

39. “Do Effective Gene Therapies and Regenerative Medicine Affect Dilemmas of Resource

Allocation?” at the American Society for Gene and Cell Therapy Conference (May 15- 18), Salt Lake City. Working title for my presentation is: “Successful and Safe Gene Therapy Raises New Quandaries of Health Care Justice.”

40. Panel member for a session sponsored by the Philosophy and Medicine Committee of the American Philosophical Association at their Eastern Division Meeting in Atlanta, Dec. 27-30, 2012. The overall session was titled “Justice and Defining the Requirements for Health Care in a Decent Society.” My presentation was titled “Parsimonious Care: Does Ockham’s Laser Belong in Medicine’s Black Bag?”

41. “Mind the Ethical Gaps: What do Our Medical Students Learn?” and “The Social

Context of Clinical Decisionmaking: The Integrative Exercise,” presentations for the Second Cambridge Consortium for Bioethics Education, Reid Hall, (Paris France), April 11-13, 2012.

42. “Whoopie Pies, Super-Sized Fries: “Just” Snacking? “Just” Des(s)erts?” Paper

presentation for annual conference of the American Society of Bioethics and Humanities (Minneapolis, MN), Oct. 2011.

43. “Just Caring: Health Care Rationing, Terminal Illness, and the Medically Least Well Off,” presentation for first Brocher Foundation Alumni Conference (Geneva, Switzerland), June 2011.

44. “Whoopie Pies, Super-Sized Fries: “Just” Snacking? “Just” Des(s)erts?” For the International Bioethics Conference. Cambridge, England. June 2011.

27

45. “Rough Justice, Ragged Edges, and Rugged Moral Terrain: Personalized Medicine and Health Care Rationing,” seminar presentation for scholars at the Brocher Foundation during my sabbatical time there (Geneva, Switzerland), Feb. 2011.

46. “Health Care Rationing and Emerging Medical Technologies: Rough Justice, Ragged Edges, Rugged Moral Terrain.” For the staff of the World Health Organization and the Brocher Foundation. Geneva, Switzerland. February 2011.

47. “Personal Responsibility for Health: Ethical Challenges in Changing Patient Behavior”

(with special attention to diabetes management). For Biomed Health and Wellness Forum. Cannes, France. March 2011.

48. “Just Caring: In Defense of the Role of Rational Democratic Deliberation in Health Care

Rationing and Priority-Setting.” Keynote lecture for Health Care Rationing Conference at Erasmus University, Rotterdam, Netherlands (December 2010).

49. “Rough Justice, Ragged Edges, and Rugged Moral Terrain: Personalized Medicine and

Health Care Rationing,” presentation for International Bioethics Conference, Paris (June, 2010).

50. “Sustainable Health Reform: The Liberal Challenges of Individual Mandates and Health

Care Rationing,” presentation for Philosophy and Medicine Committee program at the Eastern Division Meeting of the American Philosophical Association, New York (Dec., 2009).

51. “Just Caring: In Defense of Limited Age-Based Health Care Rationing,” paper presentation

At International Bioethics Conference (Lausanne, Switzerland) June 21-25, 2009.

52. “Just Caring: The Ethical Challenges of Bedside Rationing,” paper presentation at invited conference on justice and bedside rationing sponsored by the Brocher Foundation, (Geneva, Switzerland), July 8-10, 2009.

53. “Justice in Medical Research: How Should Benefits be Distributed?” presentation for

Annual ethics conference at Mt. Sinai Medical Center (New York) March 5/6, 2009.

54. “Shock and Awe: Embracing the Coming Post-Ethical Health Care System,” paper presented at International Bioethics Conference (Paris, France) June 23-27, 2008.

55. “Justice, Power, and Health Care Workshop,” commentary on presentation by Alex

London (Kellogg Center) March 2008.

56. “Just Caring: Making Fair Rationing Decisions Regarding Very Expensive Cancer Drugs,” paper presented at ASBH conference in Washington D.C. (Oct. 2007).

57. “Is Rational Democratic Deliberation Robust Enough to Deliver Fair Health Care

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Rationing Protocols?” Paper for International Bioethics Conference, Cambridge England (June 18-22, 2007).

58. “Rational Democratic Deliberation and Nanotechnology in Medicine: Ethical and Policy

Challenges,” 20-page section of White Paper commissioned by the Director of NIH under the title “ELSI in Biomedical Nanotechnology.” The Hastings Center had the commission to create the paper. Tom Murray and Erik Parens asked me to write this section of the paper.

59. “Confidentiality: Difficult Cases and Difficult Judgments,” lecture sponsored by the

Clinical Ethics Center at NIH (Washington, D.C.) December, 2007.

60. “Challenges to Conscience: Quarrels, Quibbles and Quips,” paper for ASBH conference in Denver (Oct. 2006).

61. “Priority-Setting, Health Care Justice, and the Least Well Off: Are Persons with Disabilities Vulnerable to Unjust Treatment?” paper for International Bioethics Conference, Vrije University Medical Center, Amsterdam (June, 2005). A version of this paper was also presented as part of a panel session at the ASBH conference in Washington D.C. (October, 2005).

62. “Pricing Human Life: Must Health Care Rationing be about Tragic Choices?” Faculty

seminar for the Life Sciences and Values Program at the University of Michigan (May, 2004).

63. “Last Chance Therapies: Can a Just and Caring Society do Health Care Rationing When

Life itself is at Stake?” Grand Rounds presentation at the University of Michigan Medical Center (Nov., 2003).

64. “Sharing Genetic Information: What is a Minimally Decent Sibling to do?” paper

presented as part of panel session titled “Sibling Obligations in the Age of Genetics,” at the Eastern Division meetings of the American Philosophical Association, Washington D.C. (Dec. 2003).

65. “Behavioral Genetics and Public Policy: Do We Need Revisions? Should the Public

Have a Role?” Panel presentation that I organized, chaired, and spoke at. Joint meeting of the American Society of Bioethics and Humanities, and the Canadian Bioethics Society in Montreal (Oct., 2003).

66. “Can We Talk: Ethical and Policy Issues in Behavioral Genetics,” lecture and

workshop for national conference “Can We Talk? Exploring the Ethical Social and Legal Implications of Behavioral Genetics” sponsored by The Hastings Center and AAAS in Washington, D.C. (May, 2003).

29

67. “Priority-Setting in Health Care: Impediments, Imponderables, and Inabilities,” presentation for ASBH panel session I chaired titled “Why Is It so Hard to Allocate Resources Fairly?” 5th Annual Meeting of the American Society of

Bioethics and Humanities, Baltimore, MD (Oct. 2002).

68. “Behavioral Genetics and Public Policy: The Role of Rational Democratic Deliberation,” presentation for meeting on behavioral genetics at The Hastings Center in Garrison, NY (June, 2002).

69. “The tPA Stroke Protocol in the ER: Is Presumed Consent Morally Adequate?” for

14th Annual Bioethics Summer Camp, Lake Placid NY (June, 2002).

70. “Rational Democratic Deliberation: Scope, Methods, Objectives, and Other Practical Considerations,” for conference titled “Genetic Literacy and Civic Genetics” at The Hastings Center (Garrison, NY), (April, 2002).

71. “Just Caring: Managed Care, Rationing, and the Role of Rational Democratic Deliberation,” for national conference titled “Just Health Care: Moral Critique, Outrage, and Response” at Georgetown University, Washington DC, (April, 2002).

72. “Genetics, Science Literacy, Social Values, and Democratic Deliberation,” Presentation for three-part symposium on behavioral genetics, annual meeting of the American Academy for the Advancement of Science, Boston, MA (Feb., 2002).

73. “Communities of Color and Genetics Policy: The Role of Community Dialogue,” two

Congressional seminars, one for staff/members of the House of Representatives, The other for staff/members US Senate, Washington D.C. (Feb. 2002). We also had

a number of private meetings with various members of Congress aimed at disseminating the results of our NIH ELSI project.

74. “Last Chance Therapies: Can a Just and Caring Society Do Health Care Rationing When

Life Itself is at Stake?” Philosophy Dept. Colloquium, Michigan State University (Nov., 2001).

75. “Managed Care, Health Care Rationing, and Last Chance Therapies,” Presentation for American Society of Bioethics and Humanities annual conference, concurrent panel Nashville TN (Oct., 2001).

76. “Last Chance Therapies: Can a Good Communitarian Do Health Care Rationing When Life Itself is at Stake?” 82 pp. paper for conference on Communitarianism and Bioethics, sponsored by NIH Department of Clinical Bioethics and George Washington University, in Washington D.C. (June, 2001.)

77. “Health Care Justice and Genetics: Four Unsolved Problems,” 22 pp. paper prepared for

Pacific Division Meeting of the American Philosophical Association, Philosophy and

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Medicine Committee Program commenting on book From Chance to Choice: Genetics and Justice, San Francisco (April, 2001)

78. “The Ethical Challenges of Contemporary Academic Research,” lecture and workshop

paper for conference titled Ethics Oversight at the Frontiers of Biomedical Research, sponsored by the University of Illinois at Chicago, Chicago (June 2001).

79. “The Future of Bioethics: Health Reform and the Public Role of Philosophers,”

lecture for 13th Annual Summer Bioethics Conference at Jiminy Peak, MA (June 2001).

80. “Engaging Diverse Communities in Genetics Policy Dialogues,” workshop and panel presentation for Tenth annual meeting of the Association of Practical and Professional Ethics, Cincinnati (March, 2001). A similar presentation was also done at the Tenth Anniversary ELSI conference in Washington D.C. (Jan., 2001).

81. “Ethics Education for the Brave New World of Cancer Control,” lecture for national

conference of the American and European Associations for Cancer Education, Washington, D.C. (Nov. 2-4, 2000).

82. “Informing Democratic Deliberation via the Visual Arts,” panel presentation at the Third

Annual Meeting of the American Society of Bioethics and Humanities, Salt Lake City (Oct. 26-29, 2000).

83. “Experiencing Public Dialogue: The Moral and Political Challenges of Genetic

Responsibility in a Discriminatory World,” lecture and workshop for the Third National Conference on Genetics and Public Health titled “Connecting Research, Education, Practice, and Community,” Ann Arbor, MI. (Sept. 18-20, 2000).

84. “What Role, If Any, Should Rational Democratic Deliberation Have in Bioethics

Today?” workshop for 12th Annual Bioethics Summer Camp Conference, Asilomar, CA (June, 2000).

85. “Norms for Assessing Community Dialogue,” paper prepared for “Communities of Color

and Genetics Policy Project,” National Advisory Board Meeting. This paper was also used as part of the training workshop I did for community dialogue facilitators in the “Communities of Color” ELSI project (Jan., 2000). This paper was also part of the resource material that I provided during a presentation I did at the Tenth Anniversary ELSI conference at NIH in Washington D.C. (Jan. 2001) under the title “Gene Themes.”

86. “Just Caring: Health Care Rationing and Rational Democratic Deliberation,” paper

prepared for NIH seminar for staff and fellows of Department of Clinical Bioethics, Bethesda, MD (March, 2000).

87. “Health Risks and Health Responsibility: What are the Ethical Issues?” chair and

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commentator for two papers, one by Baruch Brody “Losing the Right to Health Care Coverage by Engaging in Unhealthy Behaviors: Is That the Right Question to Ask?’ and by Ruth Groenhout, “Are Your Insurance Premiums My Problem” at the Medicine and Philosophy Symposium, Pacific Division Meetings, American Philosophical Association, Albuquerque NM (April, 2000).

88. “Priority-Setting, Managed Care, and Rational Democratic Deliberation,” paper prepared

for APA Medicine and Philosophy Program in Chicago (May, 1998) under the program title “Priority-Setting in Health Care Today: From Managed Care to Moral Mayhem.”

89. “Is Genetic Responsibility Ethically Disingenuous?” Paper prepared for 1998 Bioethics

Summer Camp on Cape Cod (June, 1998).

90. “Just Caring: Rational Democratic Deliberation, Health Care Rationing, and Managed Care,” paper presented at American Association of Bioethics meeting in San Francisco (Nov., 1996), 51 pp. in manuscript.

91. “Non-Compliant Patients and Health Care Justice,” paper presented as part of workshop I

chaired and organized under the title “Ethical Issues in Managed Care: Three Current Problems,” for the Medicine and Philosophy Committee, American Philosophical Association, Eastern Division Meeting, Atlanta (Dec., 1996).

92. "Rational Democratic Deliberation: Meeting the Challenges of Justice and Rationing,"

paper presented at the American Philosophical Association meeting in San Francisco, Medicine and Philosophy section, (March, 1995), 60 pp. in manuscript.

93. "Just Caring: Assisted Suicide and Health Care Rationing," paper presented at conference

on physician-assisted suicide, revised for publication in The University of Detroit Law Review, special issue on physician-assisted suicide, edited by Robert Brown 72 (Summer, 1995), 873-900.

94. "Community Health Reform: An Overview of Key Ethical Issues," briefing paper for W. K. Kellogg Foundation Comprehensive Community Health Models Project (August, 1995).

95. "Ethical Principles for Community-Based Health Reform," briefing paper for W. K.

Kellogg Foundation Comprehensive Community Health Models Project (August, 1995).

96. "Justice, Age Rationing, and the Problem of Identifiable Lives," paper delivered at an SHHV spring conference in 1989.

97. "Just Caring: Conflicting Rights/ Uncertain Responsibilities," presentation at The

Thirteenth Annual Conference for Generalists in Medical Education, conference theme: "Medical Education: Socially Responsive Programs for Tough Times," New Orleans

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(Nov., 1992).

98. "Just Caring: Health Care Rationing and Communitarianism," paper presented at Fourth International Interdisciplinary Conference on Health Care Justice, Illinois Masonic

Medical Center (Chicago), October of 1992.

99. "Just Caring: Conflicting Rights, Uncertain Responsibilities," three-hour pre-conference workshop for the annual meeting of the Society for Health and Human Values in Memphis (Nov., 1992).

100. "Just Health Care Reform: Democratic Decisionmaking Approaches," workshop

presentation at the annual meeting of The Society for Health and Human Values in Memphis (Nov., 1992).

101. "Just Caring: A Critical Assessment of National Health Care Proposals," paper

prepared for conference "Economic Reform and the Future Face of Health Care" at the Twenty-First Conference on Ethics, Humanism, and Medicine, University of Michigan Medical School (March, 1993).

102. "Rights and Responsibilities of the HIV-Positive Physician or Medical Student,"

with Keith Apelgren, M.D. as co-author. This paper was presented at the national meeting of the Society for Health and Human Values in St. Louis (October, 1991).

103. "The Ethics of Radical Cost-Cutting and Rationing in Health Care," paper prepared for The National Conference of The National Academy for State Health Policy in Denver (August, 1991). The conference title was "Restructuring State Health Policy in an Era of Fiscal Restraint: Seizing the Opportunity."

104. "Reflections on the Circumstances of Non-Ideal Justice: A Report on the

Michigan Medicaid Experiment in Moral Conversation," paper for the Society for Health and Human Values annual meeting in Washington, D.C. (October, 1989), 25 pp.

105. "The Moral Twilight Zone: Cutting Costs While Maintaining Quality Care,"

paper presented at national meeting of the American Hospital Association in Chicago (August, 1989). This was a version of an earlier paper of mine "Moral Implications of the Shifting Power Equilibrium in Hospitals: From Medical Monopolization to Managerial Mandaranism," 39 pp.

33

106. "Forced Genetic Manipulation: A Moral and Public Policy Perspective," workshop presentation at national conference "The Future and the Courts" sponsored by the American Judicature Society in San Antonio (May 18-22, 1990).

107. Managing Medicaid for the 1990s: Balancing Equity and Efficiency (Two volumes).

These volumes consist of seven chapters of readings, plus a leader's guide for each chapter designed to assist the reader in identifying and critically assessing the moral issues raised by Medicaid policy. These readings were used in conjunction with seven seminars that we conducted for the managers and administrators of the Michigan Medicaid program during June and September of 1989. There are about 600 pages in the two volumes.

108. "Setting Limits: Justice and the Maximization of Organ Transplants" paper presented at

conference "Medical Ethics and the New Technology" sponsored by Rochester Institute of Technology in Rochester, New York (April, 1989) 26 pp.

109. "Justice and Age-Related Rationing in Health Care: A Defense," paper presented at a

conference sponsored by the North American Society for Social Philosophy in Montreal in August of 1989. Manuscript was 24 pages.

110. "The Role of Ethics and Ethicists in Professional Education" A Response to Caplan,"

presentation at two-day conference "Issues in Teaching Professional Ethics," sponsored by the Poynter Center at Indiana University-Bloomington (April, 1989).

111. "Moral Implications of the Shifting Power Equilibrium in Hospitals: From Medical

Monopolization to Managerial Mandaranism," paper prepared for national conference American Hospitals and Human Values, sponsored by Society for Health and Human Values, in Tampa (April, 1988).

112. "Just Health Care: The Cost of Compassion," concept paper prepared for the Indiana Committee for the Humanities for statewide project that would address issues of justice and health policy.

113. Health Care Policy for the Future: Issues of Justice (two volumes). These are papers selected for reading by participants in seven workshops we designed for Medicaid managers and policymakers in Michigan under a grant from the Department of Social Services. Another volume contained the leader's guides we created for each of the seven seminars.

114. "Health Care Cost Containment and the Just Treatment of 'Bottomless Pits,"

paper prepared for Society for Health and Human Values conference in Washington, D.C. (November, 1987).

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115. "Justice, HMOs, and the Invisible Rationing of Health Care Resources," paper for

the first interdisciplinary conference "Just Health Care: The Interface of Ethics, Economics, and Health Policy," University of Florida (February, 1987).

116. "Rawls, Reflective Equilibrium, and Justification: An Economic Model," (30 pp.),

presented at the Western Division Meeting of the American Philosophical Association in April, 1984. I also presented this paper as a Philosophy Department colloquium in Sept., 1983 at Indiana University-South Bend. This paper was written during an NEH Summer Seminar at the University of Wisconsin under the direction of Professor Marcus Singer.

117. "Health Care, Justice, and Pareto Optimality," (38 pp.), presented at a meeting of

the Indiana Philosophical Association at Depauw University (April, 1984).

118. "Philosophical Foundations of the Social Responsibilities of Urban Universities: A Quest for Common Conversation" presented at the Annual Meeting of the Association of General and Liberal Studies, November 10-12, 1984, Lexington, KY (25 pp.)

119. "Aspirations for the '80s: The Social Responsibilities of Urban Universities," in

Aspirations for the '80s: A Working Agenda, pp. 45-66. There is much discussion today of corporate responsibility. This paper attempts to establish a framework for understanding the social responsibilities of universities in an urban setting. More specifically, this paper analyzes a major conflict built into our conception of the contemporary university: we believe that a university must be committed to both dispassionate intellectual stewardship and to passionate involvement as a creative force in the affairs of society. I argue for a new conception of the role of the university that resolves this conflict.

120. "Community Quality of Life: Corporate Responsibility," (10 pp.) in Aspirations

for the '80s" A Working Agenda. This paper was presented at one of the workshops in the "Agenda for the '80s" community conference.

121. "Health Care for the Poor: A Moral Perspective," (18 pp.) in Aspirations for the

'80s: A Working Agenda. This paper was presented at one of the workshops in the "Agenda for the '80s" community conference.

122. "Economic Development in Indiana: Zeroing out the Great Society/Penciling in the

Poor," presented to the Indiana Academy of the Social Sciences, Annual Meeting, Wabash College, 1982 (22 pp.).

123. "Building Castles on Sand: Engineering Tips for Construction of a Social Ethic on an

Individual Ethic," given at the Annual Meeting of the Association of General and Liberal

35

Studies, Rochester, New York (November, 1981). 124. "On the Evanescence of Ethics and the Efflorescence of Economics," given before the

East Central Division Meeting of the American Catholic Philosophical Association in Cincinnati, Ohio (November, 1981).

125. "Is a Right for a Wrong Ever Right? A Reparational Case of Capital Punishment,"

presented at a national conference on capital punishment at Georgia State University (April, 1980). This same paper was presented at a meeting of the Indiana Philosophical Association at Purdue University (November, 1980) as a Philosophy Department colloquium.

126. "Corporate Takeovers: The Selling of the University 1980 or the Bankruptcy of

the Liberal Arts," as the first presentation in the Dean's Seminar Series at Indiana University at South Bend (October, 1980).

127. "An Essay on the Liberation of the Liberal Arts," presented at the National

Meeting of the Association of General and Liberal Studies in Dallas, Texas (October 23-25, 1980).

128. "The Ethical Problem of Knowing Too Much: Putting a Price on Human Life," a version of the similarly titled paper presented at the Annual Meeting of East-Central Division of the American Catholic Philosophical Association in Cincinnati (Nov,1979).

129. "Corporate Takeovers: The Selling of the University 1979 or the Bankruptcy of

the Liberal Arts," for the annual meeting of the Association for General and Liberal Studies at Pennsylvania State University (November, 1979).

130. "Putting a Price on Human Life: Moral Dilemmas for the Public Policymaker," as

the first presentation in the Dean's Seminar Series at Indiana University at South Bend (September, 1979).

131. "On the Rational Justification of Basic Ideals and Values," presented at the

Philosophy Department colloquium at Indiana University at South Bend (May, 1978).

