BackgroundThe coronavirus 2019 pandemic placed unprecedented pressures on healthcare services and magnified ethical dilemmas related to how resources should be allocated. These resources include, among others, personal protective equipment, personnel, life-saving equipment, and vaccines. Decision-makers have therefore sought ethical decision-making tools so that resources are distributed both swiftly and equitably. To support the development of such a decision-making tool, a systematic review of the literature on relevant ethical values and principles was undertaken. The aim of this review was to identify (...) ethical values and principles in the literature which relate to the equitable allocation of resources in response to an acute public health threat, such as a pandemic.MethodsA rapid systematic review was conducted using MEDLINE, EMBASE, Google Scholar, LitCOVID and relevant reference lists. The time period of the search was January 2000 to 6th April 2020, and the search was restricted to human studies. January 2000 was selected as a start date as the aim was to capture ethical values and principles within acute public health threat situations. No restrictions were made with regard to language. Ethical values and principles were extracted and examined thematically.ResultsA total of 1,618 articles were identified. After screening and application of eligibility criteria, 169 papers were included in the thematic synthesis. The most commonly mentioned ethical values and principles were: Equity, reciprocity, transparency, justice, duty to care, liberty, utility, stewardship, trust and proportionality. In some cases, ethical principles were conflicting, for example, Protection of the Public from Harm and Liberty.ConclusionsAllocation of resources in response to acute public health threats is challenging and must be simultaneously guided by many ethical principles and values. Ethical decision-making strategies and the prioritisation of different principles and values needs to be discussed with the public in order to prepare for future public health threats. An evidence-based tool to guide decision-makers in making difficult decisions is required. The equitable allocation of resources in response to an acute public health threat is challenging, and many ethical principles may be applied simultaneously. An evidence-based tool to support difficult decisions would be helpful to guide decision-makers. (shrink)

McGovern, Kevin This article explores how some of the ethical issues raised by Donation after Cardiac Death are addressed in Australia's new National Protocol. It endorses much of what has been established for the management of professional conflicts of interest, the management of conflicts between the wishes of donor and family, the use of ante mortem interventions, and the determination of death. However, it calls for a 5 minute observation time before the declaration of death, and a stronger statement (...) about conscientious objection. (shrink)

McGovern, Kevin In December 2008, the US President's Council on Bioethics issued a White Paper titled 'Controversies in the Determination of Death.'1 Responding to contemporary critiques of the concept of brain death, the Council upholds the validity of this neurological standard for determining death. Significantly, it also proposes replacing the existing explanation of this standard with a new, very different rationale. As well, it argues that 'total brain failure' is a better name for this condition than 'brain death.' This (...) article summarises and then comments on this important statement. (shrink)

McGovern, Kevin After a brief account of the process, this article considers three significant ethical issues about Donation after Cardiac Death.

McGovern, Kevin This article explores the new National Statement on Ethical Conduct in Human Research.

The neoliberal globalization project of expanding and maintaining capitalism globally requires the shaping of neoliberal nation-states that will entrench its ideology, political structures, and practices. In that sense, the neoliberal nation-state provides an appropriate conceptual site for investigating the local-global nexus in the dynamics of global capitalism. Using the Philippines as an example, this paper investigates the various factors or dimensions in the making of the Philippines as a neoliberal nation-state from the colonial era to the supranational structures that exert (...) external control on the Philippine political economy: the global power of transnational corporations, the IMF, American and Chinese imperialism, including the American military aid that supports militarization and counter-insurgency against movements that challenge the neoliberal agenda of the past and current regimes. In addition, this paper offers implications for policy changes and strategies for global resistance that anti-globalization movements can consider. (shrink)

McGovern, Kevin This exploration of business ethics is based on the fifth edition of Business Ethics by Damian Grace and Stephen Cohen. Against the view that business is an ethics-free zone, it argues that for almost all of us, there is an important place for ethics in business. Against the view of neoliberalism or economic rationalism that free and unfettered markets necessarily bring about fairness, it argues that there is a place for government regulation of business. This article also (...) includes material on a number of other topics including ethics in advertising, ethics in the professions, environmental responsibility, and supporting an ethical culture in organisations through codes of ethics and codes of conduct. (shrink)

McGovern, Kevin This article explores what is said in the fourth chapter of Pope Francis's Evangelii Gaudium about social engagement particularly with the poor. Francis sees practical engagement with the poor as an essential component of the Christian faith. This engagement begins with loving attentiveness to them. It seeks their integral development, and their full inclusion in the life of society. Such social engagement also calls us to care for the environment, to participate in the quest for peace, and (...) to engage in dialogue with all people to seek consensus on ways of building a better world. (shrink)

