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Welcome to that darn brick wall helping others realize hope through everyday individuals Cover art photo provided by Mukund Nair on Unsplash: https://unsplash.com/@m_k_nd
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For the deepest problems in healthcare, philosophy is the best medicine. In this podcast series, Jonathan Fuller, MD, PhD (University of Toronto) speaks to philosophers about their work on medicine and healthcare. You will hear from philosophers on the meaning and reality of disease, on their skeptical worries about evidence-based medicine, on current movements and controversies that shake medicine to its philosophical foundations. Visit our website at www.philosophersonmedicine.com.
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During the COVID-19 pandemic, scientists and policymakers have responded with unprecedented solutions. The pandemic has also forced a rethinking of science, public health and their relationship to the public. How can philosophy of medicine help us respond to the fundamentally philosophical problems that this rethinking involves? In May of 2021, I h…
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There is renewed research and attention to race in epidemiology and medicine, partly owing to developments in population genetics. Yet race is a contested category and poses philosophical questions about the reality of racial categories as well as the ethical and social-political implications of using them. For instance, is race a social constructi…
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Medical Nihilism. Is it a vestige of a bygone age in medicine beset with treatments like mercury and bloodletting? Or the proper conclusion of a line of argument about our current medical interventions citing problems with contemporary medical research? These problems include the complex pathophysiology of contemporary diseases, the malleability of…
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In medicine, consensus statements abound. They’re issued by government agencies and professional societies as the official word on the science and practice of medicine. But what role does expert consensus serve? To summarize the evidence? To deliberate over decision-making? Or to command change? In an era of evidence-based medicine, is expert conse…
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The cause of tuberculosis is the germ Mycobacterium tuberculosis. Meanwhile, the causes of heart disease are variable: smoking, sedentary lifestyle, bad genes, and so on. Is this just a fact? Did the German microbiologist Robert Koch really discover that Mycobacterium tuberculosis is the cause of tuberculosis? According to some historians and philo…
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Evidence-based medicine or EBM was introduced in the early 1990s as a move to increase medicine’s uptake of published scientific evidence, especially evidence from clinical epidemiology. It is now the standard, such that its underlying philosophical ideas have become invisible to many. However, since its launch, evidence-based medicine has had its …
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Mental disorders cause suffering for many and pose challenges for the psychiatric profession. Throughout history, the way that society and psychiatry have thought about mental disorders has changed greatly. One area of great difficulty and great change has been psychiatric classification – how psychiatry carves up the realm of mental illness into d…
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Health and disease are two concepts that dominate our lives. Analyzing these concepts has also dominated much of the discussion in the philosophy of medicine. Is health merely the absence of disease? Is disease a biological concept, a value-laden concept, or both? Why is it important that we dissect these concepts? Should we do away with them altog…
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The mastery of clinical judgment is what separates the expert clinician from the novice. Yet clinical judgment remains somewhat obscure. Is it a tacit knowledge? Or one that can be formulated according to explicit rules? Is it a science? Or a virtue? Has it been replaced or its importance reduced by evidence-based medicine? Or will it soon be taken…
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Delusions are often defined as fixed false beliefs. They run contrary to common sense or counter-evidence that would convince any rational person, like the idea that aliens are communicating with me through a radio chip implanted in my brain, or the thought that my father has been replaced by an imposter, albeit an imposter that is identical to my …
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Often, when philosophical questions are asked about pregnancy, they concern ethical problems about abortion, surrogacy or assisted conception. But the answers to these questions might depend in part on answers to metaphysical questions. One of these metaphysical questions concerns the relationship between the mother and her fetus. Is the mother a b…
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In recent years, physicians and health scientists have become increasingly concerned about overdiagnosis, the problem of diagnosing too many people as having a disease, be it breast or thyroid cancer, diabetes or pulmonary embolism. When considering who or what is at fault, the list of suspects often includes overly expansive screening programs, in…
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I had a cold last winter, and so did countless other people. We had sore throats and runny noses and maybe even a cough. At first glance, it seems hard to deny that the common cold is real. But that’s exactly what a disease antirealist would deny, and there are some philosophical arguments to back them up. Not to be outdone, the disease realist has…
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THE FOUNDATION
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We will call him Danny
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Vaccine hesitancy is a cautious or critical stance towards vaccines. By some estimates, it is on the rise among the public. Medicine and public health have responded to this state of affairs partly by communicating the evidence on vaccines to the public. But some believe that this approach ignores important aspects of the nature of medical evidence…
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Evidence-based medicine. Narrative medicine. Precision medicine. Are these the names of new schools of medicine? Or of new models for medical research or practice? Or are they simply a clever (and in some cases, lucrative) rebranding of older ideas? What do they have to offer medicine? What’s all the fuss about? In part, these recent and influentia…
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What is medicine? That question certainly has the ring of a paradigmatic philosophical problem. Yet surprisingly few contemporary philosophers have devoted sustained attention to it. Nonetheless, potentially underlying the question ‘what is medicine?’ are problems concerning the goals of medicine, about medical expertise, and about what counts as h…
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The Best Physician is also a Philosopher. This is the title of a book by Galen, the famous physician of Antiquity. Was Galen right? Or is it that for many problems in healthcare, philosophy is the best medicine? One thing is for certain: medicine is a new frontier for philosophy, and philosophy for medicine. In this episode, I’ve enlisted Dorian De…
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