132. "An Introduction to an Inquiry into the Nature of the Humanities and their Role in Public Affairs," presented to the Indiana Committee for the Humanities in the Fall of 1976 as part of the project "Planning and Privacy: The Right to Health." This paper was 71 pages in manuscript form.

36

MAJOR ACADEMIC REPORTS Communities of Color and Genetics Policy: A Summary Dialogue Report, for the NIH ELSI

project “Communities of Color and Genetics Policy,” 35 pp. (May, 2001).

Communities of Color and Genetics Policy Project: Community Dialogue Summary Reports. A total of fourteen reports were produced, one for each of the dialogue groups, each report being 10-15 single-spaced pages in length, (Summer/Fall, 2000) The dialogue groups included:

Alpha Kappa Alpha Sorority (Lansing, MI) Ann Arbor Bethel AME Church (Ann Arbor, MI) Castillo and Associates Latino dialogue group (Lansing, MI) Faith Access to Community Development (Flint, MI) La Salud Student Organization (Ann Arbor, MI) Latino Family Services (Detroit, MI) Omega Psi Phi Fraternity (Lansing, MI) The Tuskegee Orchid Club (Tuskegee AL) St. Andrew=s Episcopal church (Tuskegee, AL) Support Group for Individuals with Disabilities (Tuskegee, AL) Tri-City SER Jobs for Progress (Saginaw, MI) Tuskegee Church of Christ (Tuskegee, AL) Tuskegee Housing Authority Resident Council Executive Board Urban league of Flint (Flint, MI)

Genome Technology and Reproduction: Values and Public Policy (A Report and Analysis of the Spring Community Dialogues). East Lansing/Ann Arbor (Oct., 1997), 83 pp.

[NIH, ELSI Program grant] Genome Technology and Reproduction: Values and Public Policy (A Report and Analysis of the Fall Community Dialogues). East Lansing/Ann Arbor (June, 1997), 62 pp.

[NIH, ELSI Program grant] "Health Care Cost Containment in Indiana: The Dangerous Dilemmas of Equity and Efficiency," (110 pp. in manuscript). This paper was submitted to the Indiana Hospital

Prospective Payment Study Commission in September, 1984. This committee was appointed by the governor to study alternative policies for health care cost containment.

Aspirations for the '80s: A Working Agenda (1982). This is a collection of 24 "working papers" from the 24 task forces that were part of the "Agenda for the '80s" project. These

papers were presented at a community conference in Century Center in South Bend, Indiana in May, 1982. I was responsible for compiling and editing these papers. This volume is about 600 pages in length.

37

Aspirations for the '80s: A Working Agenda (Summary version, 1982). This volume represents a

70-page condensation of the above volume. For the most part it contains the recommendations from the 24 working papers. It was created because it was felt that a briefer document would more readily stimulate the sort of community conversation that the "Agenda for the '80s" project was designed to generate and sustain.

38

MINOR PUBLICATIONS

1. “Health Care and Social Justice: Just Take Two Aspirin for Your Tumor If You Cannot Afford Your Cancer Care,” Ethics in the News Blog (Oct., 2019).

2. “Medicare for All: This is Going to Hurt,” Ethics in the News Blog (Feb. 21, 2019).

3. “Greed is God: The Divine Right to Avaricious Drug Pricing,” Ethics in the News Blog (March 22, 2018).

4. “Charlie Gard: Truth or Tragedy,” Ethics in the News Blog, essay (Sept., 2017).

5. “Gene Editing: God’s Will or God’s Won’t,” Ethics in the News Blog, (Nov-Dec., 2017).

6. “No More Death Panels: Politically Assisted Suicide Instead,” Ethics in the News Blog, essay (March, 2017).

7. “Medicare Part ‘Q’: Fantasy or Fantastic? Ethics in the News Blog, essay (Feb. 2016).

8. “Precision Medicine/Ambiguous Ethics?” Ethics in the News Blog, Essay (Feb. 2015).

9. “The Ethical Challenges Raised by Hepatitis C Drugs.” Ethics in the News Blog (Oct.

2014).

10. “Using a Medical Ethicscope,” Faculty Voice column for MSU Alumni Magazine (April 25, 2014)

11. “Misconception: Ethics and the Rejection of Reproductive Roulette,” Ethics in the News

Blog Essay (Feb. 20, 2014).

12. “Should Women Pay More for Health Insurance?” Ethics in the News Blog essay (Sept. 27, 2013).

13. Are Defined Contributions the Key to Just and Affordable Health Reform? Hastings Center

Health Care Cost Containment Blog. February 2011.

14. What is Life Worth? Virtual Mentor American Medical Association Journal of Ethics. Vol 13 No 4. April 2011.

15. Health Reform: Rough Justice, Ragged Edges, Rugged Moral Terrain, Ethics-In-

Formation (Spring 2010)

16. “Just Caring: Health Reform and Physicians,” in MD Magazine (Dec. 2009).

39

17. “Health Care Reform: The Challenges of “Just Caring”” op ed essay for the Detroit News

(Oct., 2009).

18. “Health Reform: Rough Justice, Ragged Edges, Rugged Moral Terrain,” in Ethics-In-Formation (Spring, 2010).

19. “Health Reform: The Enemies Within,” Medical Humanities Report (Fall, 2009).

20. “Newborn screening: Ethical and Policy Challenges,” Medical Humanities Report (Winter, 2009) 1-2,5.

21. “Organizational Ethics and Professionalism,” Ethics-in-Formation 12 (March 2008), 3-4.

22. “A British Perspective on Patient Choice,” Medical Humanities Report (Winter 2007), p.7.

23. “Objectivity, Integrity and Academic Freedom,” Research Integrity, 10 (Spring 2007), pp.

8-9.

24. “Just Caring: Health Care Rationing and the Medically Least Well Off,” Medical Humanities Report (Fall, 2005), 1-4.

25. “Stem Cells Pose Moral Test,” Op-Ed piece for the Detroit News, May 29, 2005.

26. “Whose Conscience Should Count,” essay for MD Magazine (Summer, 2005).

27. “Last Chance Therapies: A Question of Health Care Rationing,” MSU Alumni Magazine

(Spring, 2004), 28-31.

28. “Clinician’s Fears, High Risk Patients, and the Duty to Treat: Are There Moral Obligations to Treat SARS Patients?” Medical Humanities Report (Fall, 2003), 3-4.

29. “Last Chance Therapies: A Question of Health Care Rationing,” MSU Alumni Magazine

(Spring, 2004), 28-31.

30. “Last Chance Therapies: Still More Painful Health Care Rationing Challenges,” in Ethics-In-Formation 11 (Dec. 2003), 1, 3-7.

31. “Bioethics and Persons with Disabilities: Starting the Conversation,” in Ethics-In-

Formation 11 (March, 2004), 1, 4-6.

32. “New MERN Summer Conferences,” essay in Ethics-In-Formation (March, 2003), 1, 4-5.

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33. Response to angry letter by Wesley Smith in Philosophy and Medicine Newsletter

(Fall, 2001), 159.

34. “Ethics, Genetics, and Community Dialogue: Lessons Learned,” Medical Humanities Report Spring, 2001,pp. 1-4 and 6.

35. “Ethics Committees and RU-486,” essay in Ethics-In-Formation, 9 (Dec. 2000), 7-8.

36. “From the chair,” column for Philosophy and Medicine Committee of the APA, published

in APA Newsletter on Philosophy and Medicine, 00 (Fall, 2000), 126-27.

37. “Multicultural Citizen Engagement in Genetic Policymaking,” Abstract for 128th American Public Health Association Annual Meeting (Abstract # 5028.0), pp. 444-45, with Stephen Modell, Toby Citrin, Shelley Coe, Marian Secundy, and Tene Hamilton as co-authors.

38. “Genetics and Ethics: A Community Dialogue,” Medical Humanities Report (Spring,

1997), 1-3.

39. “Ethical Issues in Managed Care: HIV and Protease Inhibitors,” Ethics-In-Formation, 7 (April, 1997), 3, 6.

40. “Review of The Changing Health Care Marketplace by Walter Zelman,” Ethics-In-

Formation, 7 (Jan., 1998), 3-4.

41. “Institutional Ethics Committees: The Next Generation,” Ethics-In-Formation, 8 (March 1998), 1,4.

42. “Moral Distress: Emerging Ethical Challenges in Nursing Today,” Ethics-In-Formation

8 (March, 1998), 3-4.

43. Review of Testing the Medical Covenant: Active Euthanasia and Health Care Reform, by William May, Ethics, 108 (April, 1998), 651.

44. “How Would You Handle These Ethical Dilemmas?’ Article by Anne Finger using

scenario material and interpretation/ analysis on ethics/ reproductive genetics issues from our community dialogue project; in Medical Economics, 74 (Oct. 27, 1997), 105-17.

45. “Telling Right From Wrong is Going to Get a Lot Harder,” article by Mark Holoweiko using material from community dialogue project; in Medical Economics, 74 (July 14, 1997), 101-03.

46. “Just Caring: The Moral and Political Challenge of Health Reform and Health Care

41

Rationing,” Medical Humanities Report (Winter, 1996), 1-5.

47. “MERN and the Human Genome Project: Reproductive Decisions,” Ethics-in-Formation (March, 1996), 3, 10.

48. “Advanced Bioethics Day: Ethical Challenges Posed by the Americans with Disabilities

Act,” Ethics-in-Formation (March, 1996), 4, 11. 46. “Mrs. Peake’s Leg: A Moral Conundrum in Managed Care,” Ethics-in-Formation (June,

1996), 10.

49. Mini-Modules Project: A Prospectus,” Ethics-in-Formation (June, 1996), 3, 4-5. 47. “Just Caring: Ethical Issues in High-Tech Home Care,” Ethics-in-Formation (January,

1996), 1, 8-11. 48. “Genetics and Ethics: A Community Dialogue,” Medical Humanities Report (Spring,

1997), 1-3. 49. "Just Caring: The Moral and Political Challenge of Health Reform and Health

Care Rationing," Medical Humanities Report (Winter, 1996), 1-5. 50. "Just Caring: Ethical Issues in High-Tech Home Care," Ethics-In-Formation, 6

(Jan., 1996), 1, 8-11. 51. "Ethical Issues in Managed Care: the Loyal Patient Advocate," Ethics-In-Formation, 5 (Oct.,

1995) 4, 9-10. 52. "Just Caring: Health Care Rationing in the ICU," Ethics-In-Formation, 5 (May,

1995), 3, 11-13. 53. "Just Caring: Rationing and Religiously-Based Demands for Health Care," Ethics-in-Formation,

5 (May, 1995), 3, 13-15. 54. "Just Caring: Health Reform and Employer Mandates," Medical Humanities Report (Summer,

1994), 1-3.

55. "Health Care Reform: The Ethical Challenge," MSU Alumni Magazine (Fall 1994), 24-27.

56. "Just Caring: Personal Responsibility and Health Reform," Ethics-In-Formation (Feb. 1994), 6.

57. "Update on Annual Meeting, Summer Ethics Conference, and Health Reform," Ethics-In-Formation (Feb., 1994), 1, 7.

42

58. "Notes from an Ex-President," Ethics-In-Formation (July, 1994), 4-5.

59. "My Brother's Keeper: AIDS and Confidentiality," Ethics-In-Formation (Sept.,

1994), 6-7.

60. "Baby R: An NICU Case Response," Ethics-In-Formation, (Dec. 1994), 3-4.

61. "Rationing: Triage for Our Country," Insight (March 21, 1994), 22-24. 62. "Community Forums Flourish with 'Just Caring'" Michigan Hospitals, (Winter,

1994), 32-35.

63. "Just Caring: Health care and the Disabled," in Medical Humanities Report (Spring, 1992), 5-7.

64. "Counterpoint: The Care of Terminally Ill Patients," in Cortlandt Forum 5 (July, 1992), 27-

28.

65. "Washington Update: Health Care Reform," Ethics-In-Formation, 5 (May, 1993), 1, 6-7.

66. "Just Caring Update: Future Directions," Ethics-In-Formation, 5 (May, 1993), 3, 7.

67. "Just Caring: Priority Setting Through Democratic Decisionmaking," Medical Humanities Report (Spring, 1993), 3-5.

68. "Managed Competition: A Moral Assessment," Ethics-In-Formation, 5 (March, 1993), 1, 8-

10.

69. "A Review of Regulating Death: Euthanasia and the Case of the Netherlands, [by Carlos Gomez, M.D.]" Ethics-in-Formation, 4 (August, 1992), 1, 7-9.

70. "Case Commentary: Crystal Barbier," Ethics-In-Formation, 4 (August, 1992), 4-5.

71. "Just Caring: An Update," Ethics-In-Formation, 4 (Oct., 1992), 5.

72. "Review of Changing to National Health Care: Ethical and Policy Issues [edited by Robert

Hueffner and Margaret Battin]," Medical Humanities Review, (Fall 1992), 6-7.

73. "Choice or Chance: Advance Directives and Moral Responsibilities of Physicians,” Michigan State M.D. (Winter, 1993), 27.

74. "Review of Rationing America's Medical Care: The Oregon Plan and Beyond [edited by

Martin Strosberg, Joshua Wiener and Robert Baker (Brookings)," The Journal of Clinical

43

Ethics, 4 (1993), 362-65.

75. "Review of Pharmacy Ethics, [edited by Mickey Smith and others]," Ethics, 103 (April, 1993), 619.

76. "The Cancer Drug Works: Do the Insurance Rules?" Ethics-In-Formation, 3 (Feb., 1991), 4-

5.

77. "Assisted Suicide: Why it Deserves Serious Discussion," Ethics-In-Formation, 3 (March 1991), 1,4,11.

78. "Aids and Confidentiality: A Case Study" Ethics-In-Formation, 3 (March 1991), 10.

79. "Just Caring: Justice, Resource Allocation, and the Terminally Ill" Ethics-In-Formation, 3

(July 1991), 5-7.

80. "Dangerous Intersections: Law, Ethics, and HIV-Infected Health Care Workers" Medical Humanities Report, 13 (Spring 1991), 1-3.

81. "Forced Testing No Answer" The State News, 86 (July 17, 1991), 4.

82. "If We Are Merciful, We Must Help Others Die With Dignity" The Detroit Free Press, (June

7, 1991), 9A.

83. "HIV-Infected Health Professionals: What to Do?" Ethics-In-Formation, 3 (September 1991) 1, 6-7.

84. "Limits to Medical Care: Who Will Decide?" Ethics- In-Formation, 3 (September, 1991), 5.

85. "Oregon and Health Care Rationing: The Debate Continues," Ethics-In-Formation, 3

(September, 1991), 8, 14.

86. "The Real Costs of Forced HIV-Testing," Op-Ed piece for The Chicago Tribune (July 30, 1991), sec.1, p.12.

87. "Just Health Care Rationing: The Lottery," in Medical Humanities Report (Winter 1991) 1,

6-7.

88. "Just Caring: Health care and the Disabled," in Medical Humanities Report (Spring 1992) 5-7.

89. "Counterpoint: The Care of Terminally Ill Patients," in Cortlandt Forum 5 (July 1992) 27-28.

90. "Politics and Invisible Rationing," Ethics-In-Formation, 3 (Dec., 1990), 3.

44

91. "Justice, Partiality, and the Doctor-Patient Relationship," Medical Humanities Report (Fall 1990), 3-4.

92. "A Very Short Story of Sickness," Medical Humanities Report, (Fall 1990), 5.

93. "Case Commentary: Conceiving Children to Use for Tissue Transplantation," Medical

Humanities Report, (Spring, 1990), 4-5.

94. "The Painful Price of Advancing Medical Technology," Ethics-In-Formation 2 (May, 1990), 2-3.

95. "If Frozen Embryos Have Rights, Then....?" Opinion piece for The State News, 84 (Sept. 25, 1989), p. 4. Five pages in manuscript on frozen embryo case [Davis] in Tennessee.

96. "Managing Medicaid in the 1990s: Balancing Equity and Efficiency," Ethics-in-Formation, 1(June, 1989), 6.

97. "New Code Shows Evolution in Hospital Administrator Ethics," Ethics-in-Formation, 1 (Feb. 1989), 1,4.

98. "What to Do When a Patient Refuses Medical Care" Ethics-in-Formation, 1 (Feb., 1989), 5.

99. "Withdrawing Long-Term Care: Guidelines," Ethics in-Formation, 1 (Feb., 1989), 9.

100. "The Surrogate Motherhood Debate," Ethics-in-Formation, 1 (Nov., 1988), 4-6.

101. "Case Study: Rationing at the Bedside," Medical Humanities Report (Spring, 1989),

5-6.

102. "Justice, Rationing Health Care Resources, and HMOs," Medical Humanities Report, (Fall 1985), pp. 1-3.

103. As part of the project "Just Caring: Justice, Health Care and the Good Society," I did

a series of seven essays that were published in the Goshen News during the spring of 1986. Six more essays were done in the fall. Each essay was 8-10 pages in manuscript form. The essays appeared every other week and were designed to stimulate a broad-based community conversation regarding justice and health care policy. The essays were titled:

"Just Caring: Justice, Health Care, and the Good Doctor," (February 24).

"Human Life is Priceless--Or is it?" (March 13).

"Allocating Scarce Life-Saving Resources: Equity vs. Efficiency," (March 27).

45

"Justice, Health Care, and the Poor: Is Minimally Decent Care Enough?" (April 24).

"Making Moral Choices: The Terminally Ill," (May 7). "Making Moral Choices: The Critically Ill Newborn," (May 22).

104. "Just Health Care Financing: The Canadian Model," Medical Humanities Report

(Spring 1988), 1-3.

105. Review of Is Reality Meaningful?, by K. VanNuys, The Modern Schoolman, 42 (January 1970), pp. 258-259.

106. Review of The Anatomy of Disillusion: Martin Heidegger's Notion of Truth, by

W.Macomber, The Modern Schoolman, 42 (January, 1970), pp. 263-264.

107. Review of Charles S. Peirce on Norms and Ideals, by V. Potter, The Modern Schoolman, 42

(January, 1970), pp. 264-265.

108. Review of Evil and the Concept of God, by E. Madden and P. Hare, The Modern Schoolman, 42 (January, 1970), pp. 266-267.

109. Review of John Dewey's Theory of Inquiry and Truth, by L. Nissen, The Modern

Schoolman, 42 (January, 1970), pp. 269-270. 110. Review of The Philosophy of Leibniz, by N. Rescher, The Modern Schoolman, 42

(January, 1970), pp. 272-273. 111. Review of The Process of Philosophy: An Historical Introduction, edited by J. Epstein and

G.Kennedy, The Modern Schoolman, 42 (January, 1970), pp. 274-275.

112. Review of The Ways of Reason, by J. LaLumia, The Modern Schoolman, 40 (March, 1968), pp. 278-279.

113. Review of Free Will and Determinism, edited by B. Berofsky, The Modern

Schoolman, 40 (January, 1968), pp. 169-170.

46

OUTREACH [Public lectures/ presentations]

“My Philosophic Journey in Bioethics [1970—2020]: From Descartes (1596) to Kant (1720),” Philosophy Club Presentation (Oct., 2019).

“Precision Medicine: Can we Afford the Ethical or Economic Costs,” community dialogue with

COM students (Oct. 2019). “Medicare for All,” presentation and discussion with CHM medical student AMA health policy

Club, Sept. 2019.

“Medical Ethics and Health Policy in London,” presentation to preSOMA student group, Nov. 2018.

“Just Health Reform,” presentation to MAPS student group at MSU, Feb. 2019. “Just Caring: The Sufficiency Principle and the Needs of the Medically Least Well Off,” Philosophy Club presentation, Feb., 2019. “Precision Medicine: Precise or Just Pricey?” Brews and Views presentation, East Lansing March, 2019. “Reflecting on Early Bioethics: Fleck and Tomlinson,” podcast for No Easy Answers in Bioethics (May 10, 2018). “Organ Donation Models: Fleck and Eijkholt,” podcast for No Easy Answers in Bioethics (April 6, 2018). “The Medical Ethics Network of Michigan: A History,” podcast for No Easy Answers in Bioethics (Nov. 9, 2017). “Do We Want to Genetically Alter Our Children?” Brews and Views lecture series, IQ Building, Michigan State University (Jan. 26, 2018)

• Webinar: Personalized Genomic Medicine: Rough Justice, Ragged Edges, Rugged Moral Terrain

• Webinar: Whoopie Pies, Super-Size Fries: "Just" Snacks? "Just" Des(s)erts? “From Chance to Choice: Genetics, Ethics, and the Future of Human Reproduction,” Presentation for lecture series sponsored by Grace Dow Memorial Library Midland, MI, (Nov. 2, 2017.)

