Applied Ethics Commons^™

"First, Do No Harm": Ethical Failures And Preventive Solutions In The United States Pharmaceutical System - A Narrative Review, Rebekah R. Bailey

Honors Theses

The United States pharmaceutical system is highly advanced but faces growing ethical concerns related to drug development and marketing, overprescription, and high drug costs. This thesis examines how pharmaceutical marketing, regulatory practices, and prescribing behaviors may conflict with the ethical principle of “first, do no harm.”

Using a narrative review of interdisciplinary literature in public health, medical ethics, and applied ethics, this thesis analyzes patterns in drug development, marketing strategies, and regulatory oversight. The findings suggest that ethical issues are systemic, driven by commercial incentives, inconsistent regulatory standards, and an increasing reliance on pharmaceutical solutions. These factors contribute to overmedicalization, …

What Do We Owe A Drowning Coast? Examining Louisiana's Coastal Crisis Through The Lens Of Environmental Justice, Owen M. Plaisance

Honors Theses

This thesis argues that human contributions to Louisiana’s coastal land loss constitute a form of environmental injustice that cannot be adequately addressed through frameworks focused solely on aggregate welfare or distributive fairness. While utilitarian and Rawlsian approaches offer important insights, both are limited in capturing the full scope of harm caused by environmental degradation. In coastal Louisiana, land loss undermines not only economic resources and physical security but also the substantive freedoms required for individuals and communities to live meaningful and culturally rooted lives, while disrupting ecological systems and non-human flourishing. To address these limitations, the thesis develops the Capabilities …

Just War Theory And Coercive Non-Proliferation: Ethically Evaluating Nuclear Prevention Efforts, P. Walker Jacklin

Honors Theses

This thesis examines the ethics of coercively addressing non-nuclear states who are attempting to acquire nuclear weapons. Nuclear weapons pose a serious danger on a global scale, so ethical analysis should balance these consequences with the coerciveness of state intervention. Just War Theory provides a useful framework that balances these considerations.  Using the criteria of Just War Theory, this thesis examines two 21st century non-proliferation operations: Operation Orchard and Operation Midnight Hammer. I find that Operation Orchard fails the criteria of Just War Theory, while Operation Midnight Hammer satisfies the criteria. Making this determination is ethically risky, however, because our …

Expanding Expanded Access: A Case Of Onc201 And The Ethical Limitations Of Compassionate Use, Ava C. Hutchings

Honors Theses

This study examines the ethical and structural limitations of the Expanded Access program in the United States, with particular focus on its application to terminal pediatric illness. Although the program is intended to provide patients with life-threatening conditions access to investigational therapies outside of clinical trials, its effectiveness in serving critically ill children remains uncertain. This program is analyzed through careful consideration of regulatory review and ethical theory. Key policies governing Expanded Access are examined alongside scholarly discussions of pediatric autonomy and parental authority.

A case study of ONC201, a now-approved investigational drug, is used to illustrate how Expanded Access …

The Proportionality Trap: Why Retributivism's Core Principle Falls Short, Neely C. Kiihnl

Honors Theses

The notion that punishment should “fit” the crime dates back to legal retribution’s origins. Retributivism posits that offenders deserve punishment matching the severity of their crimes, lending intuitive appeal over utilitarianism, which critics argue ignores moral wrongdoing by focusing solely on social benefits like reduced harm.

Yet Adam Kolber’s work exposes proportionality’s vagueness: it raises more problems and questions than it solves. In the first section of this paper, the concept of proportionality is explored in more depth. The second section, led by Kolber’s critiques, casts doubt on the stability of proportionality. Finally, in the third section, I propose a …

Extracting Renewables: A Capabilities Approach To A Just Transition Crisis, Mateos Lozano

Honors Theses

Extraction of cobalt and lithium is often regarded as necessary to facilitate a successful transition to renewable energy so that global warming can be limited to 2°C. At the same time, many current cobalt and lithium extraction practices contribute to environmental destruction, expose workers to toxic contaminants, and sometimes involve child labor. This thesis argues that cobalt and lithium extraction, if permissible, must be conducted in a manner compatible with the normative obligations of justice and fairness. I first explain notable differences between prominent types of cobalt and lithium extraction and note how each impacts people and the environment. Then, …

The Conservative Approach To Informed Consent: The Evidentiary Model And An Antidote To The Problem Of Framing Effects In Medical Decision-Making, James D. Polk