McGovern, Kevin Physician and ethicist Professor Paul Komesaroff and former judge Stephen Charles QC have proposed legislation to protect health professionals from the risk of criminal prosecution when in appropriate circumstances they provide pain relief which may shorten a patient's life. For this protection, they recommend that four conditions must all be satisfied: the patient has a terminal illness; the intention is to relieve pain and suffering; the treatment is reasonable in terms of current medical practice; and the treatment (...) is necessary to relieve pain and suffering. This article examines their proposal, supports it, and joins in the call for Victorian legislation which achieves this purpose. (shrink)

McGovern, Kevin The Congregation for the Doctrine of the Faith (CDF) released a new Instruction on bioethics on 12 December 2008, and titled it as Dignitas Personae. A brief summary of the new Vatican Instruction on bioethics is presented, which is aimed at contributing to the formation of conscience, and to promote biomedical research which is ethically sound and which truly serves human beings.

McGovern, Kevin In recent years, some speakers at Catholic conferences and a few articles on Catholic websites and in Catholic newspapers have claimed that brain death is not really death. Some Catholics may be confused by this - particularly if they are asked to agree to the removal of mechanical ventilation or the procurement of organs from a relative or friend who has been declared brain dead. At the same time, these claims might damage the reputation of the Church (...) within the scientific and health care communities. This article reviews what brain death is, and then details Catholic investigations and statements about this concept. (shrink)

Le projet de mondialisation néolibérale, qui consiste à étendre et à maintenir le capitalisme à l’échelle mondiale, nécessite la création d’États-nations néolibéraux qui intégreront son idéologie, ses pratiques et ses structures politiques. En ce sens, l’État-nation néolibéral constitue un site conceptuel approprié pour examiner le lien entre le local et le global dans la dynamique du capitalisme mondial. En prenant les Philippines comme exemple, l’article examine les différents facteurs ou dimensions qui ont fait des Philippines un État-nation néolibéral, depuis l’époque (...) coloniale jusqu’aux structures supranationales qui exercent un contrôle externe sur l’économie politique philippine : le pouvoir mondial des sociétés transnationales, le FMI, l’impérialisme américain et chinois, y compris l’aide militaire américaine qui soutient la militarisation et la contre-insurrection contre les mouvements remettant en question le programme néolibéral des régimes passés et actuels. Enfin, l’article considère les répercussions que les mouvements antimondialisation peuvent avoir sur le changement d’orientation politique et sur les stratégies de résistance mondiale. (shrink)

McGovern, Kevin; Brussen, Kerri Anne Some vaccines are produced using cell lines which were originally developed from tissue from an aborted foetus. Vaccines are ethically compromised by this connection to abortion. within the Catholic Church, the Pontifical Academy for Life has called for research and development of alternative vaccines which are ethically acceptable. Until alternative vaccines are developed, it has also accepted the use even of these ethically compromised vaccines in order to protect children, pregnant women and the population (...) as a whole from the risk of contracting serious disease. This article explores all these issues from an Australian perspective. (shrink)

McGovern, Kevin The Catholic vision of evangelisation combines concerns about faith and spirituality with a call to provide practical service particularly to the most disadvantaged. This article explores how this vision is articulated in Pope Francis's Evangelii Gaudium. It also explores how in presenting this vision Evangelii Gaudium drew upon both Paul VI's Evangelii Nuntiandi and the Latin American bishops' Aparecida Document. A concise synopsis of Evangelii Gaudium is included, along with brief reflections on the implications of all this (...) for Catholic health, aged and community care services in Australia. (shrink)

McGovern, Kevin After exploring the sources of Catholic teaching about tube feeding, this article summarises that teaching in four points. Because tube feeding usually offers little if any benefit in advanced dementia, as a general rule a feeding tube is not inserted into these patients.

McGovern, Kevin On 12 November 2008, the Caroline Chisholm Centre for Health Ethics ran a conference on Advance Care Planning. This is the Director's talk from that conference.

McGovern, Kevin When an unborn child is diagnosed with a life-limiting or life-threatening condition, many people now believe that the best solution is to immediately terminate the pregnancy. This article explores the option of continuing the pregnancy with the support of perinatal palliative care. Many parents have found this alternative fits better with their values, and better honours both their unborn child and their situation as the loving parents of this child. The article also explores the information and support (...) which parents need in order to make a truly informed choice between termination and continuing the pregnancy. (shrink)

McGovern, Kevin This is a slightly edited version of a talk given on 1 September 2011 at the Catholic Health Australia National Conference at the National Convention Centre in Canberra. The theme of the conference was Remaining True.

McGovern, Kevin This article explores the report of the 2010 independent review committee into Australia's cloning and embryo research laws. Its author, the Director of the Centre, was one of the five members of this committee.

McGovern, Kevin This article explores Reflections of a Setting Sun: Healing Experiences around Death, written by palliative care physician Michael Barbato. It considers caring for someone who is dying, and preparing for death. A major focus of this article is deathbed visions after which a dying person reports being visited by relatives or friends who have already died.