47

“Just Caring: Making Wise Health Care Choices,” series of four community dialogues during March and April (2017) addressing issues related to health reform, health care cost control, and precision medicine. “Health Care Reform: Whither the AHCA and Invisible Rationing,” member of panel presentation sponsored by student interest group at MSU, Physicians for Social Responsibility. (June 6, 2017). “Obstacles to Health Care: What is Enough? Justice, Sufficiency and Health.” presentation for retired MSU Emeriti professors at the Kellogg Center (Dec. 16, 2016). “Advanced Dementia and the ICU Siren’s Song: When We Build It, Why Do They Come?” Bioethics for Breakfast presentation (Dec. 12, 2016). “Curing Hepatitis C: Whose Cost? Whose Responsibility?” lecture for medical students at William Beaumont School of Medicine, Oakland University (March, 2017). Clinical Ethics Workshop, Sault St. Marie, War Memorial Hospital ethics committee. Sept. 2016. “Ethics and Resource Allocation in Medical Practice: Parsimonious Care,” seminar Discussion with Psychiatry residents (Nov., 2016, 2017, 2018). “Precision Medicine/ Ethical Ambiguity?” lecture for Philosophy Club at MSU (Nov., 2016). “Hepatitis C Drugs: Ethical Challenges from Unethical Economics.” Presentation for annual Ethics conference of the Michigan State Medical Society (Nov. 2016) Ann Arbor MI. “Tolerable Risks: Physicians, Football, and Professional/ Personal Responsibility,” Talk For Bioethics for Breakfast (May, 2016) East Lansing MI. “Medical Ethics: Contemporary Cutting Edge Issues.” Lecture for the public at Kettering University, (Oct. 2015), Flint MI. “Just Caring: Is Parsimonious Care ‘Just’ Rationing?” Lecture for medical staff of Hurley Medical Center (Oct. 2015) Flint MI. Hosting Elisabeth Rosenthal, New York Times reporter for MSU World View lecture Series, Wharton Center (Feb. 2016). Undergraduate Bioethics Society meetings (every other week) (2014-2016). Mid-Michigan Hospital Clinical Ethics Workshop (day-long) (April 2016).

48

Metropolitan Health Clinical Ethics workshop (day-long) (Jan. 2016). Oakwood Ethics Consultation Workshop (day-long) (Oct. 2015) “Meet the Professor” session at ASBH (Houston TX) (Oct. 2015). “Just Caring: The Ethical Challenges of Health Care Reform.” Lecture for Pediatric Residents at Spectrum Health Care (Dec. 2015) Grand Rapids MI. “Parsimonious Care: Is It ‘Just’ Rationing?” Lecture for College of Osteopathic Medicine Ethics Day for medical residents (Nov. 2015), Howell MI. “Medical Ethics at the Cutting Edge.” American Medical Student Association talk (March 2015). “Just Caring: Health Reform and Health Care Cost Containment.” Philosophy Club talk (March 2015). “Parsimonious Care: Penurious Promises or Just Prudence?” lecture for about 80 Osteopathic medical residents for Ethics Day for the College of Osteopathic Medicine (Nov., 2014). “Controlling Medicare Costs: What are the Options? What is Fair?” Bioethics for Breakfast presentation in East Lansing (Nov. 2013).

“Ethics and Resource Allocation in Medical Practice: Parsimonious Care,” seminar Discussion with Psychiatry residents (Dec. 5, 2013). “Ethics Consultation Workshop: Goals and Objectives of Ethics Consultation,” part of Day-long workshop at Sparrow Hospital (Nov. 8, 2013) and at Spectrum Health Care Center (Nov. 15, 2013). “Psychiatrist as Double Agent: Confidentiality and Its Limits,” seminar discussion with Psychiatry residents at MSU (Nov. 7, 2013) “Parsimonious Care: Ethical Issues in Contemporary Medical Practice,” lecture for COM Ethics Day (Nov. 5, 2013) “Medical Ethics: Contemporary Cutting edge Issues,” lecture/ workshop for Michigan Risk and Safety managers Conference, Lansing MI (Oct. 11, 2013) “Medicare Reform and a Defined Contribution Approach: A Critical Ethical Assessment,” presentation for Bioethics for Breakfast session, East Lansing (November 2013). “Personalized Medicine and Pharmacogenomics: Wicked Problems, Ragged Edges, Rough Justice,” keynote address for annual ethics meeting of Michigan State Medical Society Ann Arbor, MI (Sept. 2013).

49

“Terminal Illness and Conscientious Objection to Care Withdrawal,” lecture for Internal Medicine residents, Sparrow Hospital, Lansing MI (Sept. 2013). “Parsimonious Care: Does Ockham’s Laser Belong in Medicine’s Black Bag?” Ethics Grand Rounds, Sparrow Hospital (Lansing) May 2013. A version of this presentation was also done at the Wayne State University School of Medicine for Internal Medicine grand Rounds and later for Surgery Grand Rounds. March 2013. “Just Caring: Health Care Rationing and Democratic Deliberation,” Grand Rounds Presentation for York Hospital (York, PA) Oct. 2012. “Parsimonious Care: Does Ockham’s Laser Belong in Medicine’s Black Bag?”

Michigan State Medical Society Annual conference, Ann Arbor (Sept. 2012). “Just Caring: Health Care Rationing, Terminal Illness, and the Medically Least Well Off.” Bioethics Grand Rounds, York Medical Center, York PA (Oct. 2012). I also did some consulting with their ethics committee for 90 Minutes. “Responsible Genetics: Ethical and Policy Challenges.” Lecture for a student-led conference (Model United Nations) on this topic at the MSU Union (Feb. 2013).

Bioethics for Breakfast: Compassionate Access to Investigational Therapies:

“Give Me Liberty; Don’t Give Me Death.” March, 2013 “Just Caring: Health Reform and Health Care Rationing” (what do we want for our future possible selves?), lunch presentation for Holt Rotary Club (Oct 3, 2012). “Just Caring: The Ethical and Economic Challenges of Terminal Illness,” Part of panel presentation on theme of “Death and Dying in America Today” Organized by Honors College, MSU Union (Sept 24, 2012). “Ethics and Patient Safety,” workshop presentation for Michigan Nurses Association annual conference, East Lansing (Oct. 4, 2012). “Health Reform and the “R” Word” presentation for the Philosophy Club, MSU Kedzie (Oct. 4, 2012). “Pharmacogenomics, Personalized Medicine, and Pediatric Oncology: Ethical Issues,” Helen DeVos Childrens’s Hospital, Grand Rapids, Pediatric Grand Rounds (Sept. 2012). “Personalized Medicine and Pharmacogenomics: Ethical and Policy

50

Challenges,” presentation for annual Arab Health Care Conference (Dearborn, MI) Oct. 2012. This was the conference that was originally Scheduled for Aleppo Syria. “Health Reform: The Ethical Challenges of Health Care Cost Containment: Part II,” Presentation for Okemos/Haslett Rotary (May 2012). “Medicare, Health Reform, and Health Care Cost Containment,” lecture First Presbyterian church study group, Lansing (April 2012). “Medicare, Health Reform, and Health Care Cost Containment,” lecture for East Lansing Senior Citizens’ Prime Time program (April 2012). “Health Reform: The Ethical Challenges of Health Care Cost Containment,” presentation For Okemos/Haslett Rotary (March 2012). “Whoopie Pies, Super-Sized Fries: ‘Just’ Snacking? ‘Just” Des(s)erts? (Ethical Reflections on Personal Responsibility for Health), Bioethics for Breakfast, EastLansing (Nov. 2011) and also Center for Ethics Noon Brown Bag Session (Jan. 2012). “JUST Caring or just Caring: The Ethical Challenges of Health Reform,” lecture/ Workshop for Faculty Retiree Association of Michigan State University (Jan. 2012). “Managed Care and Fair Resource Allocation in Caring for Psychiatric Patients,” Presentation and discussion with psychiatry residents (Nov. 2011); I also did Another session with these same residents on the topic of confidentiality (Dec. 2011). “Deciding Well: Assessing Competency,” lecture for COM resident’s Ethics Day (Oct 2011). I also did a workshop on confidentiality issues for these residents. “Medical Professionalism: Is It a Matter of Ethics, Etiquette, or Egonomics[sic]” Presentation for 15th annual Michigan State Medical Society conference (Traverse City, MI) Sept. 2011. “Principles of Bioethics: Cases and Conflicts,” half-day workshop for medical staff of Hurley Medical Center conference “Bioethics for the Practicing Physician” Flint MI (May 2011). “Ethical Challenges for Community Mental Health Professionals,” half-day workshop for Community Mental Health and Tri-County Social Workers, Lansing MI (May, 2011).

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“Patient Care Advocates: The Ethical Challenges of Conflicting Loyalties.” Patient Care Advocates, Sparrow Hospital, Lansing, MI (November 2010).

“Pricing Human Life: Health Reform and Cost-Effectiveness Analysis.” Bioethics for Breakfast,

University Club, East Lansing, MI (November 2010). “Pricing Human Life: The Challenges of Health Reform and Health Care Rationing.” Interview for

Science Friday on National Public Radio (October 2010). “Just Caring: Health Care Rationing and Expensive Cancer Drugs (Rough Justice, Ragged Edges,

and Rugged Moral Terrain.)” Annual Great Lakes Cancer Nursing Conference, Troy, MI (October 2010).

Ragged Edges and Rough Justice: Personalized Genetic Medicine and Health Care Rationing. Senior

Physicians and Management Workshop, Priority Health Grand Rapids, MI (June 2010). Interview with Margaret Cross of the magazine Managed Care; “Public Deserves Honest Debate

on Health Care Rationing,” Managed Care 19 (August, 2010), 34-39. Case discussion with surgery residents at Sparrow Hospital (July, 2010). “Just Caring: Health Care Rationing, Health reform and Democratic Deliberation,” Workshop for

Chamber of Commerce Leadership program in Grand Rapids (June, 2010). “Ragged Edges and Rough Justice: Personalized Genetic Medicine and Health Care Rationing,”

workshop for senior physicians and management, Priority Health, Grand Rapids (June, 2010).

“Hospital Ethics Consulting: What Should the Goals Be?” presentation for Advanced Bioethics

Day at Beaumont Hospital/ MERN conference, Troy MI (June 2010). “The Ethical Challenges of Health Care Reform in the US,” presentation at two conferences in

China (Beijing and Chang Sha) to upper-level health care bureaucrats who themselves are struggling with health reform issues in China (May 2010). This was under the sponsorship of the US State Department.

Neuro ethics case de-briefing at Sparrow Hospital with physicians and nurses connected to that

case (May, 2010). “The Ethical Challenges of Implementing Health Reform: rough justice, Ragged Edges, Rugged

Moral Terrain,” keynote address for MERN annual conference Howell MI (May 2010). “Embryonic Stem Cells: Ethical and Policy Challenges,” Grand Rounds at Northern Michigan

Hospital Petoskey (May, 2010).

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“Pharmacogenomics: Rough Justice, Ragged Edges, Rugged Moral Terrain,” Presentation for the

Undergraduate Bioethics Society at Michigan State University (April, 2010). “Health Reform and Health Care Rationing: Ragged Edges and Rugged Moral Terrain,”

presentation for Lutheran University church, East Lansing, April, 2010). “Pricing Human Life: Health Care Rationing and Rational Democratic Deliberation,” two-day

workshop for Secondary Science Teachers at Michigan State University (March 2010). “Health Care Rationing and Health Reform: Ethical Challenges,” lecture for Chris Ganchoff

Lyman Briggs course on health care policy (April 2010). “Just Caring: Medicare, Health Care Rationing, and Health Reform,” lecture for University Club

“Lunch and Learn” retired faculty group (March, 2010). “Health Reform: What Should Our Health Care System Look Like in 2015?” Grand Rounds

presentation for Northern Michigan Hospital, Petoskey (Feb., 2010). “Blood Spot Storage in Michigan: Ethical Challenges,” presentation for Michigan Biotrust

Conference, East Lansing (Nov. 2009). “Just Caring: Health Reform, Health Care Cost Containment, and Rational Democratic

Deliberation,” lecture and workshop for League of Women Voters Southfield MI (Nov. 2009).

“Just Caring: The Challenges of Health Reform in the United States,” lecture for high-level

delegation of health care bureaucrats from China, East Lansing (Oct., 2009). “Conscience in Medicine: Ethical Challenges,” workshops for annual ethics Conference of the

Michigan State Medical Society, Traverse City (Oct. 2009). “Contemporary Academic Research: Understanding the Ethical Challenges,” workshop for MSU

graduate students and faculty (Oct., 2009). COM Ethics Day: Medical ethics lecture on competent vs. incompetent patients; workshop on

confidentiality issues in medicine. (Okemos) Oct. 2009. “Teach In---Health Insurance Reform,” panel presentation at Michigan State University (Sept.,

2009). “Just Caring: Health Reform, Health Care Rationing, and the Role of Rational Democratic

Deliberation,” workshop for Michigan Association of Health Plans Annual Conference, Crystal Mountain Resort (July, 2009).

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“Just Caring: Ethical Challenges of Bedside Rationing,” Beaumont Hospital Ethics Conference (Troy, MI) May, 2009.

“Futility in the OR: Ethical Issues,” Beaumont Hospital Ethics Conference (Troy, MI) May,

2009. “Futility: The Policy Issues,” presentation for MERN annual conference (Brighton, MI) May,

2009. “Physician-Assisted Suicide: Ethical and Policy Issues,” lecture for retired MSU Faculty at the

University Club (East Lansing) May, 2009. Health Care Priority-Setting: Ethical Issues. Conference at Harvard University School of

Medicine and Public Health (Boston MA) April, 2009. Emergency Preparedness Task Force Meeting to discuss ethical and policy issues related to a

potential pandemic (Howell, MI) March 2009. “Ethical Issues in Stem Cell Research,” lecture for Undergraduate bioethics Society At Michigan

State University (East Lansing) March 2009. “Health Care Rationing and Pandemics: How Do you Ration Fairly in a Pandemic?” Workshop

for conference for emergency providers, Kellogg Center (East Lansing, MI) Feb. 2009. “Health Care Rationing and Priority-Setting: How Has Oregon Done,” for Grand Rounds at the

University of Michigan Medical Center (Ann Arbor MI) Feb. 2009. “Futility: Ethical Issues for Surgeons,” Case conference for surgeons and residents, Sparrow

Hospital (Lansing MI) Jan. 2009. “Ethical Issues in Embryonic Stem cell research,” lecture for retired MSU faculty at the

University Club (East Lansing, MI) Jan. 2009. “Just Caring: Health Reform and Health Care Rationing: Can These be Done Fairly?” For the

Medical Humanities Symposium conference at Drew University (Madison, New Jersey) Nov. 2008.

“Shades of Gray: Ethical Issues in the care of Incompetent Elderly Patients,” workshop for

Lansing Community college Gerontology Seminar Series (Lansing MI) Nov. 2008. “Researcher/ Physicians: Moral Oxymoron or Moral Ideal,” lecture for MSU IRB Conference,

Kellogg Center (East Lansing MI) Nov. 2008. “Community Consultation and Medical Research: Slick Sell or Serious Engagement,” lecture for

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MSU IRB conference, Kellogg Center (East Lansing, MI) Nov. 2008. “Just and Caring Universal Health Care: What Should be Covered Universally? How Shall we

Pay for It? What time Limits Can we Live with?” presentation for 12th annual Michigan State Medical Society Bioethics conference (Traverse City) Oct. 10/11, 2008.

COM Ethics Day: Intro to Medical Ethics lecture; workshop on withdrawing/ withholding life-

sustaining care from incompetent patients, another workshop on ethical issues related to the care of PVS and minimally conscious patients,(Okemos) Sept. 2008. These were for medical residents.

“Surgery and Ulysses Contracts Required by the Surgeon,” case analysis for Surgical staff and

ethics committee, Munson Medical Center (Traverse City, MI) May, 2008. “My Child is NOT Dying: When Patients Insist Alternative Therapies Will Cure Their Child,”

commentary on this case, MERN Annual Conference (Brighton, MI) May, 2008. “Ethical Issues in Home Health Care: Treatment refusal and Treatment Withdrawal,” workshop

for annual meeting of Michigan Home Health Care Association (Traverse City, MI) May, 2008.

“Pediatrics and Managed Care: Ethical Challenges,” pediatrics residency session Sparrow

Hospital (Lansing MI) April, 2008. “Research Ethics Issues in Psychology and Psychiatry,” lecture for graduate students in

psychology at MSU (April, 2008). “Stored Blood Spots in Michigan: Ethical and Policy Challenges,” lecture for Deliberative jury

project under the IPSSR grant at MSU April, 2008. “Embryonic Stem Cells: Ethical and Policy Challenges,” invited to do Meites lecture for

Chemistry faculty and grad students at MSU (March, 2008). “What Does an Ethical Organization Look Like”? and “When Health Care Providers Experience

Distress: The Importance of Moral Space,” two lectures, each given twice, at hospitals in Edmunton Canada under the auspices of the Provincial Health Ethics Network (March, 2008).

“Rational Democratic Deliberation: Effective Public Engagement,” seminar presentation for

David Cooper graduate seminar at MSU (Feb. 2008). “Ethics and Health Care Rationing in Psychiatry,” seminar with psychiatry residents, (Jan.,

2008).

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“Ethics and Confidentiality,” seminar with psychiatry residents (Jan. 2008). “Futility: Ethical and Policy Challenges,” workshop for physicians and nurses at Spectrum

Health (Grand Rapids, MI) Jan. 2008. “Research Ethics: Contemporary Challenges for Faculty and Students,” workshop for graduate

students in genetics and microbiology at MSU (Feb. 2008). “Ethical Challenges in University-Based Research,” workshop for the Graduate School, Kellogg

Center (Oct. 2007). COM Ethics Day: Intro to Medical Ethics lecture; workshop on withdrawing/withholding life-

sustaining care from incompetent patients, another workshop on ethical issues related to the care of PVS and minimally conscious patients, (Okemos Sept. 2007). These were for medical residents.

“Ethical and Policy Issues in Embryonic Stem Cell Research,” workshop for Michigan State

Medical Society annual science conference, Troy MI (Oct., 2007). “Ethical Challenges for Community Health Centers in the 21st Century,” at the Annual meeting

of Michigan Community Health Centers (Traverse City, MI) Sept., 2007. “Ethical Issues in Bioengineering and Medicine,” lecture for engineering students at MSU (Sept.

2007). “Balance, Judgment, and Pluralistic Respect: Keys to Good Ethical Decisions,” Lecture for the

annual bioethics meeting of the Michigan State Medical Society (Traverse City, MI), Oct. 2007.

“Taking Care: Ethical Challenges in the Care of Patients with Dementia,” lecture/workshop in

annual professional lecture series, Pine Rest Christian Mental Health Services, Grand Rapids (June 2007).

“Shall We Talk? The Role of Community Dialogue in Bioethics and Public Policy,”

presentation for meeting at Michigan Dept. of Community Health (May, 2007). “Ethical Challenges regarding Health Care Rationing within an Institution: Three Cases,” MERN

annual conference workshop, East Lansing (May, 2007). “Just Caring: Health Care Rationing, Futility Judgments, and the Elderly,” workshop for staff of

Bay City Regional Medical Center Staff (May, 2007). “Taking Care: Ethical Challenges in the Care of Demented Patients,” workshop for social

workers and caregivers, East Lansing (May, 2007).

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“Shall We Talk? The Role of Community Dialogue in Bioethics and Public Policy: Moving

From Destructive Dissent to Reflective Reconstruction ,”endowed lecture for faculty and staff at the University of Texas Medical Branch Galveston (Medical Humanities Center) (April 2007).

“Just Caring: Making Fair Rationing Decisions Regarding Expensive Cancer Drugs,” lecture for

oncology residents/ attendings, Ingham Regional Medical Center (March, 2007). “Taking Care: Ethical Challenges in the Care of Patients with Dementia,” lecture/workshop in

annual professional lecture series, Pine Rest Christian Mental Health Services, Grand Rapids (June 2007).

“Shall We Talk? The Role of Community Dialogue in Bioethics and Public Policy,”

presentation for meeting at Michigan Dept. of Community Health (May, 2007). “Ethical Challenges regarding Health Care Rationing within an Institution: Three Cases,” MERN

annual conference workshop, East Lansing (May, 2007). “Just Caring: Health Care Rationing, Futility Judgments, and the Elderly,” workshop for staff of

Bay City Regional Medical Center Staff (May, 2007). “Taking Care: Ethical Challenges in the Care of Demented Patients,” workshop for social

workers and caregivers, East Lansing (May, 2007). “Shall We Talk? The Role of Community Dialogue in Bioethics and Public Policy: Moving From

Destructive Dissent to Reflective Reconstruction ,” endowed lecture for faculty and staff at the University of Texas Medical Branch Galveston (Medical Humanities Center) (April 2007).

“Just Caring: Making Fair Rationing Decisions Regarding Expensive Cancer Drugs,” lecture for

oncology residents/ attendings Ingham Regional Medical Center (March, 2007). “Health Care Reform: Options, Obstacles, Opportunists,” lecture for pre-med students in Bio-

Engineering Bldg on campus (Jan., 2007). “Ethical and Policy Issues in Embryonic Stem Cell Research,” workshop for Michigan State

Medical Society annual ethics conference, Traverse City (Oct., 2006). “Ethical Challenges in University-Based Research,” workshop for the Graduate School, Kellogg

Center (Oct. 2006). COM Ethics Day: Intro to Medical Ethics lecture; workshop on withdrawing/withholding life-

sustaining care from incompetent patients, another workshop on ethical issues related to

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the care of PVS and minimally conscious patients, (Okemos Sept. 2006). These were for medical residents.

“Intensive Bioethics Workshops: Introductory and Advanced” for MERN (Cadillac, MI (June,

2006). The advanced version covered ethics issues related to treatment withdrawal from Alzheimer patients and issues of medical futility.

“Taking Care: Ethical Considerations in our Aging Society,” workshop for MERN annual

conference, Novi, MI (May, 2006) “Just Caring: Last Chance Therapies, Health Care Rationing, and the Role of Rational

Democratic Deliberation,” half-day workshop for Holland Community Hospital (May, 2006).