Honors Theses

Since the latter part of the 20th century, there has been a gradual but significant shift of the doctor-patient relation from paternalism to a more patient-centric approach. As such, informed consent – the legal and moral requirement that a physician fully disclose relevant details to their patient and gain their consent – is a central doctrine to patient-centric care. Gone are the days of the doctor governing the patient: the patient is now considered a valuable and important decision-maker. Achieving informed consent is the foundation of patient centric medicine. Therefore, it is of the utmost importance that philosophical consideration be …

An Ethical Analysis Of Sports Specialization And The Harms It Poses To Youth Athletes, Caleb Bohannon

Honors Theses

Whereas youth sports in the United States were once commonly funded by local or state park and recreation commissions, current commercialization trends within the industry have caused youth sports to become increasingly commodified. Now, youth sports use private pay-to-play, or “competitive” sports models. Attempting to maintain a competitive advantage over their peers and further their athletic pursuits in this context, more youth now seek to specialize in their respective sports. When youth specialize, they focus their participation on a single sport for most of the year, which interferes with their participation in other sports and activities. This thesis explores neglected …

The Cut To The Heart Of The Matter: Justice, Morality, And Virtue Ethics In Intimate Relationships, Quinn Heiser

Honors Theses

Since the Enlightenment project to reconstruct morality using purely rational grounds failed, modern moral debate has been fragmented. Furthermore, intimate relationships, whether romantic or marital, are plagued with all kinds of injustices that have not been formally addressed in a philosophical investigation. The purpose of this thesis is to argue that the moral theory to restore interpersonal justice in intimate relationships is the notion of ‘practice’, founded by Alasdair MacIntyre under the Aristotelian virtue ethics tradition. What is meant by the notion of practice is any human activity with goods exclusive to its extent, as well as cooperative, objective, and …

Making Good Doctors: The Ama’S Code Of Ethics And A Culture Of Virtue, John Howard Hassmann

Honors Theses

The American Medical Association’s (AMA) Code of Medical Ethics consists of principles that ensure the legal sanctity and professional conduct of practicing physicians. These principles outline imperatives for physicians “primarily for the benefit of the patient. But a physician can be terrible without violating the AMA’s Code of Medical Ethics. Although the AMA’s code ought not be forsaken or replaced, any code of ethics cannot make its adherents good. Physicians cannot become good following a code that neglects to address the delicacy of good habits. Further, a topical, crisis-management approach to ethical training stifles physicians whose ethical goals transcend lawfulness …

An Argument For Sensuous Revolution And Its Manifestation In The Food System, Anna Smith

Honors Theses

In this food system, we witness issues such as health disparities, social injustice, and environmental injustice, which all flow within one another. When seeking to address such issues it is essential to recognize their inherent interconnectedness and root causes; otherwise, intended solutions can perpetuate the issues they aim to solve when they do not encompass full-seeing. The greatest barrier to full-seeing is disconnection with experience, which occurs when what we are experiencing is obscured by static conceptions. This inhibition of holistic understanding, when occurring through such limited perspectives, makes solving issues such as health disparities, social injustice, and environmental injustice …

Covid-19 And Challenges To The Traditional Understanding Of Individual Medical Autonomy, Callon A. Green

Honors Theses

Throughout history, vaccines have provided the human population with the ability to combat dangerous illnesses and avoid preventable suffering. Despite the benefits vaccines provide to the public health of the United States, anti-vaccination sentiment and resistance to vaccine uptake are still prevalent in the modern day. As the COVID-19 pandemic has developed into a major public health crisis that can be controlled through vaccination, the issues underlying vaccine resistance are becoming more critical to return to normal life. Using COVID-19 as a case study, it is evident that the individual choice to deny vaccination can have consequences on the health …

The New White Moderate: Bearing Witness To The Differend Of Race, Ethan T. Ashley

Honors Theses

As Frantz Fanon demonstrates in his text, Black Skin, White Masks, Sartrean existentialism fails to account for differences in racialized existence. Quite simply, the notion that “existence precedes essence” is reversed in the case of the black subject; he/she is living in a world that has rendered the black subject subservient to a predetermined essence. Ultimately, the fact that the white subject exists and may freely determine his/her essence while the black subject may not further demonstrates this gap or a chasm between black and white subjects that calls for further examination. In the first chapter, I will use …