McGovern, Kevin This is an edited record of the presentation given by Revd Kevin McGovern, Director of the Caroline Chisholm Centre for Health Ethics, at the Centre's conference on palliative care on 3 October 2013. It explores the processes, challenges and benefits of Advance Care Planning. It also argues that Advance Care Planning will change the provision of health care significantly.

McGovern, Kevin When we experience serious illness, one of our deepest challenges is to make sense of what is happening to us. This article considers how we might do this. It particularly explores John Paul II's Salvifici Doloris, which suggests that Christians might discover meaning by uniting their sufferings with the sufferings of Christ.

McGovern, Kevin This article explores a Report titled 'Dementia: Ethical Issues,' which was produced by the UK Nuffield Council on Bioethics. The Report calls us to examine our attitudes towards both dementia and people with dementia, and to act in solidarity with people with dementia by seeking to include them in mainstream society, and to provide them with sufficient help and services so that they are able to enjoy a good quality of life throughout the course of their illness. (...) It also calls us to act in solidarity with the carers of people with dementia, providing them with help and services both in their caring capacity and also in meeting their personal needs. (shrink)

McGovern, Kevin The Catholic bishops of England and Wales have issued a guide to the spiritual care of the dying person. It reminds us that spiritual care is an essential part of holistic palliative care, and that every health professional has a role to play in the provision of spiritual care.

McGovern, Kevin; Khalafzai, Rida Usman This article explores the new Australian Code for the Responsible Conduct of Research. The Code is addressed to research institutions and researchers. It charges research institutions with the responsibility to develop and maintain a framework of research governance "through which research is assessed for quality, safety, privacy, risk management, financial management and ethical acceptability.

McGovern, Kevin Over the next three decades, the number of people living with dementia both in Australia and around the world will almost triple. This calls for significant changes within our society. It calls for international cooperation, with particular assistance being given to low income countries. It calls for increased research into many aspects of dementia, ranging from the search for a cure to the identification of best practice in the care of persons with dementia. It calls for upskilling (...) in Australia's health, community and aged care sectors. Because many people with dementia will continue to live in the community, above all it calls for the creation of dementia-friendly communities. (shrink)

McGovern, Kevin How might we prepare well for death? And how might we help other people also to prepare well for death? Spiritual guide Henri Nouwen suggests that we should strive to recognise that we are children of God, brothers and sisters of one another, and parents of the generations to come. This article explores what he means.

McGovern, Kevin When a girl or woman has an unplanned pregnancy, her choices are to keep the child, to give the child for adoption, or to have an abortion. The best outcome is any situation which allows her to keep and successfully raise the child. When this is not possible, this article argues that modern open adoption is a better outcome for both the woman and her child than abortion. In making this argument, this article reviews the complex social (...) history of adoption in Australia. (shrink)

McGovern, Kevin This article explores what may ethically be done to prevent pregnancy after rape. The issue of pregnancy approach is dealt with in this article.

The Jamesian notion of fringe consciousness as elaborated by Mangan provides a theoretical motivation for drawing together a diverse class of experiences which are called "feelings" in everyday language. Thus, feelings of knowing and emotional feelings are seen not to differ in kind from each other. Further, both kinds of feelings are seen to reflect the consonance or dissonance of current conscious experience with unconscious contexts and may be used as "handles" to draw unconscious material into consciousness.

"Under the editorship of Edward M. Sait." Bibliography at end of each chapter.

Mendelian Inheritance in Man, a computerized catalogue of human genetic disorders authored and maintained by cardiologist and medical genetics pioneer Victor A. McKusick, played a major part in demarcating between a novel biomedical science and the eugenic projects of racial betterment which existed prior to its emergence. Nonetheless, it built upon prior efforts to systematize genetic knowledge tied to individuals and institutions invested in eugenics. By unpacking the process of digitizing a homespun cataloguing project and charting its development into an (...) online database, this article aims to illuminate how the institution-building efforts of one individual created an ‘information order’ for accessing genetic information that tacitly shaped the norms and priorities of the field toward the pursuit of specific genes associated with discernible genetic disorders. This was not by design, but rather arose through negotiation with the catalogue's users; it accommodated further changes as biomedical research displaced the Mendelian paradigm. While great effort was expended toward making sequence data available to investigators during the Human Genome Project, MIM was largely taken for granted as a ‘legacy system’, McKusick's own labour of love. Drawing on recent histories of biomedical data, the article suggests that the bibliographical work of curation and translation is a central feature of value production in the life sciences meriting attention in its own right. (shrink)

McGovern, Kevin Benedict XVI released his third encyclical on 29 June 2009. Its Latin title is 'Caritas in Veritate;' its English title is 'On Integral Human Development in Charity and Truth.' This article explores the significant teachings of this encyclical.