“Ethical Challenges in our Aging Society,” Keynote address for mental health and aging

conference, Kellogg Center, (May 2006) Consultation with Philosophy Dept at Arizona State University on potential grant project using

methods of rational democratic deliberation to address ethically controversial issues related to medicine and the environment (May, 2006).

“Shades of Gray: Ethical Issues in Rehab Services for Older Persons with Depression and

Dementia,” workshop for area social workers and nurses caring for elderly patients in Traverse City area, May 2006.

“Ethical Challenges for Home Health Care: Professional and Organizational Issues,” and “Ethical

Challenges for Home Health Care: Clinical Cases,” Annual conference for Michigan Home Health Association, Traverse City (May 2006).

“Health Care Rationing and Last Chance Therapies,” noon talk for MSU retirees group, East

Lansing (April 2006). “Ethical Issues in Pediatrics: Cases” Lecture and discussion with pediatric residents, Sparrow

Hospital (April, 2006). Town Hall meeting on Health care Reform report, for Denise Holmes, at MSU (March, 2006). I

served as moderator and discussion facilitator. “Ethical Issues in Managed care related to resource Allocation,” session with Psychiatry residents

at MSU (Feb., 2006). “Just Caring: Health Care Rationing Challenges,” seminar for faculty and students at Delta

College (Oct. 2005). “Ethical Issues in Obstetrics/ Gynecology,” lecture/ discussion with Ob/Gyn residents at Sparrow

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Hospital in Lansing (Jan., 2006). "Ethical Challenges of Contemporary Academic Research," lecture and workshop for the

Graduate School of Michigan State University (Oct. 2005) “Ethics, Genetics, and Social Work: Three Cases,” Workshop for MERN Annual Meeting

Conference in Novi MI (May 2005). “Medical Ethics: An Introduction,” and “Ethical Issues related to Adolescents and

Confidentiality in Primary Care,” lecture and workshops for COM Primary Care residents in Okemos (Nov. 2005).

“Informed Consent or Shared Decision-making,” noon conference for Hurley Hospital internal

medicine residents (Dec. 2005). “Global Public Health Bioethics Issues,” lecture for CHM students in noon course (Jan. 2006). “Just Caring: Health Care Rationing Challenges,” keynote address for Community Humanities

Conference at Muskegon College (Oct. 2005). “Just Caring: The Problem of the Uninsured,” lecture for pre-med student group, MSU Union

(Nov. 2005). “Ethical and Policy Issues Related to End of Life Care,” lecture for Beaumont Hospital

community group dealing with cancer (Sept. 2005). “Shades of Gray: Ethical Issues in Rehab Services in caring for Demented or Depressed

Patients,” keynote address for Geriatric conference, Kellogg Center (Sept. 2005). “Conflicts of Interest and Interesting Conflicts: Why Can’t We All Just Love One Another?”

workshop for Michigan State Medical Society Annual Bioethics conference, Traverse City, (Oct. 2005).

“Ethics, Genetics, and Social Work: Three Cases,” Workshop for MERN Annual Meeting

Conference in Novi MI (May 2005). “Ethical Issues in Home Health Care: Contemporary Challenges,” workshop for annual meeting

of Michigan Home Health Association in Traverse City MI (May, 2005).

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“Intensive Bioethics Workshops” for medical faculty at the University of Louisville College of Medicine, May 18-21, 2005). There were seven different large group presentations I did, plus small group leading.

“Ethical Issues in Guardianship,” workshop for annual community mental health conference at the

Kellogg Center (May, 2005) “Ethical Challenges in the NICU” for NICU residents and staff, Sparrow Hospital (April, 2005). “Ethical Issues in Obstetrics/ Gynecology,” lecture/ discussion with Ob/Gyn residents at Sparrow

Hospital in Lansing (Jan., 2005). "Ethical Issues at the End of Life: Whose Conscience Should Count?" Keynote address at annual

meeting of the Michigan Pharmacist Association, Lansing MI (Nov. 2004). "Making Futility Judgments: Ethical and Policy Issues," grand rounds for medicine and nursing

at Beaumont Hospital, Royal Oak MI (Sept. 2004). "Just Caring: Spinal Cord Injuries and Health Care Rationing," lecture for annual spinal cord

injury conference, Mary Free Bed Rehabilitation Hospital, Grand Rapids MI (Sept. 2004). "Ethical Issues in Medical Research with Minors," IRB conference, Michigan State University

(Oct. 2004). "Ethical Issues in the care of Children and Adolescents," training session

for family practice residency directors, Michigan State University (Nov. 2004). "Ethical Challenges of Contemporary Academic Research," lecture and

workshop for the Graduate School of Michigan State University (Oct. 2004) “Trust/ Distrust in the Doctor-Patient Relationship: Is a Healthy Balance Dangerous

to Your Health?” workshop for annual bioethics meeting of the Michigan State Medical Society in Traverse City MI (Oct. 2003).

“Treatment Refusal by Competent Patients,” lecture for Basic Bioethics Summer

Intensive MERN conference (June, 2003 and 2004). “End-of-Life Care and the Incompetent Patient,” lecture for Basic Bioethics

Summer Intensive MERN conference (June 2003 and 2004). “Just Caring: Meeting the Moral Challenges of Health Care Rationing,” lecture and

workshop for Basic Bioethics Summer Intensive MERN conference (June 2003 and 2004).

“Just Caring: Last Chance Therapies and the Scope of the Disability Critique,”

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lecture and workshop for Advanced Bioethics MERN conference on Disability Rights and Bioethics (June, 2004).

“The Futility of Making Futility Judgments,” lecture for Basic Bioethics Summer

Intensive MERN conference (June, 2004). “Difficult Patients: Dangerous, Deluded, and Demanding,” workshop/ case

discussion for Advanced MERN Bioethics conference (June, 2003). “Ethics, Genetics, and Social Work: Three Cases,” Workshop for MERN Annual

Meeting Conference in Novi MI (May 2004). “Ethical Issues in Home Health Care: Contemporary Challenges,” workshop for

annual meeting of Michigan Home Health Association in Traverse City MI (May, 2004). “Informed Consent: Why is this an Ethical Necessity, Not Just an Ethical Nicety?”

noon conference for internal medicine residents at Hurley Medical Center in Flint MI (Dec., 2003).

“An Introduction to Medical Ethics: Basic Concepts and Methods,” lecture for

Primary Care residents in COM for “Medical Ethics Day” Lansing (March, 2004). “Confidentiality: Patient and Professional Issues,” case discussion for Primary Care

residents in COM for “Medical Ethics day” Lansing (March, 2004). “Surgical Ethics: Recent Cases and Issues,” lecture and workshop for surgery

residents attached to CHM from around Michigan (April, 2004). “Contemporary Ethics Issues in Radiology,” lecture and workshop for radiology

residents attached to CHM from around Michigan (April, 2004). “Public Policy and Health Care Ethics: What Role is there for Rational Democratic

Deliberation?” workshop for 7th Annual National Bioethics Undergraduate Conference Ann Arbor MI (March, 2004).

“AIDS and Confidentiality,” guest lecture in Benjamin PHL 344 class (Dec. 2003). “Ethical Issues in embryo cloning and human stem cell research,” guest lecture for Lansing Christian high school class (March, 2004). “Ethical and Policy Issues related to Genetic Testing and Germline Genetic

Engineering,” guest lecture for Mark Borello in Lyman Briggs course (Feb., 2004). Also did another two-hour guest lecture for him on “Ethics, Genetics, and Justice,” (Feb., 2004).

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“Medical Futility: When is Enough Enough?” noon conference at Sparrow Hospital

in Lansing (June, 2003). “Personal Responsibility for Health: Ethical Issues,” noon lecture for policy series

sponsored by Social Policy Research Institute at MSU at the State Library in Lansing (April, 2003).

“Just Caring: The Ethical Challenges of Health Care Rationing,” guest lecture for

Scot Yoder in PHL 344 (April, 2004). “Ethical Issues in Obstetrics/ Gynecology,” lecture/ discussion with Ob/Gyn

residents at Sparrow Hospital in Lansing (Nov., 2003).

“Research Ethics in Academia,” lecture and workshop for Graduate School, Michigan State University, East Lansing MI. (Oct. 2003).

“Medical Futility: When is Enough Enough?” noon conference at Sparrow Hospital in Lansing (June, 2003).

“Personal Responsibility for Health: Ethical Issues,” noon lecture for policy series sponsored by

Social Policy Research Institute at MSU at the State Library in Lansing (April, 2003). “Health Care Justice: Rationing and Priority-Setting,” guest lecture in class at the University of

Michigan-Flint (April, 2003). “Just Caring: The Ethical Challenges of Health Care Rationing,” guest lecture for Misha Strauss

in PHL 344 (April, 2003). “Just Caring: The Moral and Political Challenges of Health Reform and Health Care Rationing,”

keynote address for Kansas Health Ethics Ninth Annual Conference “Ethical Dilemmas of Health Care Access and Affordability” in Wichita KS (March, 2003).

“Ethical Issues in Psychiatry: Managed Care,” lecture/discussion with psychiatry residents in

Lansing (Feb., 2003). “Two Cheers for Medical Paternalism,” noon conference at Hurley Medical Center Flint, MI

(Jan., 2003). “When is Enough Enough? Medical Futility and End of Life Decisionmaking,” Lecture/

workshop, Second Annual Bioethics Seminar, Mid-Michigan Medical Center, Midland, MI (Jan. 2003).

“Death by Chance or Choice,” Lecture/ workshop, Second Annual Bioethics Seminar, Mid-

Michigan Medical Center, Midland, MI (Jan. 2003).

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“Ethical Challenges in Orthopedic Surgery: Five Cases,” lecture and workshop for orthopedic surgery residents in Troy, MI (Jan., 2003). “Common Ethical Problems in Office Practice: Fudging, Fibbing, and Faking”

morning ethics conference for medical staff at Beaumont Medical Center, Royal Oak MI (Oct., 2002).

“Last Chance Therapies: Can a Just and Caring Society Do Health Care Rationing

When Life Itself is at Stake?” Lecture and workshop for annual conference of the Michigan Association of Health Plans at Boyne Conference Center (July, 2002).

“Health Care Justice and the Role of Physicians as Patient Advocates,” lecture for

medical students at University of Kansas Medical Center, Kansas City KS (Feb., 2002). Health Care Rationing: How Can a Just and Caring Society Deny Patients Access to

‘Last Chance Therapies’”? public lecture for History of Medicine and Ethics Program, University Of Kansas Medical Center, Kansas City KS (Feb., 2002).

“Ethical Issues in Obstetrics/ Gynecology,” lecture/ discussion with Ob/Gyn

residents at Sparrow Hospital in Lansing (Nov., 2002). “Last Chance Therapies: Ethical and Policy Issues in Health Care Rationing,” guest

lecture for Gerry Alumit in Journalism class at MSU (Nov., 2002). “AIDS and Mental Health: Ethical Issues,” lecture and workshop for Michigan

AIDS network in Ann Arbor (Dec. 2002).

“Research Ethics in Academia,” lecture and workshop for Graduate School, Michigan State University, East Lansing MI. (Oct. 2002).

“Last Chance Therapies: Can a Just and Caring Society Do Health Care Rationing

When Life Itself is at Stake?” Lecture and workshop for annual conference of the Michigan Association of Health Plans at Boyne Conference Center (July, 2002).

“Making Choices: Ethical and Practical Challenges Associated with Advance Directives,” lecture and workshop for conference “Primary Care for the Oldest Old” at the Kellogg Center in East Lansing MI (Nov., 2001). “Managed Care and Ethical Challenges for Pharmacy Benefits Managers,” lecture and workshop for Michigan Pharmacy Benefits Managers conference, Grand Rapids MI (Sept., 2001).

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“Research Ethics in Academia,” lecture and workshop for Graduate School, Michigan State University, East Lansing MI. (Oct. 2001). “Embryonic Stem Cell Research: Ethical and Policy Issues,” Noon conference, Sparrow

Hospital, Lansing MI (Nov. 2001). “Medical Error: Ethical and Practical Challenges,” workshop for conference on “Medical Error” sponsored by the Michigan State Medical Society, Traverse City MI (Oct., 2001). “Ethical Issues in Health Care Promotion,” lecture for graduate course in School of Public Health, University of Michigan, Ann Arbor (Sept., 2001). “Emerging Medical Technologies: Ethical and Policy Challenges,” lecture for Michigan Primary Care Association Conference at Crystal Mountain Resort MI, (Aug., 2001). “Cloning and Human Embryonic Stem Cell Research,” lecture for the Torch Club at MSU,

(Feb. 2001). “Human Embryonic Stem Cell Research: Emerging Ethical and Policy Issues,” lecture for

the Lansing Rotary Club (March, 2001). “Genetics and Reproductive Decisionmaking: Ethical and Policy Issues,” workshop for a

conference of Michigan Protection and Advocacy, Mt. Pleasant, MI. (May, 2001). “Ethical Issues in Managed Care,” three workshops for employee benefits managers for Priority

Health in Grand Rapids, Holland, and Traverse City (April, 2001). “Genetics, Reproduction, and Public Policy: Emerging Ethical and Political Challenges,”

lecture and workshop at Washtenaw Community College in Ypsilanti, MI (Nov., 2000). “Research Ethics: Emerging Challenges for IRBs,” lecture and workshop for MSU IRB members

(Nov., 2000). “Just Caring: What Should a Universal Basic Benefits Package Look Like?” lecture and

workshop for the fourth annual Bioethics Conference of the Michigan State Medical Society, Mackinac MI (Oct. 18-20, 2000).

“Gene Dreams or Gene Nightmares: Ethical and Policy Issues Related to Emerging Genetic

Technologies and Emerging Stem Cell Research,” lecture and workshop for American Cancer Society Midwest Conference, Angola IN (Nov. 2000).

“End of Life Decisionmaking: Who Should Decide? What Should be Decided?: Stroke Patients,’

lecture and workshop for Michigan Department of Community Health conference “Stop Stroke in its Path,’ in Novi, MI (Nov. 2000).

“Advance Directives and Ethical Issues at the End of Life,” lecture for staff of Family

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Independence Agency, Charlotte MI (Nov. 2000). “Ethical Issues in Human Cloning and Human Embryonic Stem Cell Research,” lecture for

Williamston Kiwanis Club (Nov. 2000). “Whose Rights? Whose Responsibilities? Whose Common Good? The Ethical Challenges of

Contemporary Academic Research,” lecture and workshop for graduate and professional students involved in university-based research at MSU (Oct. 2000).

“Just Caring: Aging, Genetics and Alzheimer’s Disease: Emerging Moral and Political

Challenges,” lecture for Western Michigan Alzheimer’s Association Annual Meeting, Kalamazoo, MI (Oct. 2000).

“Just Caring: Ethics, Managed Care, and the Challenges of Health Care Rationing,” lecture

and workshop for conference of social workers and other long term care/ home care professionals Lansing MI (Sept., 2000).

Presidential Debates 2000. Worked with Student Union, Student services, and WLNS TV6 to

do live discussion and interaction and survey research with students who were watching the presidential debates in the union. Helped to develop the survey instrument and to use the REPLY system for gathering student judgments.

“Research Ethics and the Role of IRBs,’ lecture for Karen Williams and ABLE students at

MSU (July, 2000). Organized MERN Summer Intensive Bioethics Conference; did the following lectures/

workshops/ panel presentations: “Treatment Refusal by Competent Patients: The Dax Case,’ “Confidentiality in the Era of E-medicine,” “Just Caring and Managed Care: Emerging Moral Challenges in a Changing Health Care System,” “Problems and Pitfalls of Institutional Ethics Committees,” “Genethics: Beyond Genetic Innocence, Toward Genetic Responsibility.” “Institutional Ethics Committees: Four Persistent Challenges,” East Lansing (June, 2000). Again, I have responsibility for this same course (substantially modified) for June of 2001.

“Rational Democratic Deliberation: Practical Strategies for Effective Public Dialogue,’ lecture

for Hastings Center behavioral genetics working group, ELSI project under the title “Tools for Public Conversation about Behavioral Genetics,” Garrison, NY (May, 2000).

“Just Caring: Managed Care, Ob/Gyns, and Health Care Rationing,” workshop for Ob/Gyn

residents from Michigan in Novi (May, 2000). “Project ENGAGE,’ participated in invited conference sponsored by the New England Center for

Research in Higher education at Wingspread Conference Center in Racine, WI (Jan. 2000). I was invited to the conference as a recipient of the 1999 Ernest Lynton award from NERCHE. The goal of the conference was to develop creative ways of engaging

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students and communities in collaborative research. ‘Just Caring: Is There Space for Moral Values in a Competitive Health Care Business?” board

training workshop for Health Plus managed care plan in Flint, MI (Feb., 2000). “Just Caring: Facing the Ethical Challenges of Managed Care,” lecture and workshop for the

Chicago Claims Association (Feb., 2000). “Aging, Death, and Dying: Ethical Issues in the Reconstruction of Our Bodies,” guest lecture for

graduate seminar in interdisciplinary program at the University of Michigan in Ann Arbor (March, 2000). This was basically a lecture about moral issues related to using genetic technologies to increase the human life span.

“Just Caring: Is There Space for Moral Values in a Competitive Health Care Business?” board

training workshop for Priority Health managed care plan of Grand Rapids, Shanty Creek, MI (Mar., 2000).

“Just Caring: Health Care Rationing and Rational Democratic Deliberation,” lecture for noon

series sponsored by Detroit College of Law at MSU (Mar., 2000). ‘Improving Our Aim: Ethical Issues in Journalism,” guest lecture with Judith Andre for Bill

McWherter course in College of Communication Arts (Mar., 2000). “Just Caring: Is There Space for Moral Values in a Competitive Health Care Business?” senior

management training workshop for Priority Health managed care plan, Grand Rapids, MI (May, 2000).

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“Genetic Testing for HD and AD: Ethical and Policy Issues,” presentation for Michigan Partners for Patient Advocacy Coalition, Michigan State Medical Society, east Lansing (Jan., 1998).

“Just Caring: Health Care Rationing, Managed Care, and Medical Integrity,” lectures for faculty

and medical students at Eastern Virginia Medical School, Norfolk, VA (Jan., 1998). “Ethical Issues in Cloning and Other Emerging Genetic Technologies,” lecture for MSU alumni

group in Lansing (Feb., 1998). “Community Assessment of Final Report from Community Dialogues in ‘Genome Technology

and Reproduction Project,’” this was a concluding session in our seven NIH dialogue communities [Lansing, Ann Arbor, Holland, Grand Rapids, Detroit proper, Kalamazoo, Saginaw] (Feb./March, 1998).

“Just Caring: The Moral Challenges for Future Physicians,” lecture to AMSTA (prospective

medical students), East Lansing (Feb., 1998). “Just Caring: Managed Care, Rationing, and the Care of the Terminally Ill,’ lecture and

workshop for a conference sponsored by The University of Pennsylvania Health System Philadelphia, PA (March, 1998).

“Shades of Gray: Ethical Issues in Providing Services to Older Persons with Mental Illness and

Persons with Dementia,” daylong workshop for The Gerontology Network of Grand Rapids (March, 1998).

“Genetics: Emerging Policy Challenges,’ congressional briefing in preparation for NIH Genome

conference to be held in May in Washington, D.C., U.S. Capitol, RM HC-4, 2 hours (April, 1998).

“Ethical Issues in Managed Care,” lecture for St. John Fisher parishioners in Auburn Hills, MI.

(April, 1998). “Genethics: The Moral and Political Challenges of Genetic Responsibility in a Discriminatory

World,” keynote address at the 14th annual conference on Developmental Disabilities, East Lansing, MI. (April, 1998).

“Genetics: Emerging Ethical and Policy Issues,” lecture for local ACLU chapter, East Lansing

(April 1998). “Ethical Issues in Managed Care,” workshop for conference of clinical lab professionals,

Kellogg Center, East Lansing (April, 1998). “Caring Justly: Ethics in Managed Care,” keynote address and workshops for conference

sponsored by Advocate Health Care Systems, Chicago ILL (April, 1998).

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“Some Questions about the Uses of Outcomes Data,’ workshop for “Outcomes Conference” sponsored by Henry Ford Health Systems, Dearborn MI (April, 1998).

“Autonomy in Vulnerable Populations (frail elderly/ mentally ill),” workshop for MERN

annual meeting, East Lansing MI (May, 1998). “The Possibilities and Implications of Genetic Engineering: A Moral Assessment,” lecture

and workshop for MSU Hannah Forum Series in Chicago ILL (May, 1998). “Just Caring: Health Care Rationing and End-of-Life Decisionmaking for the Elderly,”

workshop for conference sponsored by the Wayne State University Institute of Gerontology, Troy MI (May, 1998).

“Ethics, Genetics, and Reproductive Decisionmaking: Emerging Challenges for Physicians,”

workshop for Maternal and Child Health Conference sponsored by the Michigan State Medical Society, Battle Creek MI (May, 1998).

“Genome Technology and Reproduction: Values and Public Policy, The Community Dialogue

Process,” “Children of Choice: Whose Rights? Whose Responsibilities? Whose Cost? Whose Values? A Policy Dialogue,” “Genetic Liberty, Genetic Privacy, and the Bounds of Personal Responsibility: A Policy Dialogue,” lecture and two workshops for conference that concluded our NIH Genome grant. That conference was titled Genome Horizons: Public Deliberations and Policy Pathways, and was held in Washington, D.C. (May, 1998).

