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  1.  29
    Ending the War on People with Substance Use Disorders in Health Care.Elizabeth Pendo &Kelly K. Dineen -2021 -American Journal of Bioethics 21 (4):20-22.
    Earp et al. provide a robust justification for the decriminalization of drugs based on the systemic racism that fuels the “war on drugs” and the ongoing harms of drug policies to individuals...
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  2.  95
    Legal Authority to Preserve Organs in Cases of Uncontrolled Cardiac Death: Preserving Family Choice.Richard J. Bonnie,Stephanie Wright &Kelly K. Dineen -2008 -Journal of Law, Medicine and Ethics 36 (4):741-751.
    In this paper, we assume that organ donation policy in the United States will continue to be based on an opt-in model, requiring express consent to donate, and that families will continue to have the prerogative to make donation decisions whenever the deceased person has not recorded his or her own preferences in advance. The limited question addressed here is what should be done when a potential donor dies unexpectedly, without any recorded expression of his or her wishes at hand, (...) while a family decision is being sought. (shrink)
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  3.  28
    Engaging Disability Rights Law to Address the Distinct Harms at the Intersection of Race and Disability for People with Substance Use Disorder.Kelly K. Dineen &Elizabeth Pendo -2022 -Journal of Law, Medicine and Ethics 50 (1):38-51.
    This article examines the unique disadvantages experienced by Black people and other people of color with substance use disorder in health care, and argues that an intersectional approach to enforcing disability rights laws offer an opportunity to ameliorate some of the harms of oppression to this population.
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  4.  25
    Treating Workers as Essential Too: An Ethical Framework for Public Health Interventions to Prevent and Control COVID-19 Infections among Meat-processing Facility Workers and Their Communities in the United States.Kelly K. Dineen,Abigail Lowe,Nancy E. Kass,Lisa M. Lee,Matthew K. Wynia,Teck Chuan Voo,Seema Mohapatra,Rachel Lookadoo,Athena K. Ramos,Jocelyn J. Herstein,Sara Donovan,James V. Lawler,John J. Lowe,Shelly Schwedhelm &Nneka O. Sederstrom -2022 -Journal of Bioethical Inquiry 19 (2):301-314.
    Meat is a multi-billion-dollar industry that relies on people performing risky physical work inside meat-processing facilities over long shifts in close proximity. These workers are socially disempowered, and many are members of groups beset by historic and ongoing structural discrimination. The combination of working conditions and worker characteristics facilitate the spread of SARS-CoV-2, the virus that causes COVID-19. Workers have been expected to put their health and lives at risk during the pandemic because of government and industry pressures to keep (...) this “essential industry” producing. Numerous interventions can significantly reduce the risks to workers and their communities; however, the industry’s implementation has been sporadic and inconsistent. With a focus on the U.S. context, this paper offers an ethical framework for infection prevention and control recommendations grounded in public health values of health and safety, interdependence and solidarity, and health equity and justice, with particular attention to considerations of reciprocity, equitable burden sharing, harm reduction, and health promotion. Meat-processing workers are owed an approach that protects their health relative to the risks of harms to them, their families, and their communities. Sacrifices from businesses benefitting financially from essential industry status are ethically warranted and should acknowledge the risks assumed by workers in the context of existing structural inequities. (shrink)
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  5.  37
    Introduction: Living with Pain in the Midst of the Opioid Crisis.Kelly K. Dineen &Daniel S. Goldberg -2018 -Narrative Inquiry in Bioethics 8 (3):189-193.
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  6.  37
    Defining Misprescribing to Inform Prescription Opioid Policy.Kelly K. Dineen -2018 -Hastings Center Report 48 (4):5-6.
    Prescription opioid policies too often reflect over a century's worth of moralizing about the nature of opioid use disorder, the value of pain, and the meaning of suffering. The social and legal penalties to prescribers run in one direction—avoid overprescribing, however defined, at all costs. The lack of shared definitions is problematic for formulating and evaluating opioid policy. For example, the variant definitions of “misuse,” “abuse,” and “addiction” complicate estimates of morbidity. There are also no widely accepted definitions of misprescribing (...) and overprescribing. I offer here a modest attempt at the categorization of misprescribing: inadvertent overprescribing, corrupt overprescribing, qualitative overprescribing, quantitative overprescribing, multiclass overprescribing, and underprescribing. (shrink)
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  7.  18
    Structural Discrimination in Pandemic Policy: Essential Protections for Essential Workers.Abigail E. Lowe,Kelly K. Dineen &Seema Mohapatra -2022 -Journal of Law, Medicine and Ethics 50 (1):67-75.
    An inordinate number of low wage workers in essential industries are Black, Hispanic, or Latino, immigrants or refugees — groups beset by centuries of discrimination and burdened with disproportionate but preventable harms during the COVID-19 pandemic.
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