“Just Caring: Facing the Ethical Challenges of Managed Care in Both the Public and Private

Sectors,” lecture for conference sponsored by Governor’s Commission on Life and Law and the University of Colorado at Denver, Denver CO (June, 1998).

“Just Caring: Rationing, Managed Care, and the Challenge of Fairly Meeting the Health Care

Needs of the Elderly,’ lecture and workshop for Luella Hannah Memorial Foundation, Detroit (June, 1998)

Organized MERN Advanced Bioethics Day, “Moral Distress: Emerging Ethical Challenges in

Nursing Today,’ did keypad exercise for the conference, East Lansing (June, 1998). Organized MERN Summer Intensive Bioethics Conference; did the following lectures/

workshops/ panel presentations: “Treatment Refusal by Competent Patients: The Dax Case,” ‘Ethical Issues in Reproductive Health Care: HIV Pregnant Women,” “AIDS: Ethical Issues: Do Patients Have a Moral Right to Know the HIV Status of their Physicians?” “AJust Caring and Managed Care: Emerging Moral Challenges in a Changing Health Care System,” ‘Problems and Pitfalls of Institutional Ethics Committees,” “Genethics: Beyond Genetic Innocence, Toward Genetic Responsibility.” East Lansing (June, 1998).

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“Futility: Ethical and Conceptual Issues,’ “Genethics: Emerging Moral Challenges for Physicians,” two workshops for Munson General Medical Center conference in Traverse City, MI (July, 1998).

“Genetics, Ethics, and Reproductive Decisionmaking: Why Community Dialogue?” lecture for

MSU Alumni group, University Club (July, 1998). “Genetics, Ethics, and Reproductive Decisionmaking: Why Community Dialogue?” Grand

Rounds for Foote Community Hospital medical and nursing staff, Jackson MI (August, 1998).

“Genetics, Ethics, and Reproductive Decisionmaking: Why Community Dialogue?” Lecture and

workshop for midwest hospital chaplains conference in Perrysburg OH (Sept., 1998). “Genetic Testing: Is This What the Doctor Should Order?” lecture and workshop for second

annual Mackinac Bioethics Conference, sponsored by the Michigan State Medical Society (Oct., 1998).

“Problem Solving in Medical Ethics,” lecture and workshop for primary care residents from

several residency programs, St. Johns Hospital, Grosse Pointe MI (Oct., 1998). “Just Caring: Facing the Ethical Challenges of Managed Care for Health Service Professionals,”

Eberhard Center, conference for home care and long term care nurses, Grand Rapids MI, (Oct., 1998).

Consultation with Central Michigan Hospital ethics committee to discuss role and functioning

of the committee, Mt, Pleasant MI (Oct., 1998). “Physician-Assisted Suicide: Assessing Proposal B,” panelist for evening session at MSU on

Proposal B, sponsored by Michigan Protection and Advocacy Service (Oct., 1998). “Just Caring: Facing the Ethical Challenges of Managed Care for Social Service Professionals,”

lecture for West Michigan Continuity of Care Conference social service professionals, Grand Rapids (Nov., 1998).

“Genethics: Ethical Issues in Testing for Breast Cancer Genes,” lecture and workshop for breast cancer conference sponsored by the Michigan State Medical Society, Brighton MI (Nov., 1998).

“Emerging Issues in Health Care Ethics: Health Care Rationing and Genetics,’ lecture for medical technology student group at MSU (Nov., 1998).

“Emerging Ethical Issues in the Care of the Elderly: Fair Treatment, Futile Treatment, Fatal

Treatment,” “Shades of Gray: Ethical Issues in Providing Services to Older Persons with Mental Illness and Persons with Dementia,” lectures and workshops for half-day ethics

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conference sponsored by Chelsea Community Hospital, Chelsea MI (Dec., 1998). “Just Caring: Health Care Rationing and Rational Democratic Deliberation,” seminar for NIH

faculty and fellows attached to Department of Clinical Bioethics, Washington, D.C. (Feb., 1999).

“Having Your Say: How to Create a Community Dialogue,” Interactive Audience Response

Exercise for “Voices” conference in Lansing (Feb. 1999). “Ethical Issues in Ob/Gyn: some Case Studies,” workshop for COGMET residents in Okemos

(Feb. 1999). I also did this workshop for the OHEP Ob/Gyn residents in Farmington Hills (March, 1999).

“Just Caring: The Challenge of Health Care for Prisoners,” lecture for undergraduate criminal

justice class at MSU, Cal Roper (March, 1999). “Intimidating Intersections: Science, Medicine, Ethics, and Social Policy,” second lecture in a

series sponsored by the Detroit College of Law under the title “Science and Society’s “Rules of Evidence,” East Lansing (March, 1999).

“Ethical Issues in Genetics and Assisted Reproduction: What are the Moral Responsibilities of

Physicians?’ workshop for MSMS Perinatal Conference in Dearborn, MI. (March, 1999). “Just Caring: Health Care Reform and Health Care Rationing/Emerging Moral and Political

Challenges,” two lectures for Peter V-J HST 425 class (April, 1999). “Just Caring: Ethical Challenges in Managed Care Rationing, Cost Control, and Priority

Setting,” lecture/workshop for MICOA for a group of Kalamazoo physicians in Kalamazoo (April, 1999).

“Withdrawing/Withholding Life-Sustaining Care from Incompetent Patients: Ethical Issues,”

noon conference presentation for Hurley Hospital Internal Medicine residents, Flint, (May, 1999).

“Emerging Ethical Challenges in a Changing Health Care System,” workshop for conference

sponsored by the Michigan Council of Foundations in Detroit (Nov., 1997). “Just Caring: Ethics, Genetics, and Cancer,’ workshop for Great Lakes Oncology Nurses Conference in Novi, MI. (Oct., 1997). “Corporate, Competitive, and Caring: Conceptual Confabulation in Health Care Today,” presentation for annual conference of Colorado Springs Osteopathic Foundation AThe Ethics

of What=s Driving Medical Care@ Colorado Spring (Oct., 1997).

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“Withdrawing and Withholding Dialysis: Ethical Issues,” presentation for annual Kleit Symposium of National Kidney Foundation of Indiana, South Bend, IN. (Oct., 1997). “Ethics, Genetics, and the Primary Care Physician,” workshop for annual bioethics conference

of Michigan State Medical Society, Mackinac, MI. (Sept., 1997). “Managed Care and End of Life Decisionmaking: Ethical Issues,” workshop for Patient Representative Conference, Lansing MI. (Sept., 1997). “Evolving Role of Hospital Ethics Committees,” presentation for conference sponsored by the Michigan Hospital Association Insurance Company, East Lansing (Aug., 1997). ‘Ethics and Public Policy: Emerging Policy Issues,” presentation for legislative leadership conference, Ferris State University (July, 1997). “Ethics, Genetics, and Community Dialogue,” consultative presentation at The Hastings Center

(Briarcliff Manor, NY) for project regarding genetics and primary care physicians (July, 1997).

“Just Caring: Priority-Setting in Mental Health,’ day-long workshop for mental health professionals

in Marquette, MI. (July, 1997). “Just Caring: Ethical Issues in Caring for the Mentally Ill and Developmentally Disabled,” half-day

workshop for social workers and other health professionals, Escanaba, MI. (July, 1997). “Beyond the Age of Genetic Innocence: Ethics, Genetics, and Responsible Reproductive Decisions,”

lecture for continuing nursing education program, East Lansing (June, 1997). “Ethical Issues in Managed Care: Protease Inhibitors,” presentation to annual summer academic

bioethics retreat, Hilton Head, S.C. (June, 1997). “Ethics, Genetics, and Responsible Reproductive Decisions,” seminar for Ford Motor Company

engineers, Dearborn MI. (June, 1997). “Beyond the Age of Genetic Innocence: Ethics, Genetics, and Responsible Reproductive Decisions,”

workshop or annual conference of The Association of Retarded Citizens, Mackinac MI. (May, 1997).

“Medicaid and Priority-Setting in Mental Health,” workshop for annual conference of community

mental health board members, Grand Rapids MI. (May, 1997). “Cultural Diversity and Health Care Ethics,” small group exercise for MERN Advanced Bioethics

Day, East Lansing (June, 1997).

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“End of Life Issues and Managed Care,” workshop for MERN annual Conference, Novi MI. (May, 1997). “Shades of Gray: Ethical Issues in Providing Services to Persons with Mental Illness and Dementia,”

workshop for annual conference of home health professionals, Midland MI. (May, 1997). “Futile Care: Conceptual, Ethical, and Policy Issues,’ annual medical ethics conference at McLaren

Hospital, Flint MI (April, 1997). “Cloning: What are the Ethical Issues?” panel presentation sponsored by Detroit College of Law, East Lansing (April, 1997). “Ethical Issues at the End of Life: Physician-Assisted Suicide,” lecture for annual Cancer Care Conference, sponsored by Ingham Medical Center, East Lansing (April, 1997). “Just Caring: Health Care Rationing, Managed Care, and Capitation,” lecture for Health Promotion

Institute, Central Michigan University, Mount Pleasant MI (March, 1997). “Just Caring: Emerging Moral Challenges in a Changing Health Care System,” workshop for participants in Leadership Detroit program, Detroit Receiving Hospital (March, 1997). “Just Caring: Managed Care and Health Care Rationing,” workshop for physicians and nurses at

Providence Hospital, Farmington Hills MI (March, 1997). “Just Caring: Health Reform, Health Care Rationing, and Chronic Disabilities,”

“Just Caring: Organizational Ethics in a Competitive Health Care Environment,” “Just Caring: The Moral Challenges of Gatekeeping for the Primary Care Physician,” “Just Caring: Managed Care and Health Care Rationing,” a series of lectures and workshops for an ethics conference in Norfolk VA and for medical students at Eastern Virginia Medical School (Feb., 1997).

“Just Caring: The Human Element Within the Health Policy Equation, or Why Moral Dialogue is

Essential,” presentation at the annual conference of the Society for Health Care Strategy and Market Development, American Hospital Association, Washington, D.C. (Jan., 1997).

“Emerging Moral Challenges in a Changing Health Care System: An Ethical Assessment of Uncompensated Care Pools,” presentation to CEOs and Trustees of the Massachusetts

Hospital Association annual meeting, Framingham MA (Jan., 1997). “Shades of Gray: Ethical Issues in Providing Services to Older Persons with Mental Illness and Persons with Dementia,” workshop for Sixth Annual Geriatrics Conference, Michigan State

University, East Lansing, MI. (Dec., 1996). “Ethical Challenges of Managed Care,” presentation for Forum Series of Institute for Public Policy Research Michigan State University, Lansing (Dec. 1996).

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“To Feed or Not to Feed: Ethical Issues in Withholding or Withdrawing Artificial Nutrition,” “AIDS: Ethical and Policy Issues for Physicians,” ‘The Primary Care Physician as

Gatekeeper: Ethical Issues in Managed Care,” workshops for a three-day conference sponsored by the Florida Osteopathic Medical Society, Fort Myers FL, (Oct. 1996).

“Ethics, Managed Care, and Health Care Rationing,” workshop for annual Michigan Lupus conference Lansing MI (Sept., 1996). ‘Ethics and Managed Care,” grand rounds, St. Lawrence Hospital, Lansing MI (Sept., 1996). “Just Caring: Ethical Issues in Managed Care for the Primary Care Physician,” workshop for annual meeting of Iowa Family Practice Association, DesMoines IA (Aug., 1996). “Just Caring: Key Moral Challenges for Managed Care Executives,” presentation for Executive

Health Care Leadership conference, American Hospital Association, University of Michigan, Ann Arbor MI (Aug., 1996).

“Ethical Issues in Withdrawing/ Withholding Life-Sustaining Care,” presentation to quarterly medical conference, McComb Community Hospital (June, 1996). “Ethical Issues in Managed: Medical, Nursing, and Administrative Perspectives,” day-long

workshop for Henry Ford Health Care Systems Managed Care College, Detroit (June, 1996). “Ethical Issues in the NICU: Low-birthweight infants,” presentation for South Haven Community Hospital, MI (May, 1996). “What if Michael Martin were in my Managed Care Plan?” workshop for MERN annual meeting

[Medical Ethics Resource Network of Michigan] (May, 1996). “Ethical Issues in Managed Care,” workshop for Managed Care Institute [Faculty training/

curriculum development], Michigan State University (May, 1996). “Just Caring: Emerging Moral Challenges in our Changing Health Care System,” workshop for

annual meeting of Association of Cancer Executives, Philadelphia, PA (April, 1996). “Just Caring: Ethical Issues in Resource Allocation in Home Health Care,” workshop for annual

State of Illinois Continuity of Care Conference Champaign-Urbana IL (April, 1996). “Shades of Gray: Ethical Issues in Providing Services to Older Persons with Mental Illness and Persons with Dementia,” presentation at conference “Mental Health and Aging in the 90s,”

Washington State Mental Health and Aging Training Conference Seattle WA (April, 1996). “Ethical Issues in Obstetrics and Gynecology,” seminar for Ob/Gyn residents, Southfield MI (March, 1996).

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“Just Caring: Ethical Issues in Managed Care,” workshop for National Conference for Labor Representatives in the Health Care Industry, ‘Managed Care: Union Perspectives,”

Washington, D.C. (March, 1996). “Just Caring: Key Moral Challenges to Managed Care Executives,” “Just Caring: Facing the Ethical Challenges of Managed Care,’ “Just Caring: The Primary Care Physician as

Gatekeeper,” three presentations/ workshops for different groups of physicians, nurses, executives connected with the Carle clinic in Champaign-Urbana Il (Feb. 1996).

“Just Caring: Emerging Moral challenges in a Changing Health care System,” lecture/ workshop for

faculty and students at Eastern Virginia Medical School, Norfolk VA (Jan., 1996). “Withdrawing and Withholding Life-Sustaining Medical Care: Ethical Issues,” VA Medical Center, Saginaw MI (Jan., 1996). "Treatment Refusal by Competent Patients: When is it Morally Appropriate to Respect Such

Refusals?" noon conference, Internal Medicine Hurley Medical Center, Flint (Jan., 1995). "Ethical Issues in Genetics and Fetal Therapy," lecture for COGMET Ob/Gyn Educational Day

Conference, East Lansing (Feb., 1995). "AIDS and the Pharmacist: Ethical Issues," workshop for statewide conference

of Michigan pharmacists, Dearborn (Feb., 1995). "Just Caring: Ethical Issues for Health Care Reform," workshop for Leadership

Detroit group, St. John's Hospital (March, 1995). "Ethical Issues in Ob/Gyn: Three Case Studies," seminar for Ob/Gyn residents

from William Beaumont Hospital, for OHEP program (March, 1995). "Ethical Issues with the New Reproductive Technologies," lecture for annual

conference on maternal and perinatal health, Michigan State Medical Society, East Lansing (March, 1995).

"When is Enough Enough? Ethical Issues in the Care of Cancer Patients," lecture for conference

sponsored by Michigan Capital Medical Center, East Lansing (March, 1995). "Confidentiality: Ethical Issues in Physical Therapy," lecture for conference for

student physical therapists, University of Michigan-Flint (March, 1995). "Just Caring: Oregon and the Challenge of Health Care Rationing," lecture

for staff of Michigan Medicaid program, Lansing (March, 1995).

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"Medicaid: Ethical Issues in Managed Care," lecture for Midwest Conference of Medicaid Directors and senior staff, East Lansing (March, 1995).

"Just Caring: Rationing in the ICU," interactive computer workshop for annual

MERN conference, East Lansing (April, 1995). "Just Caring: Ethical Issues in Genetic Counseling and Gene Therapy,"

interactive computer workshop for annual MERN conference, East Lansing (April, 1995).

"Ethical Issues in the Care of Demented and Mentally Retarded Elderly Persons," lecture and

interactive computer workshop for annual conference of Michigan Department of Mental Health, Gaylord (April, 1995).

"The Primary Care Physician as Gatekeeper," workshop with Harriet Squier at the annual spring meeting of SHHV, Chicago (April, 1995).

"Emerging Ethical Issues Regarding Informed Consent: Rationing and HIV

Testing of Patients and Caregivers," lecture and interactive computer workshop for annual meeting of Michigan Health Association Risk Management conference, Traverse City (May, 1995).

"Update: Emerging Issues in Medical Ethics," lecture for annual meeting of patient representatives

conference in Michigan, Lansing (May, 1995). "Just Caring: The Primary Care Physician as Gatekeeper," lecture/ interactive computer workshop

for annual meeting of Michigan Association of Osteopathic Physicians, Dearborn (May, 1995)

"HIV-Infected Health Professionals: Are They Morally Obligated to Inform

Patients of their HIV Status?" noon conference for Internal Medicine, Hurley Medical Center, Flint (May, 1995).

"Ethical Issues in Withdrawing Food and Fluids: A Computer-Based Interactive

Ethics Forum," Sparrow Hospital, Lansing (May, 1995). "Just Caring: Health Reform, Health Care Rationing, and the Care of the

Disabled," Brain-Injury Survivors Conference, University of Michigan, Ann Arbor (May, 1995).

MERN summer intensive ethics workshop: responsible for overall organization, resource

development, delivered lectures and workshops on ethical issues in health reform and health care rationing, ethical issues in managed care, ethical issues in the NICU, ethical issues connected with surrogate motherhood (June, 1995).

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"AIDS and Confidentiality: Ethical Issues," noon conference for staff of Mercy Hospital--Cadillac (July, 1995).

"Just Caring: Health Care Rationing and Rational Democratic Deliberation,"

seminar for Robert Wood Johnson Clinical Scholars at the University of Michigan, Ann Arbor (July, 1995).

"Medicaid Block Grants: Ethics and Policy," lecture to meeting of Kaiser

Foundation Journalism Fellows, Lansing (Aug., 1995). "Just Caring: Health Reform and Health Care Rationing," lecture and interactive

computer demonstration for Kalamazoo Forum, Kalamazoo (Aug., 1995).

"Ethical Issues in Home Health Care," lecture for West Michigan Continuity of Care Conference, Grand Rapids (Sept., 1995).

"An Introduction to Health Care Ethics and the Role of Ethics Committees,"

keynote address for First American Home Care Conference, Lansing (Sept., 1995).

"Ethical Issues in Managed Care," lecture for Burns Clinic Annual Conference

Petoskey (Sept., 1995). "Ethical Issues in the Care of Cancer Patients," West Michigan Cancer Center

annual conference, Kalamazoo (Sept., 1995). "Medicaid Block Grants: Ethical and Policy Concerns," lecture for the Michigan

Hospital Association annual meeting of Medical Directors/ CEOs, Traverse City (Sept., 1995).

"Just Caring: Organizational Ethics and Accountability," workshop for annual

national meeting of the National Society for Patient Representation, American Hospital Association, New Orleans (Oct., 1995).

"Just Caring: Rationing Expensive Life-Saving Medical Technology," lecture

and interactive computer workshop for Michigan Leadership conference, sponsored by the Michigan Chamber of Commerce, Ann Arbor (Oct., 1995).

"Ethical Issues in Gene Therapy and Germline Genetic Engineering," lecture

for faculty of genetics program, School of Medicine, University of Michigan, Ann Arbor (Oct., 1995).

"Ethical Issues in Rural Health Care," workshop for rural health care conference

in Traverse City (Nov., 1995).

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"Roles and Responsibilities of Hospital Ethics Committees," noon workshop at

Newberry Hospital, upper peninsula (Nov., 1995). "Just Caring: Hospital Trustees, Health Reform, and Health Care Rationing,"

workshop and lecture for annual hospital trustees meeting, Marquette General Hospital (Nov., 1995). "Gun Violence: Policy Issues and Options," interactive workshop for Michigan

Department of Public Health, Oakland University (Nov., 1995). "Political Ethics: The Challenges of Contemporary Political Leadership," lecture

and workshop for Michigan Political Leadership Program, Grand Rapids (Nov., 1995).

"AIDS and the Duty to Warn: Ethical Issues," workshop for Henry Ford Health

Systems, Detroit (Nov., 1995). "Ethical Issues in High-Tech Home Care," lecture for nurses and social workers,

Saginaw Cooperative Hospitals (Dec., 1995). "Managed Care for Children with Special Health Care Needs," presentation

to committee of Michigan Department of Public Health (Dec., 1995).

"Just Caring: Emerging Moral Challenges in our Changing Health Care System," annual conference of Lutheran Social Services managers and caregivers, Detroit (Dec., 1995).

"Medicaid Block Grants: Ethical and Policy Issues," lecture for workshop for

Health Policy Fellows, COM, Michigan State University (Dec., 1995). "Just Caring: Ethical Issues in Germ-Line Genetic Engineering," paper presented

at Symposium Advances in Gene Therapy, sponsored by Genetics Graduate Program at Michigian State University, University Club, East Lansing (Sept., 1994), 21pp.

"Just Caring: Assisted Suicide and Health Care Rationing," paper presented at

conference Assisted Suicide and Euthanasia: Legal, Medical, and Ethical Implications, sponsored by University of Detroit Mercy School of Law and the Wayne County Medical Society in Detroit (Nov., 1994), 18 pp.

"Ethical Issues in Withdrawing/Withholding Life-Sustaining Care from Incompetent Patients," noon

conference for medical/nursing staff, Botsford General Hospital, Farmington Hills MI (Jan. 1994).

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"Future Directions in Health Reform," lecture for The Employers Association, Human Resource Group in Grand Rapids MI (Jan. 1994).

"The Ethics of Health Care Reform," all-day workshop for management team

of West Suburban Hospital Medical Center, Oak Park ILL (Jan., 1994). "Just Health Care Rationing of Expensive Life-Sustaining Medical Technologies"

two lectures for endowed lecture series/ interactive forum at Alma College (Jan. 1994). "Just Caring: Health Rationing and Health Reform" lecture and interactive

computer session for Temple Shalom congregation, Chicago IL (Jan. 1994). "Just Caring: Health Reform" A series of four workshops for community leaders

in Lansing, Flint, Alpena, Petoskey. I designed the materials for these workshops and led most of them during a three-month period of time (Jan.-March, 1994). This series was sponsored by the Michigan Hospital Association. Workshop titles:

"Health Reform: Diagnosing the Problem" "Health Reform: Just Health Care Access" "Health Reform: Just Health Care Financing" "Health Reform: Just Health Care Cost Containment"

"Ethics: Health Reform and the Utilization of Health Resources," Lecture for

conference Aging and the Future, Senior Coordinating Aging Network, Troy MI (Feb., 1994).

"Genetic Engineering: Professional Rights, Social Responsibilities," lecture

for the Biochemistry Club at MSU (Feb., 1994). "The Family Physician as Gatekeeper: The Ethical Management of Power,"

workshop presentation for American Academy of Family Physicians Teachers of Family Medicine, Amelia Island Florida (March, 1994).

"Principles for Health Reform and Priority Setting," three workshops for the

League of Human Services, Lansing MI (March/April/May, 1994). "Advance Directives: Practical and Ethical Issues," for conference Life and

Death Matters, sponsored by Flint Area hospitals, Flint MI (March, 1994). "Ethical Issues in OB/GYN: Three Cases," residency conference for the Office

of Health Education Programs, Farmington Hills MI (March, 1994). "Just Caring: Health Reform, Health Rationing, and Developmental Disabilities,"

lecture for Tenth Annual Conference on Developmental Disabilities, Kellogg Center, East Lansing (March, 1994).

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"Just Caring: Conflicting Rights, Uncertain Responsibilities" [Community Forums on Health Reform], St. Paul's Cathedral Church, Detroit (March, 1994).

"Ethical Issues in the Care of the Dying," workshop presentation for medical

staff of Holy Cross Hospital, Detroit (March, 1994). "When is Enough Enough? Ethical Issues in the Care of Cancer Patients,"

lecture for annual meeting of Michigan Oncology Nurses and Social Workers, Royal Oak MI (April, 1994).

"Ethics and Health Care Reform," noon lecture for local chapter of The American

Society for Public Administration, Lansing MI (April, 1994). "Just Caring: The Family Physician as Gatekeeper," interactive computer workshop for Medical

Ethics Resource Network of Michigan annual meeting, Detroit (April, 1994). "Just Caring: Lessons from Oregon for Accountable Health Plans," Presidential

Address for Medical Ethics Resource Network of Michigan annual meeting, Detroit (April, 1994).

"Just Caring: The Moral Challenge of Marketing and Competition," interactive

computer workshop for executive management and medical staff retreat, Shadyside Hospital in Pittsburgh (April, 1994).

"Family Practitioners as Gatekeepers: The Ethical Management of Power,"

interactive computer workshop for national conference of Society of Teachers of Family Medicine, Atlanta GA (May, 1994).

"Just Caring: The Challenge of Health Reform," interactive computer workshop

for annual meeting the Catholic Health Corporation, San Antonio TX (May, 1994). "Futile Medical Care: Ethical Issues," workshop presentation for annual

conference of Michigan Thoracic Society, Dearborn MI (May, 1994). "Health Care Reform: Ethical Issues," Botsford Hospital Community Forum,

sponsored by Chronic Illness Awareness Coalition, Farmington Hills MI (May, 1994). "Health Care Reform: Policy Options," interactive computer forum for Michigan

Dental Association, Bay City/Saginaw (May, 1994). "Just Caring: Community Health Care Planning," interactive computer forum

for St. Clair County Community Foundation, Port Huron MI (May, 1994). "Just Caring: Identifying Community Values," interactive computer forum for

Muskegon County Community Foundation, six sessions done at various sites in Muskegon

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County for various community groups (May, 1994). "Just Caring: Conflicting Rights, Uncertain Responsibilities," interactive

computer demonstration for annual program of The Forum for Kalamazoo County and the Kalamazoo Academy of Medicine, two programs, one in Kalamazoo, the other in Battle Creek (May, 1994).

"Contemporary Medical Ethics: An Introduction," day-long workshop (four lectures plus small

group exercises) for hospital chaplains/ social workers from the Upper Peninsula at Marquette General Hospital (May, 1994).

"Ethical Issues in Organ Donation," lecture for conference Organ and Tissue

Donation: A Multi-Disciplinary Overview at Marquette General Hospital (May, 1994). "Just Caring: Health Reform and Health Care Rationing," keynote address for annual national

meeting of the Association of Oncology Social Work, Orlando FL (May, 1994). "Health Reform: What is Best for Health Care Consumers?" lecture for Lansing

Business Coalition Health Care Forum, Lansing Center (June, 1994). "Health Reform and Health Care Rationing," lecture for retired MSU faculty/

staff, University Club (June, 1994). Summer Intensive Medical Ethics Conference (week-long), responsible for six

lectures/ workshops and organization of the conference as a whole, Kellogg Center, East Lansing (June, 1994).

"Just Caring: An Ethical Perspective on Health Reform," lecture and interactive

computer demonstration for the management group of Lutheran Social Services of Michigan, Cadillac MI (June, 1994).

"Just Caring: Health Reform, Health Care Rationing, and Physician

Gatekeepers," noon conference for medical staff of Munson Medical Center, Traverse City MI (July, 1994).

"The Primary Care Physician as Gatekeeper," lecture and interactive computer forum for annual

meeting of the Michigan Academy of Family Physicians, Traverse City MI (July, 1994). "AIDS and Confidentiality: Ethical Issues," lecture for Michigan Health Care Institute course for

Claims and Risk Management Association, East Lansing MI (Aug., 1994). "Just Caring: Health Reform and Health Care Rationing," workshop for annual

meeting of campus ministers, People's Church, East Lansing (August, 1994).

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"AIDS and the Pharmacist: Ethical Issues," lecture and interactive computer workshop for annual meeting of Michigan Pharmacists, Petoskey MI (August, 1994).

"Just Caring: Organizational Ethics and Accountability," lecture for national

conference of American Hospital Association, Health Care Marketing and Public Relations Executives, Ann Arbor MI (Aug., 1994).

"Health Care Reform: Making Difficult Choices," workshop/lecture for annual conference of

Upper Midwest Regional Food Service Administrators, Traverse City MI (Sept., 1994). Interactive computer workshop support for Michigan Society of Internal Medicine annual

conference (Health reform session and Thieves' Market), Traverse City (Sept. 1994). "Just Caring: Health Reform, Health Rationing, and Chronic Disabilities," lecture/

interactive computer workshop, annual conference of Lupus Foundation of Michigan, Kalamazoo (Sept., 1994).

"Just Caring: Health Reform, Health Care Rationing, and Physician Gatekeepers in the ICU,"

noon internal medicine conference, Hurley Medical Center, Flint MI (Sept., 1994).

"Community Health Reform: An Overview of Key Ethical Issues," seminar for Kellogg Foundation CCHM's [Comprehensive Community Health Models] Project leadership, East Lansing (Sept., 1994).

"Just Caring: Health Reform, Health Care Rationing and Perinatal Care," fall

conference for Perinatal Association, Sparrow Hospital, Lansing (Sept., 1994). "Just Caring: Rationing Expensive Life-Saving Medical Technology," lecture/

interactive computer workshop for community forum, sponsored by the Philosophy Dept., Central Michigan University, Mt. Pleasant (Oct., 1994).

"Physicians and Managed Care: Ethical Issues in Gatekeeping," pre-conference

workshop/ interactive computer demo for Society of Health and Human Values Annual Meeting, Pittsburgh PA (Oct., 1994).

"Just Caring: Health Reform, Health Rationing, and Rational Democratic

Deliberation," lecture for conference sponsored by Orange County Bioethics Network, Orange County CA (Oct., 1994).

"DNR in the OR: Ethical Issues," lecture for Mt. Clemens General Hospital Ethics Committee, Mt. Clemens MI (Oct. 1994). I meet with this committee 8-10 times per year to assist with policy development/ education.

"Just Caring: Health Reform and Health Care Rationing," workshop/ lecture for

the annual conference of the Michigan Association of Nurse Executives/ Council of Nurse

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Managers, Traverse City MI (Oct., 1994). "Just Caring: Ethical Issues in Dementia Care," for Community Outreach

Education Project, Alpena MI (Oct., 1994). "Ethical Issues Regarding AIDS: An Update," lecture, Michigan Hospital

Association, East Lansing (Oct., 1994).

"Just Caring: Health Reform and Health Care Rationing," lecture/ interactive workshop for Michigan State Chamber Foundation Leadership Michigan Class, Ann Arbor MI (Oct., 1994).

Cardio-Thoracic Institute Program: Board Planning Meeting, use of interactive

computer technology to facilitate decisionmaking, University Club, East Lansing (Oct., 1994).

"Client Values Assessment," lecture/ workshop/ case discussion for Statewide

Care Management Conference, Office of Aging, Traverse City (Nov., 1994). Thieves' Market Case Conference, interactive computer approach to case

analysis, St. Joseph Mercy Hospital, Ann Arbor (Nov., 1994). "Just Caring: Ethical Dimensions of Health Reform," lecture/ interactive

computer workshop, Michigan League for Nurses, Bay City (Nov., 1994). "Ethical Issues in Health Reform: Community Relevance," presentation for

planning meeting of Muskegon County Kellogg Foundation CCHM project board (Nov., 1994).

"Contemporary Ethical Issues in Medicine," half-hour TV panel for Lansing

Community College TV program IN FOCUS (Dec., 1994). "Just Caring: Health Reform, Health Rationing, and Self-Inflicted Health Problems," lecture/

interactive computer workshop for annual meeting of National Council on Alcoholism and Drug Dependence, Lansing (Dec., 1994).

"Ethical Issues in Managed Care: The Virtuous Physician, The Virtuous Organization," two day-

long workshops for the MetroMed Group of the Henry Ford Health Care System, Detroit (Dec., 1994).

"Just Health Care Cost Containment: Qualitative Perspectives on Health Care

Policy Analysis," workshop presentation for Osteopathic Medicine Policy Analysis Conference for Physicians, East Lansing (Dec., 1994).

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"Just Caring: Health Care Rationing," presentation to national conference of American Association of Nurse Anesthetists in Denver (Colorado), August, 1992. "Just Caring: An Informed Democratic Decisionmaking Approach to Health Care Rationing," faculty seminar at the Center for Ethics, University of Oslo (Norway), Aug. 25- Sept. 6,

1992. This presentation was part of a ten-day consultation with faculty and staff at the University of Oslo.

"Access to Health Care: The Moral Issues," presentation to meeting of the Michigan Association of Public Health Professionals, East Lansing (Sept.,1992). "Ethical Considerations in Long Term Care," workshop for conference sponsored by Michigan Non-

Profit Homes Association in Grand Rapids (Sept., 1992). "Just Caring: Health Care Rationing and Public Policy," public lecture as part of series on health care ethics sponsored by Albion College (Sept., 1992). "Just Caring: Physicians and Health Care Rationing," grand rounds presentation for Michigan Health

Center in Detroit (Sept., 1992). "Advance Directives: Why They are Morally and Practically Important," presentation at annual

conference of Michigan Kidney Foundation in Dearborn (Oct., 1992). "Medical Futility: The Moral Issues," grand rounds presentation for McLaren General Hospital in

Flint (Dec., 1992). "National Health Insurance: Implications for MSU," lecture in series sponsored by the College of

Arts and Letters (Feb., 1993). "Ethical Issues in Pain Management," McLaren General Hospital in Flint (March, 1993). "Just Caring: Justice, Health Care Rationing, and the Terminally Ill," physicians conference sponsored by the Michigan Health Center in Detroit (March, 1993). "Just Caring: Health Care Rationing and Health Reform," nursing forum sponsored by Beaumont

Hospital in Troy (April, 1993). "Just Caring: Health Care Rationing and the Elderly," noon conference sponsored by College of

Medicine, Wayne State University (March, 1993). "Just Caring: Conflicting Rights, Uncertain Responsibilities." During academic year 1992-93 we

continued doing the four-hour workshop for community leaders at a large number of communities around Michigan. Each of these workshops involved our interactive computer demonstration using case scenarios and policy scenarios to explore some of the moral issues raised by health care rationing. This was all done under the auspices of the AULEG grant.

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Below is a list of the communities in which the program was done during this period: Adrian, MI (Oct., 1992); Port Huron, MI. (Nov., 1992); Michigan Medicaid Program staff (Nov., 1992); annual meeting of the Association of Lutheran Ministers in Chicago (Nov., 1992); Wayne County (Inkster) (Nov.,1992); Farmington Hills (Nov., 1992); University of Detroit-Mercy (Dec., 1992); Mt. Clemens (Dec., 1992); Henry Ford Health Systems Annual Directors Meeting in Dearborn (Nov., 1992); MSU Retirees Club in East Lansing (Jan., 1993); Michigan Department of Public Health Annual Conference in Dearborn (Feb., 1993); Kalamazoo (Feb., 1993); Cottage Hospital medical staff in Grosse Point (March, 1993); Holland, MI. (March, 1993); Henry Ford Hospital management and staff in Detroit (April, 1993); Sparrow Hospital Auxiliary Conference (April, 1993); Saginaw (April, 1993); Alpena (June, 1993); Lansing (June, 1993); Cadillac (June, 1993; Grayling (June, 1993); Alma College Summer Program for Gifted High School Students (June, 1993); Michigan Public Health Professionals Annual Conference in Ann Arbor (June, 1993); Intensive Summer Workshop in Health Care Ethics in East Lansing and sponsored by MERN (July, 1993).

"Just Caring: Health Care Rationing and Health reform," lecture to MSUpre-med students and their

parents (April, 1993). "Ethical Issues in Obstetrics and Gynecology: Maternal/Fetal Conflicts," lecture for Ob/Gyn residents in southeast Michigan (May, 1993). "Just Caring: Rationing, Health Care Justice, and Health Reform," lecture at annual meeting of

Alliance for Health in Grand Rapids (May, 1993). "Just Caring: Health Reform for the 1990s," for Michigan Farm Bureau conference in Lansing (June,

1993). "Just Caring: Health Reform and the Future," conference sponsored by Michigan Services for the

Aged in Lansing (July, 1993). "Ethical and Legal Considerations in the Post-Cruzan Era," for the Michigan Non-Profit Homes

Association in Lansing (March, 1991). "Preparing for the Patient Self-Determination Act: Moral and Legal Issues," for the Michigan

Hospital Association, in Grand Rapids and in Novi (March, 1991). "Just Caring: Justice, Resource Allocation, and the Terminally Ill," "Choice or Chance: Responsible Decisionmaking at the End of Life," a grand rounds presentation and a

workshop for health and social service professionals at Munson Medical Center in Traverse City (March, 1991).

"Justice, Health Care Rationing, and the Oregon Plan," keynote address for conference of the Michigan Home Health Association in Grand Rapids (February, 1991). I also

directed a workshop at this conference for the social workers in home health care. The

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workshop was organized around a number of cases they generated from their experience, which they found morally problematic.

"Choosing Death: The Cruzan Decision and Beyond," Grand Rounds for Medicine at St.Lawrence in

Lansing (Dec., 1990). "Just Health Care Financing: Should Doctors Support National Health Insurance?" noon conference

at Hurley Medical Center in Flint (Jan., 1991). "Just Caring: Rationing Health Care Fairly," grand rounds presentation for OB/GYN Department at the University of Michigan Medical Center in Ann Arbor (March, 1991). "Electric Anti-Ethics: Computers and Confidentiality in Health Care," presentation at statewide

conference for medical records professionals in Southfield, Michigan (March, 1991). Pediatric Noon Conference at Hurley Medical Center in Flint, Michigan (March, 1991). "Medico-Moral Problems for the 1990s: Challenges and Choices," noon conference at Mercy Memorial Hospital in St. Joseph, Michigan (April, 1991). "Just Health Care Financing: Should the Elderly Vote for National Health Insurance over Medicare?" presentation for the fourth annual geriatrics conference sponsored by Aquinas

College in Grand Rapids, Michigan (April, 1991). "Living Wills and Responsible Decisionmaking Regarding the Right to Die," lecture for the Kaleidescope program at Michigan State University, "A Day for Women" (April, 1991). "What Kind of Life?: Critical Commentary," session of the North American Society for Social Philosophy which I chaired at the Central Division meeting of the American Philosophical Association in Chicago (April, 1991). This session was a critical discussion of Daniel

Callahan's recent book What Kind of Life: The Limits of Medical Progress. "Terminal Care Choices: Who Should Decide?" public lecture sponsored by Battle Creek Health

Care Systems and Kellogg Community College at Kellogg Community College in Battle Creek, Michigan (May, 1991).

"HIV-Infected Health Professionals: Do Patients Have a Right to Know," presentation at MERN

Annual meeting in Lansing, Michigan (May, 1991). I did a second workshop at this annual meeting titled "Rationing Health Care: The Challenge to Hospital Ethics Committees."

"Withdrawing and Withholding Life-Sustaining Care: The Moral Issues," for noon nursing conference at Hayes/Beach Hospital in Charlotte, Michigan (May, 1991). "Hospital Ethics Committees: Pros and Cons," noon conference for Coldwater Medical Center in

Coldwater, Michigan (May, 1991).

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"Ethical Issues in Head Trauma cases," presentation for neurology conference at Sparrow Hospital

(May, 1991). This conference was sponsored by the College of Nursing at Michigan State. "Responsible Decisionmaking at the End of Life," Grand Rounds presentation for the medical staff at Gratiot Community Hospital in Alma, Michigan (May, 1991). I did a version

of this presentation as a public lecture. I did a case conference with their ethics committee at noon, and I did a workshop on moral issues related to death and dying for their nursing staff and ancillary health professionals.

"Decisionmaking for Incompetent Patients," COGMET Educational program at the Kellogg Center

(May, 1991). Consultation with ethics committee at Henry Ford Hospital to discuss ethics of experimental clinical investigations with near dead/ certain to die patients (May, 1991). "Ethical Issues in Genetic Counseling," presentation for class at Lansing Community College (May, 1991). "Universal Health Care: Options and Objectives," presentation for citizens committee at Rep. David Hollister's office in Lansing (June, 1991). "Just Health Care Rationing: The Oregon Plan," presentation at annual conference sponsored by the

Michigan Kidney Foundation in Livonia, Michigan (June, 1991). "Ethical Implications of Health Care Allocation and Rationing," for the Region V conference of the

Hemophilia Foundation in Toledo, Ohio (June, 1991). "Ethical Issues in the Use of Lab Animals for Medical Research," lecture for college students visiting College of Veterinary Medicine at Michigan State University. (June, 1991) "Just Health Care Financing: the Moral Issues," lecture for College Week Program at Michigan State

University (June, 1991 and 1992). "Assessing Competence and Health Care Decisionmaking: Moral and Conceptual Issues," two workshops for annual conference of the Michigan Guardianship Association in Dearborn,

Michigan (June, 1991). "Justice and Health Care Rationing: Challenges for Hospital Ethics Committees," presentation for

hospital ethics committee at Sparrow Hospital (July, 1991). "Financial Incentives for Tissue/Organ Donation: A Moral Assessment," presentation for conference

sponsored by Michigan Tissue Bank and Sparrow Hospital in Lansing (July, 1991).

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"Justice and Health Care Rationing," Medicine Grand Rounds presentation at St. Lawrence Hospital in Lansing (June, 1991). "Ethical Dimensions of Decisionmaking About Life-Sustaining Treatment," lecture for noon conference of the Michigan Health Center in Detroit (July, 1991). MERN INTENSIVE SUMMER ETHICS CONFERENCE. I was responsible for most of the organizational work associated with this conference. In addition, I directed one of the four

small groups throughout the conference; and I did lectures on confidentiality, justice and health care rationing, ethical issues in the NICU, and the role of hospital ethics committees in community ethics education.

"Health Care Advertizing: A Moral Assessment (and warning to paytients)," lecture at Michigan

College of Cardiology conference in Shanty Creek (August, 1991). Pediatric noon conference at Sparrow Hospital on ethical issues in the NICU: the near anencephalic infant (August, 1991). "Growth Hormone: Ethical Issues," presentation for Pediatrics Annual Conference in Grand Rapids (September, 1991). "Just Caring: The Tyranny of Technological Imperatives," lecture for Western Michigan Gerontological Society in Grand Rapids (September, 1991). "Financing Health Care Justly," lecture in community education program sponsored by the United Methodist Church in Williamston (September, 1991). "Just Health Care Rationing: Public Policy Alternatives," lecture for medical and nursing staff at

Botsford General Hospital in Farmington Hills (September, 1991). "Choice or Chance: The Moral Importance of Advance Directives," lecture for social work directors in Michigan hospitals at Michigan Hospital Association (september, 1991). "Just Caring: Justice, Health Care, and the Good Society," grand rounds at St. Joseph Medical

Center in South Bend, Indiana (October, 1991). "Just Caring: Is Age-Based Rationing Morally Justifiable?" lecture for regional nursing conference

sponsored by Beaumont Hospital in Royal Oak, Michigan (October, 1991). "Withdrawing Life-Sustaining Care in the Case of Incompetent Patients," case consult/lecture for

hospital ethics committee of Traverse City Community Hospital. In the evening of that same day I did a public lecture "Understanding the Patient Self-Determination Act: The Moral Issues," that was sponsored by Munson Medical Center (October, 1991).

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"Limits to Medical Care: Who Will Decide?" community conference sponsored by a number of groups in Ann Arbor at The Power Center (October, 1991).

"Rationing Health Care: The Challenge to Hospitals," lecture for conference for health professionals sponsored by Metropolitan Hospital in Grand Rapids (Nov., 1991). At this

same conference I was a panelist for a discussion of advance directives and the patient self-determination act.

"Assisted Suicide: The Moral Issues," radio interview and discussion for WKAR noon program. "The Patient Self-Determination Act: Ethical and Legal Implications," noon conference at St. Lawrence Hospital in Lansing (November, 1991). "Emerging Ethical Issues in Health Care for the 1990s," adult temple education program in Grand Rapids (November, 1991). "Just Caring: Conflicting Rights, Uncertain Responsibilities," for the League of Women Voters in

Lansing at Plymouth Congregational Church (November, 1991). "Should There be Mandatory Testing for HIV-Infected Health Care Workers?" noon conference at

Hurley Medical Center in Flint (November, 1991). "Ethical Issues Regarding the Care of Chronically Ill Children," for pediatric noon conference at

MSU Clinical Center (December, 1991). "Just Caring: Conflicting Rights, Uncertain Responsibilities." This was the conference at the Kellogg Center that launched the "Just Caring" project. I was responsible for organizing

this conference and developing the resource materials for the conference. "Just Caring: The Oregon Plan," and "Just Caring: Fair Access to Experimental Medicine," and "Just

Caring: Financing Health Care for the Uninsured," and "Just Caring: The Severely Impaired Newborn," a series of four community workshops for First Presbyterian Church in Lansing (January, 1992).

"AIDS: The Moral Issues for Health Care Professionals," lecture at conference sponsored by the

Hospice of Jackson in Jackson, Michigan (January, 1992). "HIV-Testing: The Moral Issues," for class in Medical Technology Program at Michigan State University (January, 1992). "Who Lives? Who Dies? Who Pays? Financing Health Care Justly," for Council on Aging in

Owosso, Michigan (January, 1992). "Just Health Care Rationing: The Invisibility Issue" invited lecture for class at Cooley School of Law

(March, 1992).

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"Just Health Care Allocation and the Good Society," for Interfaith Health Care Conference, First Presbyterian Church (March, 1992). "Justice, Health Financing, and Health Care Rationing," lecture for International Health Council

(MSU) (March, 1992). "Choice or Chance: Managing Death and Dying in the 1990s," noon lecture for Lansing Rotary

(March, 1992). "Advance Directives: Moral Foundations," lecture for conference at Kellogg Center of American

Public Health Educators (April, 1992). "Getting Started with an Institutional Ethics Committee: Problems and Pitfalls," workshop presentation for MERN Annual Meeting in Ann Arbor (April, 1992). "Ethical Issues in Dialysis and Transplantation," workshop presentation for conference sponsored by

National Kidney Foundation of Michigan at Marquette General Hospital (April, 1992). "National Health Insurance: How Just Must We Be?" Philosophy Department colloquium (MSU) (April, 1992). "Just Caring: Justice, Health Care, and the Good Society," grand rounds presentation at Howard

University School of Medicine in Washington, D.C. (April, 1992). "Just Health Care Financing: Alternative Approaches to National Health Insurance," lecture for

conference of health care executives and hospital trustees sponsored by Ernst and Young in Grand Rapids (April, 1992).

"Advance Directives: The Moral Issues," for conference at Aquinas College in Grand Rapids (May, 1992). "Just Caring: Conflicting Rights, Uncertain Responsibilities," first of the regional "Just Caring"

conferences (May, 1992). "National Health Insurance Proposals: A Critical Appraisal," for AARP policy committee in Lansing (May, 1992). "Just Health Care Financing: The Role of Future Physicians," for the Pre-Med Society at MSU

(May, 1992). "Just Health Care Rationing," for conference sponsored by St. Luke's Hospital in Saginaw (June, 1992).

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"Choice or Chance: The Moral Importance of Advance Directives," for the Lansing Lion's Club (June, 1992). "Fetal Tissue Transplantation: The Ethical Issues," for spring lecture series on medical ethics sponsored by Eastern Michigan university (June, 1992). "Just Health Care Policies," lecture for medical ethics mini- course for College Week at MSU (June, 1992). "Hospital Ethics Committees: Initial Organizational Concerns," for ethics committee of Mt. Clemens General Hospital (June, 1992). "Health Care, Justice, the Poor, and the Uninsured" for conference sponsored by Tri-County Office on Aging in Lansing (July, 1990). "Problem-Solving in Medical Ethics," lecture for College of Osteopathic Medicine Intern Program

(August, 1990). "The Oregon Medicaid Plan: A Moral Assessment," lecture for Michigan Legal Services conference

in Lansing (August, 1990). Noon ethics case conferences for Medical staff in Obstetrics/ Gynecology at Sparrow Hospital (August, September, October, November, December of 1990). "Justice and Health Care Policies for the 1990s" for conference titled "Building a Health Care System for All Americans," sponsored by AARP, Michigan Gerontology Society, and a

dozen other organizations at the Kellogg Center (August, 1990). "Medical Ethics for the 90's: An Intensive Skill Building Workshop" week-long workshop at Shanty

Creek Resort (August 18-24, 1990) for health professionals interested in medical ethics. I put together the reading packet for the workshop and did the following lectures: "Confidentiality: Neither Trite Nor Trivial"; "Just Health Care: The Nexus of Public Policy and Institutional Policy"; "Ethical Issues in the NICU"; "Is Surrogate Motherhood the Moral Equivalent of Selling Babies?" I also led one of the small groups and designed some of the small group exercises.

Pediatrics noon case conference at Hurley Medical Center in Flint (August, 1990); (November, 1990). "Ethical Issues in Home Health Care," for conference for social service professionals in the Upper Peninsula. Conference held at Drummond Island (September, 1990). "How Do We Finance Health Care Justly?" lecture in series sponsored by the Okemos Community Methodist church (September, 1990).

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"Ethical Issues in Health Care for the 1990s: Emerging Challenges and Choices," lecture for Hospital Auxiliary of Battle Creek Health Care System (September, 1990). "Just Caring: Justice, Health Care and the Good Society," keynote address for conference on justice and health care policy, sponsored by the University of Arkansas Health Science

Center Medical Humanities Program (and several other organizations) in Little Rock, AK (September, 1990).

Congressional Hearing of House Committee on Aging, chaired by congressman Dennis Hertel and

David Bonior at Macomb Community College. I was asked to address issues of justice connected with long term care, and I submitted my testimony on videotape. (September, 1990).

Quarterly Health Policy Forum, sponsored by Michigan State University, served as panelist to

discuss "The Oregon Basic Health Services Program" at the Kellogg Center (Sept., 1990). "Justice, Terminal Illness, and Health Care Policy," lecture for the Greater Detroit Area Health

Council "Coffee and Controversy" series (Sept., 1990). "Just Health Care Policies for the 1990s" lecture for United Community Services of Greater Detroit (October, 1990). This same lecture was also given at a conference sponsored by the

Michigan League for Human Services at the Kellogg Center later in October. "The Pros and Cons of Mandatory Pre-Operative Testing," grand rounds presentation for St. Lawrence Hospital in Lansing (October, 1990). "Just Caring: Justice Health Care and the Good Society," lecture given at conference sponsored by

the Michigan Gerontology Society at the Kellogg Center (October, 1990). A version of this lecture was also given at the annual conference of the Council of Michigan Foundation "Dynamic Grant-Making for the 1990s" in Lansing (November, 1990).

"Life-Sustaining Treatments: Ethical Issues for Nursing," workshop session for conference sponsored by the Michigan Organization of Nurse Executives in Lansing (Oct. 1990). "Case Conference: Withdrawing/Withholding Futile Therapy for Incompetent Patient Against

Family Wishes," for the ethics committee at Henry Ford Hospital in Detroit (October, 1990). "Withdrawing and Withholding Life-Sustaining Treatment: The Moral Issues," for continuing

medical education conference at Mercy Memorial Hospital (Monroe, MI.) (Nov., 1990). "Ethical Issues in Caring for Chronically Ill Children," workshop session for conference "Partners in

Care" sponsored by Department of Pediatrics and Human Development at MSU, Kellogg Center (November, 1990). This was in cooperation with a dozen other social/health organizations meeting the needs of chronically ill children.

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"Moral Issues in the Care of AIDS Patients," for the 15th regional congress of the International College of Surgeons at North Detroit General Hospital (August, 1989)

"Emerging Ethical Issues and the Care of the Elderly in the 1990s" lecture at annual meeting of

Michigan Non-Profit Homes in Grand Rapids (9/27/89) "Moral Twilight Zones: Emerging Moral Dilemmas for Hospital Administrators," lecture to Western Michigan Hospital Trustees in Grand Rapids (11/2/89) Broadcast discussion on WKAR radio on the topic of national health insurance with Dr. Robert

Paxton of the Michigan State Medical Society (11/16/89) Managing Medicaid for the 1990s: Balancing Equity and Efficiency. This was a series of seven seminars for the managers and administrators of Michigan Medicaid Program funded by a

grant from the Medical Services Administration. (June/Sept. 1989). "Medicaid Cost Containment: Balancing Equity and Efficiency" "Medicaid Managed Care: Adjusting Autonomy for the Sake of Equity and Efficiency" "Medicaid Cost Containment

Through Utilization Review: Balancing Cost and Quality" "Medicaid Cost Containment Through Competitive Hospital Bidding: Protecting Access and Quality: Medicaid Cost Containment and Equity: Universal Health Coverage Options" "Medicaid Cost Containment and Equity: Alternative Methods for Physician Reimbursement" "Medicaid Cost Containment and Equity: Alternative Approaches to Financing and Delivering Long Term Care"

"Justice and Health Care Rationing: Moral and Public Policy Issues," lecture to Chamber of

Commerce leadership group at Blodgett Hospital in Grand Rapids (1/18/90) "Ethical Issues in Long Term Care," lecture to Area Agency on Aging program administrators in

Gaylord at annual state conference (2/6/90) "Withdrawing Life-Sustaining Care: The Moral Issues" noon conference for the medical staff at

Munson Medical Center (3/16/90) and keynote address for professional conference "Live or Let Die: Tough Choices for the Nineties" sponsored by Munson Medical Center (3/17/90). Also did evening public lecture "What Kind of Life? What Kind of Death? Choosing Just Policies for Assuring Access to Appropriate Health Care for the Elderly."

"Justice and Health Care Policy in the United States," lecture to Coalition for Access to Health Care in Lansing (3/29/90) "Age-Rationing, Justice, and Health Care for the Elderly," lecture at conference sponsored by Grand

Rapids Area Agency on Aging (3/30/90) "The New Reproductive Technologies: Ethical and Social Policy Issues," grand rounds presentation for ob/gyn department at Beaumont Hospital (4/5/90)

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"Mandatory AIDS Testing for Preoperative Patients," panel presentation at Annual MERN meeting in Flint (5/6/90) "Ethical Issues in Long Term Care," workshop presentation at annual MERN meeting in Flint (5/6/90) Interview for Channel 10 television [WILX] on ethical issues in the neonatal intensive care unit (4/11/90) "Pricing Human Life: Health Care Policy Issues for the 1990s," lecture for the staff of the law firm of Smith, Haughey, Rice, Roegge in Grand Rapids (4/11/90) Interview for WKAR-TV on national health insurance for program "Michigan at Risk: Crisis in

Health Care" (4/19/90) "AIDS and Ethics: Do Health Professionals Have a Moral Right to Refuse Care to HIV-Infected

Patients?" presentation at AIDS conference sponsored by Jackson Community College (5/4/90)

"Ethical Issues in Withholding and Withdrawing Life-Sustaining Treatment," keynote presentation

at community conference "Understanding Choices in Life and Death" in Battle Creek sponsored by Battle Creek Health System (5/10/90)

"Justice and Health Care Cost Containment for the Poor: The Oregon Plan," lecture to Senior

Legislative Group in Representative Hollister's office (6/4/90) "Ethical Problems in Home Health Care," workshop for conference sponsored by Michigan Area Agencies on Aging in Muskegon (6/7/90) "Forced Genetic Manipulation: A Moral and Public Policy Perspective," workshop presentation at conference "The Future and the Courts" sponsored by the American

Judicature Society in San Antonio (May, 1990). "Ethical Issues in Withholding and Withdrawing Life-Sustaining Treatment," keynote presentation at community conference "Understanding Choices in Life and Death" in Battle

Creek (May, 1990). "Critical Issues in Medical Ethics: Withdrawing Life-Sustaining Treatment" workshop presentation at annual conference of the Michigan Medical Records Association in Detroit

(May, 1990). "AIDS and Ethics: Do Health Professionals Have a Moral Right to Refuse Care to HIV-Infected

Patients?" presentation at AIDS conference sponsored by Jackson Community College (May, 1990).

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"Ethical Issues in Long Term Care, "workshop presentation for MERN annual meeting in Flint

(April, 1990). "The Responsible Hospital Trustee: Escaping from Moral Twilight Zones," presentation in Grand Rapids to Western Michigan Hospital Association (Hospital trustees and CEOs). " The Adolescent Patient and Issues of Confidentiality," presentation to the Pediatric Journal Club (residents and attendings) of Hurley Hospital in Flint (October, 1989). Debate on WKAR radio [Lansing] on the ethics of rationing and national health insurance, with the president of the Michigan State Medical Society, Dr. Paxton, in November of 1989. "Justice, Health Care, and the Poor: Policy Options," workshop for the Michigan State Medical

Society annual scientific meetings in Dearborn, November of 1989. "Valuing Human Life: Critical Moral Issues in Medical Ethics," a series of three lectures for the

adult education program of First Presbyterian Church [Lansing] in September of 1989. Topics included withdrawing/withholding life-sustaining treatment; justice and health care for the poor; justice and the distribution of expensive life-sustaining technology.

"Problem-Solving in Medical Ethics" lecture to the internal medicine residents at Hurley Hospital in

Flint (Sept., 1989). "HIV Testing: The Ethical Issues" lecture at conference for the National Health Service Corps sponsored by MSU at Shanty Creek (August, 1989). "Ethical Issues in the NICU: Who Should Decide?" lecture and case discussion for the pediatric

residents at Hurley Medical Center in Flint (August, 1989). "Ethics, AIDS, and the Good Doctor" presentation at a conference sponsored by North Detroit General Hospital (August, 1989). "Medical Decisionmaking for the Incompetent Person: Ethical Issues," presentation at a conference

for Michigan Hospital Attorneys in Farmington Hills (June, 1989). "Maternal-Fetal Conflicts: The Moral Issues," noon conference at Hurley Medical Center (May,

1989). "Terminating Life-Sustaining Treatment: Good Communication and Good Ethics," grand rounds

presentation at Hurley Medical Center (June, 1989). "Withdrawing Artificial Feeding and Hydration: A Moral Assessment," and DRGs and ICUs: Ethical Issues in Resource Allocation," presentations at a conference "Ethical Issues in

Nursing" sponsored by Gratiot Community Hospital (May, 1989).

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"Justice and Health Care for the Elderly," talk given to group of hospital social workers and home care nurses, St. Lawrence Hospital (May, 1989). "Just Caring: Physicians, Cost Containment, and Institutional Survival," workshop presentation at

MERN Annual meeting at St. Mary's Hospital in Grand Rapids (April, 1989). "The Allocation of Resources: Should Ethics Committees Have a Role?" panel member discussing

this topic at MERN Annual meeting in Grand Rapids (April, 1989). "AIDS and Confidentiality: A Moral Assessment," presentation at conference "HIV-Sero- Positive:

A Matter of Disclosure?" sponsored by Saginaw Cooperative Hospitals Inc., at St. Luke's Hospital in Saginaw (March, 1989).

"AIDS and the Duty to Treat: A Clinical and Social/Economic Perspective," noon conference for the

residents and staff of the Pulmonary Program at Wayne State University School of Medicine (March, 1989).

"Justice, Age Rationing and the Health Care Needs of the Elderly," lecture sponsored by the Western Michigan Area Agency on Aging in Grand Rapids (March, 1989). "Is the U.S. Health Care System Just," lecture for group of medical students in noon conference

series at MSU (March, '89). "Justice and the Rationing of Health Care by Age," lecture to community group Young and Old

United in East Lansing (Feb., 1989). “Ethical Issues in the Care of the Elderly: Nurturing Autonomy," and "Justice and Health Resource

Allocation for the Elderly," lectures given as part of the national teleconference "Ethical Issues Along the Continuum of Care" sponsored by Lansing Community College [as one local site] (Feb., 1989).

"Limits on Treatment: When Staff and Family Disagree," ethics grand rounds at Ingham County

Care facility (Jan., 1989). "Active Euthanasia: A Moral Assessment," noon conference for internal medicine residents at

Hurley Memorial Hospital in Flint, Michigan (September, 1988). "Withdrawing Food and Fluids from the Terminally Ill: Moral Issues," for a program sponsored by

the Hospice of Jackson, (September, 1988). "The Second Wave of the Bioethics Revolution: Justice," presentation to the staff of the Robert

Wood Johnson Foundation as a visiting consultant (August, 1988).

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"Justice and the Future of Health Care Policy," a series of seven seminars for the policy and management group of the Michigan Medicaid Program. I served as the director for this

project, developed the reading materials for each of the seven seminars, wrote the leader's guides, and conducted the seminars with my colleagues in Medical Humanities (May and June, 1988). This project was funded by a grant from the Michigan Department of Social Services.

"Just Caring: The Good Doctor---Health Care Cost Containment, Institutional Survival and the

Physician's Moral Responsibilities Toward Patients," noon conference for medical and nursing staff of St. Lawrence Hospital in Lansing (June, 1988).

"Just Health Care Quality: The Medicaid Program," presentation to the National Association of

S/URS Officials [Medicaid Utilization Review] in Dearborn, Michigan (June, 1988). "Codes of Ethics for Hospital Administrators: Analysis and Critique," for conference "Ethics in

Health Management" sponsored by The Ethics Institute of Mercy College at Mercy Health Center in Farmington Hills (June, 1988).

AIDS: Ethical Issues in the Care of Street Cases," at a conference for Policemen, Firemen, and EMTs, sponsored by the University of Michigan in Southfield, Michigan (June, 1988). "Assessing Social Service Needs in Elkhart County: 1988." This was a series of ten workshops I

designed and directed for purposes of identifying and prioritizing social service needs in Elkhart County for the United Way there. I was hired as a consultant by the School of Public and Environmental Affairs of Indiana University at South Bend to direct this project, which resulted in a 110-page final report and recommendations (April through July, 1988).

"Maternal-Fetal Conflicts: The Moral Issues," conference sponsored by Michigan obstetricians, gynecologists and pediatricians at Gull Lake (May, 1988). "Models of Successful Ethics Education in the Community," at the annual meeting of the Michigan

Catholic Hospital Association Meeting in Lansing (May, 1988). "AIDS and the Surgeon: Moral Obligations and Moral Leadership," at the annual meeting of the

Michigan chapter of the American College of Surgeons in Novi, Michigan (May, 1988). "AIDS, Hospital Screening, and Informed Consent: The Moral Issues," at the annual meeting of the

Medical Ethics Resource Network of Michigan in Livonia, Michigan (April, 1988). "AIDS and the Moral Importance of Confidentiality," noon conference for internal medicine residents at Hurley Medical Center in Flint (March, 1988). "Ethics at the Intersections of Perinatal Practice," at the Michigan State Medical Society Conference on Maternal and Perinatal Health in Grand Rapids (March, 1988).

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"Are Nurses Morally Obligated to Care for AIDS Patients?" at a regional meeting of the Michigan Nurses Association in Kalamazoo (March, 1988).

"Justice, Health Care Rationing, and the Good Doctor," at noon conference for physicians at nurses at St. Francis Hospital in Escanaba (March, 1988). "Justice, DRGs, and the Invisible Rationing of Health Care Resources," for a conference on justice and health care policy at Hope College in Holland, Michigan (March, 1988). "Good Doctors: Conscientious Conservators of Society's Resources or Uncompromised Advocates

of Patient's Best Interests," Internal Medicine Noon Conference, Hurley Medical Center, Flint, MI (September 1987).

"CPR/DNR: Moral Issues in Withholding and Withdrawing Life-Sustaining Treatments," noon-

hour case conference for family care residents at Detroit Receiving Hospital for Medical School of Wayne State University, (November, 1987).

"Ethical Issues in the Treatment of AIDS Patients," Michigan Heart and Lung Association, Grand Rapids, MI (September, 1987). Versions of this lecture were also given to the

Michigan League of Nurses in Dearborn (October, 1987) and in Kalamazoo (November, 1987); also the medical and nursing staff of Heritage Hospital in Taylor, Michigan (October, 1987); also the students and faculty of the College of Nursing at Madonna College in Livonia, Michigan (November, 1987); also as a Grand Rounds presentation to the medical and nursing staff of Oakwood Hospital in Dearborn, Michigan (December, 1987); also to the nurses at Ingham Medical Center in Lansing, Michigan (December, 1987).

"Definitions of Euthanasia: International Viewpoints," for the Third Annual Symposium of International Hospice Institute, Granby, CO (August, 1987). "Justice and Health Care Rationing: How Extensive a Right to Health Care Resources Do Drug

Addicts Have?" Wayne State University School of Medicine Alumni Association, Detroit, MI (May, 1987).

"Just Caring: Challenges for the '90s," public lecture in Goshen, IN (May, 1987). "Surrogate Mothers: Moral and Public Policy Issues," Annual Retreat of Michigan Pediatricians

and Obstetrician/Gynecologists, Battle Creek, MI (May, 1987). "Ethical Issues in the Treatment of Cancer," Annual Clergy Conference at Sparrow Hospital, Lansing, MI (April, 1987). "Organ Procurement Policies: Moral Issues," at the Fifteenth Conference on Ethics, Humanism and

Medicine, University of Michigan Medical Center, Ann Arbor, MI (March, 1987).

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"DRGs: Moral Dilemmas and Local Solutions," workshop presentation for the Annual Meeting of the Department of Adult Services, Flint, MI (November, 1986).

"Ethical Issues in Neonatal Intensive Care," workshop presentation for the Annual Meeting of the

Michigan State Medical Society, Dearborn, MI (November, 1986). “Justice, Health Care Rationing, and the Good Doctor: Conflicting Moral Commitments,” presentation to the Public Affairs Leadership Conference of the Michigan State Medical

Society, Lansing, MI (October, 1986). "Baby Does and Baby Don'ts: Ethical Issues in NICU," Moses Cooperstock Memorial Lecture,

Annual Perinatal Conference, Marquette General Hospital, Marquette, MI (September, 1986).

"Justice, Health Care Cost Containment, and the Good Society," workshop presentation at the

Central States Regional Conference of the American Public Welfare Association, Flint, MI (August, 1986).

"Ethical Issues in Nursing Home Care: Withdrawing Tube Feeding," presentation to the staff of the

Ingham County Extended Care Facility, Okemos, MI (August, 1986). "Health Care Dollars and Sense (Common and Uncommon)," presentation at the Annual Meeting of

GLS Health Systems, Flint, MI (June, 1986). "Emerging Ethical Issues in Hospice Care," presentation to the ethics committee of the Hospice of

Grand Rapids, MI (May, 1986). "Rationing Health Care Resources: Moral Dilemmas for Physician," Grand Rounds presentation at Hurley Medical Center in Flint, MI (January, 1986). A similar presentation

was given to the Clinton Memorial Hospital medical staff in St. Johns, MI in May 1986. "Ethical Issues in Rationing Health Care Resources," for the conference Life, Death, and the Dollar Sign, for conference sponsored by Midland Hospital Center, Midland, MI (April,

1986). "Justice, Health Care Cost Containment, and HMO's" presentation to meeting of HMO directors of

Michigan, Lansing, MI (March, 1986). "Ethical Issues in Public Health," panel presentation at Michigan Department of Public Health

Conference, Flint, MI (February, 1986). "The Physician as Gatekeeper," panel presentation at the Annual Meeting of Michigan State Medical Society (November, 1985).

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"The Value of Life: Implications for Medical Ethics and Health Care Policy," Grand Rounds presentation at Ingham Medical Center, Lansing (September, 1985). "Discount Dying: Health Care Cost Containment and Future Moral Dilemmas for the Health Care Professional," presentation to the Oncology Nurses Association of St. Joseph County

(May, 1985). "Medical Ethics in the '80s: Emerging Issues," presentation to the Clergy Association of St. Joseph County (April, 1985). "Death, Dialysis, and DNA: The Technological Subversion of Ethics and Politics," lecture given to Midwest Conference of Engineering Students at University of Notre Dame (March,

1985). "The Healing Arts as the Medical-Industrial Complex: Some Humanistic Reflections," presentation to the Indiana Committee for the Humanities at their annual planning conference

(October, 1984). "Moral Dilemmas for the '80s: Cost Containment and the Moral Responsibilities of the Physician to

Both Society and Patients," lecture given to second year medical students in Indiana University Medical School Program at Notre Dame (October, 1983). I gave a revised version of this lecture in 1984 to the new class of medical students. It was titled "Justice, Health Care Cost Containment, and the 'Good Doctor'."

"Confidentiality in Health Care: Moral Issues," a lecture given to the staff of St. Joseph's Hospital

in Mishawaka, IN (January, 1983). "Pricing Human Life: Moral Dilemmas for the Public Policymaker," a presentation at a conference

on medical ethics at Century Center sponsored by the Northern Indiana Health System Agency (October 31, 1982).

"Between Apathy and Anger: The Scylla and Charybdis of Neutral Conversation and Citizen

Participation," presentation for opening meeting of St. Joseph County League of Women Voters (September, 1982).

"The Economics and Politics of Health Care for the '80s," presentation for a group of about 30

nursing students at IUSB (August, 1982). "Two-tiered Health Care System May Limit Options of the Poor," a Michigana Point of View essay published in the South Bend Tribune (May 12, 1982). Television interview on financing community-based hospice programs, Bill Darwin Show,

WSJV-TV (June, 1982).

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"Organizing a Community-Based Hospice Program," part of a day-long workshop for about 40 health care professionals from Indiana and Michigan who are seriously exploring the possibility of starting their own hospice programs. The focus of this workshop was management, fund-raising, and organizational problems. I was speaking in my role as President of the Board of the Hospice of St. Joseph County (May, 1982).

"A Humanist's Perspective on Death and Dying," a presentation as part of a seminar on differing

religious perspectives on death and dying for a group of nurses at St. Joseph's Medical Center (April and May, 1982).

"Can we Zero-Out the Zero-Sum Society?" a presentation as part of a panel presentation on the new

federalism at NAHRO (Housing officials) Annual Conference in Elkhart, Indiana (April, 1982). The title of the conference was "Coping with '80s."

"Humanistic Perspectives on Death and Dying," a presentation for Hospice training program for 35

new volunteers (March, 1982). "Allocating Scarce Medical Resources: Ethical and Policy Issues," a presentation at the quarterly

meeting of the St. Joseph County Medical Society (February, 1982). Television interview on hospice care, Rod Johnson Show, WSBT-TV (January, 1982). "Ethical Issues in Contemporary Health Care Policy," a presentation for the Osteopathic Hospital

Management Forum Seminar (January, 1982). "Ethical Issues in the Neonatal Intensive Care Unit," a presentation at South Bend Library for

program sponsored by the Northern Indiana Health Systems Agency on ethical issues in patient decision-making (October, 1981).

"On the Nature of Hospice," a presentation to community volunteers as part of a hospice volunteer

training program (September, 1981). Television interview on hospice care, Maureen McFadden Show, WNDU, Channel 16 (August, 1981). Television interview on hospice care, Bill Darwin Show, WSJV-TV Channel 28 (July, 1981). "Hospice: Hope for the Dying," a presentation before the South Bend Rotary, Century Center (July, 1981). "Seeking an Agenda for the '80s," a presentation to the South Bend Lion's Club (July, 1981). Served on Mayor's task force on land use and zoning, headed by Rick Carey (June, 1981).

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"Humanistic Reflections on Death and Dying," a presentation that was part of Hospice training program for volunteers (May, 1981).

"Doing Better and Feeling Worse: Health Care Policy in the United States," a presentation to the

Elkhart League of Women Voters (April, 1981). "Seeking an Agenda for the '80s," a presentation to AFL-CIO CAP Council Meeting (April, 1981). Television interview on topic of health care policy in the United States, Bill Darwin Show, WSJV-TV (April, 1981). "Humanizing Death and Dying," a presentation to Delta, Kappa, Gamma at Goshen Hospital Auditorium (March, 1981). "Seeking an Agenda for the '80s," a presentation at the statewide Home Grown Humanities conference sponsored by the Indiana Committee for the Humanities in Indianapolis (March,

1981).

"The Meaning of Death from a Humanistic Perspective," a presentation as part of the training program for volunteers for the Hospice of St. Joseph County (November, 1980). "Corporate Takeovers: The Selling of the University 1980," a presentation to the Women's Club of Indiana University (October, 1980). "Affirmative Action and Reverse Discrimination: The Moral Issues," a presentation as part of the

second seminar in the "Images and Ideals" project (October, 1980). "Nuclear Energy: Some Ethical Issues," a presentation as part of the fourth seminar in the "Images and Ideals" project (October, 1980). "On the History and Philosophy of Hospice," a presentation in a training program for volunteers for

the Hospice of St. Joseph County (October, 1980). "Hospice as a Community of Care for the Dying" a presentation to the Progress Club of South Bend (October, 1980). "With Liberty and Justice for All? The Moral Dimensions of Public Policy for the '80s," a presentation as part of the orientation seminar in the project "Images and Ideals/Challenges

and Choices: Seeking an Agenda for the '80s" (September, 1980). I served as the chairman for a public hearing conducted at Indiana University-South Bend by the

President's Commission for a National Agenda for the '80s. This hearing served to launch our own community project "Images and Ideals/Challenges and Choices: Seeking an Agenda

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for the '80s." The members of the Commission were here for two days and I was responsible for organizing the hearing and planning their visit to various parts of South Bend (August, 1980).

I also served as a member of a national panel that was convened twice in Indianapolis by Professor

William May of Indiana University for purposes of planning a series of radio programs that would deal with issues in medical ethics (January and May, 1980).

I did the basic script for a half-hour videotape on "Value Clarification for Public Managers." The script consisted of a real world problem situation involving staff cut-backs that raised a

number of important value questions. I served also as an actor in producing that videotape. "Medical Ethics: Issues for the '80s," a presentation at the Annual Meeting of the St. Joseph County Medical Society (January, 1980). “Hospice as a Community Resource: A Philosophic Overview,” a presentation as part of the training program for staff and volunteers of the Hospice of St. Joseph County (January,

1980). "Philosophic Reflections on Death and Dying," a presentation as part of the training program for

staff and volunteers of the Hospice of St. Joseph County (January, 1980). "Abortion: A Moral Assessment," a presentation for the Mother's Club of the First Presbyterian Church (November, 1979). "MBO: A Critical Appraisal." a presentation as part of the project "Public Management for the

'80s," at Indiana University-South Bend (October, 1979). "The Second Genesis: Man's Re-creation of Man/The Moral Dimensions of Biological Engineering" a presentation to the Medicine and Religion Committee of the St. Joseph

County Medical Society (October, 1979). "Euthanasia: The Moral Issues" a presentation at Healthwin Hospital for a group of nurses there (October, 1979).

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RECENT CONSULTING RESPONSIBILITIES Site visit consulting to evaluate Bioethics and Humanities Department in the School of Medicine at the University of Washington, Seattle WA (May 2017).

Consulting with American College of Sports Medicine Committee on Scientific Integrity and Social Responsibility regarding policies related to sports and concussion injuries (Spring, 2016).

Consulting with Medical Director of Michigan Medicaid regarding policy options for determining access to the Hepatitis C drug Sovaldi with a cost of $1000 per pill and $84,000 for a course of treatment. June 2014 Consulting with Michigan Department of Community Health regarding ethics issues related to distribution of scarce life-prolonging resources in the event of a pandemic (2010-2014) Consulting for American Board of Pediatrics, (2009—2015), helping to develop Ethics materials

for Board exams and residency education. Consulting for “Research Ethics in the Clinical, Biomedical, and Public Health Sciences,” NIH

grant to the University of Illinois at Chicago College of Medicine, 1998-2001. My responsibilities under this grant include serving on the Advisory Board, developing relevant materials, planning conferences, doing an occasional lecture or workshop. I have thus far participated in two two-day meetings in connection with this project.

Consulting for three years as a member of the Advisory Board for a recently funded

ELSI [Ethical, Legal, Social Implications of the Human Genome Project] project conducted by The Hastings Center under the title “Tools for Public Conversation About Behavioral Genetics.” This was for the period 1999-2002. I am responsible for helping to plan conferences, meeting with a number of other scholars to discuss policy issues, writing papers for an eventual volume of essays. I have participated in two three-day meetings thus far, one at The Hastings Center (May, 2000), the other in Washington DC at the American association for the Advancement of Science (Jan. 2001). For that first meeting I did a presentation on our NIH community dialogue project, emphasizing some of the creative things we have done to engage the public in these conversations.

Consulting with Southeast Michigan Hospital Association to develop case vignette

materials as basis for public forums about issues regarding end of life care, including advance directives, futile treatment, quality of care, health care rationing, cultural diversity (six meetings, 1998-99).

Consultant to ethics committee of Mt. Clemens General Hospital (1994-97) Consultant to Kellogg Foundation, Comprehensive Community Health Models Project; Board

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member for the project; responsible for developing ethics materials for community health planning workshops in Battle Creek, Port Huron, Muskegon, Marshall, Albion. (1994-97)

Consultant to Henry Ford Health Systems for Managed Care College Project, responsible for

developing workshops on ethical issues in managed care. Consultant to Department of Social Services, state of Michigan, Medicaid program; responsible

for developing materials for Medicaid Block Grant and Priority-Setting workshops, delivering workshops, analyzing data and generating reports (Summer, 1995).

Consultant to Senate Health Policy Committee (state of Michigan), responsible for working with

health care organizational leaders to develop mission statement on health care for the state of Michigan (Summer, 1995).

Consultant to University of Michigan, Genome Ethics Committee Faculty Mentor for Susan Goold, M.D., Picker/Commonwealth Scholars Program Foundation for

Health Services Research Consultant for National Study Group for project "Ethics, Genetics, and Alzheimer's Disease,"

funded by NIH ELSI Program, Case Western Reserve University in Cleveland. (1994-96) Consulting to Managed Care Institute, College of Human Medicine Consultant to Greater Detroit Area Health Council on Medicaid Block Grants Shadyside Hospital in Pittsburgh, PA MetroMed of Detroit (now part of Henry Ford Health Care System); developed materials for

workshop on ethical issues in managed care as part of Managed Care College Program. This is now developing into a multi-institutional educational effort with seed money from Blue Cross/ Blue Shield.

Michigan Hospital Association; developing various educational programs that address ethical

issues related to patient care, health reform, and health care policy. Consultant to The Hastings Center for a project aimed at constructing a philosophical model that

would provide a basis for determining funding priorities with regard to mental illness. In other words, this would be the mental health analogue of the priority setting process in Oregon. There were about twelve of us invited to serve in this role. My understanding is that The Hastings Center was successful in obtaining funding for this project. (July, 1991). The report from this project is published in the October (1993) issue of The Hastings Center Report, where my contributions are acknowledged.

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Consultant to the Michigan Department of Public Health Ad Hoc Committee on HIV-Infected

Health Care Workers. I was asked to serve as the staff ethicist for this committee; and I was asked to serve in this role because of the paper Keith Apelgren and I produced on this topic early in 1991. This paper provided the rough foundation for the work of this committee and resulted in a set of recommendations that were much more reasonable and morally defensible than those that had been promulgated by the CDC in July of 1991. The final report of this committee was issued on October 1, 1991 under the title "Michigan Recommendations on HIV-Infected Health Care Workers." It has been circulated to a number of national medical and dental groups who have endorsed it; and it is our hope that this will eventually result in a change of direction by the CDC on this issue. (March- October, 1991). [That change of direction in fact occurred.]

Consultant to the Transplant and Health Policy Center, Public Policy Committee at the

University of Michigan, starting in late 1990. Consultant to the Kellogg Foundation for the "Alternative Comprehensive Community Models

Proposal for Health Care Reform," directed by Bruce Spitz of Brandeis University. I am one of sixteen individuals serving in this role, the majority of whom are also directly connected with the "Just Caring" project. My responsibilities in connection with this project started in November of 1991.

Vice-President of the Board of The Medical Ethics Resource Network of Michigan (1990-92). In

April of 1992 I was elected President of the Board (1992-94). I was one of the founding members of MERN and, for all practical purposes, I currently serve as an unofficial executive director for MERN. That is, I am responsible for supervising the daily operations of MERN, including the graduate students responsible for our newsletter and for addressing the needs of our institutional members.

Media Contacts (2000-17): More than 100 interviews with different radio and TV stations, and

newspapers, regarding a broad range of bioethics topics in the news from 2000 through the first half of 2017, especially genetics issues, stem cell research, cloning, physician assisted suicide, Medicare reform, Patients’ Bill of Rights, and other health policy issues during this period. During 2010 lots of media contacts regarding the Affordable Care Act. During 2017 lots of media contacts regarding Republican efforts to repeal and “replace” the Affordable Care Act. The most recent of those was an on camera interview with Alysia Burgio of WLNS TV regarding passage of AHCA in April of 2017. Most of these media outlets were somewhere in Michigan. Some were quite extensive. I did a three-hour stint on the air for WLNS, Ch. 6 television during Clinton’s visit to Lansing for the summer of 1999, commenting on both the Medicare issues and Patients’ Bill of Rights issues. I am also on the commentator list for Roger Sergel of ABC NEWS, which means I received in the past regular requests for comment on issues related to medical ethics and health care policy. I did at least three interviews with AP reporters. More generally, in any given year since 1985 I have usually had 10-20 contacts with the media

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during that year, all sorts of brief interviews on some news event of the day.

GRANTS “Communities of Color and Genetics Policy,” NIH three-year renewal grant for $1.1 M

(Dec. 1998-Dec. 2001); this is a joint project with the School of Public Health at the University of Michigan and Tuskegee University; U of M is the lead institution. Our share of this grant is about $150K. This grant is under the auspices of the ELSI program at NIH (Ethical, Legal, and Social Implications of the Human Genome Project). It is a follow-up to our original NIH project “Genome Technology and Reproduction: Values and Public Policy” (1995-98) also funded at about $1.1 M. I serve as a co-principal investigator for this project with primary responsibility for the community dialogue phase of the project. I am responsible for developing the leaders= guides we use as an agenda for each community dialogue, training the dialogue facilitators and dialogue observers, meeting with community groups to assist in recruiting participants, analyzing the results of the dialogue process and then presenting those results at assorted conferences and in peer-reviewed journals. There have been a total of about 90 community dialogue sessions, six at each of fifteen community sites. Most of those dialogue sessions occurred during calendar 2000.

"Just Caring: Justice, Health Care, and the Good Society."

(1990-93) The Center for Ethics and Humanities in the Life Sciences received a $15,000 AULEG seed grant [All University Life-Long Education Grant] to support the planning phase of this project, including the resources needed to secure an additional project funding. This will be a statewide project that will create community forums in which issues of justice regarding health care policy can be comprehensively addressed. This project is fully described in a paper with the same title that was produced for the Governor's Task Force on Access to Health Care. During 1992-93 I secured more than $30,000 in supplementary funding for the "Just Caring" project from various community foundations, businesses, the Mercy Corporation, Blue Cross/Blue Shield, etc.

"Pricing Human Life: Moral and Public Policy Dilemmas." This was a pilot project in

Flint, Michigan. It was similar in terms of type of issues to the Goshen project, but it involved only six seminars in the spring of 1986. Flint is one of the community campuses of the medical school. This project was supported by a grant from the Michigan Council for the Humanities.

"Just Caring: Justice, Health Care, and the Good Society."

(1985-87) A grant from the Indiana Committee for the Humanities for $16,500. This project was sponsored by the Ethics Committee of Goshen General Hospital. It involved 12 seminars during 1986 and 10 community discussions on a range of issues connected with ethics, economics, and healthcare policy. The project was intended to model how a coherent, complex, extended community conversation on moral and policy issues can be

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developed and sustained. I directed each seminar, wrote 12 newspaper articles, and developed other resource materials.

“Images and Ideals/ Challenges and Choices: Seeking an Agenda for the 80s.” This was

a “challenge grant” for $30,000 awarded by the Indiana Committee for the Humanities. I raised an additional $30,000. (1980-83). This project was a novel approach to community leadership development which focused on developing the abilities of emerging community leaders to think through more carefully many of the value conflicts associated with public policy development. There were 24 seminars that were part of each two-year cycle in the project.

“The Search for Health: Alternatives in Care, Conflicting Rights, Uncertain Responsibilities,”

(1976-78), funded by a grant for $40,000 from the Indiana Committee for the Humanities. I served as a project director and was responsible for organizing a series of six community forums in each of four Indiana communities under the title “Caring: Humanistic Perspectives on Death and Dying.”

“Preparing for the 80s: Workshops for Public Officials,” (1979-80), grant for $26,000

awarded by the Indiana Commission for Higher Education. I served as project director after writing the grant and designing the project.

“Social Service Needs Assessment: A Problem Priorities Approach,” a grant for $10,000

from the United way of Elkhart County (1984) to assist their Board in developing a better approach to determining their funding priorities. [Note: This grant, and the three above that, were awarded to the School of Public and Environmental Affairs at Indiana University-South Bend, where I was a faculty member.]

NEH Summer Research grants (1984) to work with Professor Marcus Singer at the

University of Wisconsin, and in 1977 to work with Professor Mulford Q. Sibley at the University of Minnesota.