Frontiers in bioethics
A.A. 2025/2026
Obiettivi formativi
Non definiti
Risultati apprendimento attesi
Non definiti
Periodo: Primo trimestre
Modalità di valutazione: Esame
Giudizio di valutazione: voto verbalizzato in trentesimi
Corso singolo
Questo insegnamento può essere seguito come corso singolo.
Programma e organizzazione didattica
Edizione unica
Periodo
Primo trimestre
Programma
This course aims to provide an overview of some of the most pressing issues addressed in the contemporary bioethical debate and is structured in four parts. The first part aims to offer a methodological introduction to the discipline and an overview of two classical issues discussed in bioethical reflection, namely, abortion and end-of-life. These notions will serve as a fundamental basis to discuss in detail three of the most pressing topics of bioethics in our nowadays society. Therefore, the second part explores the ethical issues emerging from structural scarcity in healthcare and the necessity to allocate healthcare resources. The third part investigates the ethics of genetics and examines how current and future assisted reproductive technologies may change our understanding of human reproduction. The fourth and final part discusses the ethical problems emerging from the implementation of artificial intelligence in clinical settings, discussing in particular the AI impact on the doctor-patient relationship and end-of-life decisions.
This course aims to provide an overview of some of the most pressing issues addressed in the contemporary bioethical debate and is structured in four parts. The first part aims to offer a methodological introduction to the discipline and an overview of two classical issues discussed in bioethical reflection, namely, abortion and end-of-life. These notions will serve as a fundamental basis to discuss in detail three of the most pressing topics of bioethics in our nowadays society. Therefore, the second part explores the ethical issues emerging from structural scarcity in healthcare and the necessity to allocate healthcare resources. The third part investigates the ethics of genetics and examines how current and future assisted reproductive technologies may change our understanding of human reproduction. The fourth and final part discusses the ethical problems emerging from the implementation of artificial intelligence in clinical settings, discussing in particular the AI impact on the doctor-patient relationship and end-of-life decisions.
Part 1: Basics of Bioethics
· Lesson 1: Ethics, Morality, and the Birth of Bioethics
· Lesson 2: Core Concepts and Epistemological Foundations of Bioethics
· Lesson 3: How to Do Bioethics: Methods and Reasoning
· Lesson 4: A Bioethics Classic - Abortion I
· Lesson 5: A Bioethics Classic - Abortion II
Part 2: The Healthcare of the Future and the Need for Rationing
· Lesson 6: The Value of Health
· Lesson 7: Ethics and Cost-Effectiveness
· Lesson 8: The Aggregation Problem
· Lesson 9: Alternative Criteria for Allocating Healthcare Resources: Age and Responsibility
Part 3: Genetics and Reproduction
· Lesson 10: Ethical Issues in Genetic Testing: NIPT and Newborn Screening
· Lesson 11: Preimplantation Genetic Testing and the Expressivist Objection to Genetic Selection
· Lesson 12: The Future of Reproduction: Ethics of Germline Genome Editing
· Lesson 13: Genetic Enhancement and the Obsolescence Argument
· Lesson 14: New Procreative Obligations? Procreative Beneficence and the Non-Identity Problem
· Lesson 15: Models of Procreative Responsibility
Part 4: Artificial Intelligence in Healthcare
· Lesson 16: Artificial Intelligence in Biomedicine: An Overview of Ethical Challenges
· Lesson 17: AI and the Doctor-Patient Relationship: Ethical Implications
· Lesson 18: Ethical Challenges of AI in End-of-Life Decisions I
· Lesson 19: Ethical Challenges of AI in End-of-Life Decisions II
Conclusions
· Lesson 20: Conclusions of the course and discussion of the topics reviewed
This course aims to provide an overview of some of the most pressing issues addressed in the contemporary bioethical debate and is structured in four parts. The first part aims to offer a methodological introduction to the discipline and an overview of two classical issues discussed in bioethical reflection, namely, abortion and end-of-life. These notions will serve as a fundamental basis to discuss in detail three of the most pressing topics of bioethics in our nowadays society. Therefore, the second part explores the ethical issues emerging from structural scarcity in healthcare and the necessity to allocate healthcare resources. The third part investigates the ethics of genetics and examines how current and future assisted reproductive technologies may change our understanding of human reproduction. The fourth and final part discusses the ethical problems emerging from the implementation of artificial intelligence in clinical settings, discussing in particular the AI impact on the doctor-patient relationship and end-of-life decisions.
Part 1: Basics of Bioethics
· Lesson 1: Ethics, Morality, and the Birth of Bioethics
· Lesson 2: Core Concepts and Epistemological Foundations of Bioethics
· Lesson 3: How to Do Bioethics: Methods and Reasoning
· Lesson 4: A Bioethics Classic - Abortion I
· Lesson 5: A Bioethics Classic - Abortion II
Part 2: The Healthcare of the Future and the Need for Rationing
· Lesson 6: The Value of Health
· Lesson 7: Ethics and Cost-Effectiveness
· Lesson 8: The Aggregation Problem
· Lesson 9: Alternative Criteria for Allocating Healthcare Resources: Age and Responsibility
Part 3: Genetics and Reproduction
· Lesson 10: Ethical Issues in Genetic Testing: NIPT and Newborn Screening
· Lesson 11: Preimplantation Genetic Testing and the Expressivist Objection to Genetic Selection
· Lesson 12: The Future of Reproduction: Ethics of Germline Genome Editing
· Lesson 13: Genetic Enhancement and the Obsolescence Argument
· Lesson 14: New Procreative Obligations? Procreative Beneficence and the Non-Identity Problem
· Lesson 15: Models of Procreative Responsibility
Part 4: Artificial Intelligence in Healthcare
· Lesson 16: Artificial Intelligence in Biomedicine: An Overview of Ethical Challenges
· Lesson 17: AI and the Doctor-Patient Relationship: Ethical Implications
· Lesson 18: Ethical Challenges of AI in End-of-Life Decisions I
· Lesson 19: Ethical Challenges of AI in End-of-Life Decisions II
Conclusions
· Lesson 20: Conclusions of the course and discussion of the topics reviewed
Prerequisiti
The course has no formal prerequisites. However, it will refer to some issues discussed during the teaching course "Facts, principles and hard choices" (I year).
Metodi didattici
The course is composed of both taught classes and debate lessons. Attending students will be able to present a paper chosen from a list that will be given to the students by the professor during the first lesson. The paper that will be presented must be agreed with the teacher. Presenting a paper during the course is NOT mandatory.
Materiale di riferimento
For attending students: The slides used during the lessons will be available and will form part of the exam material for attending students. In addition, here is a list of suggested readings, organized lesson by lesson, to better follow the course.
Part 1: Basics of Bioethics
· Lesson 1: Ethics, Morality, and the Birth of Bioethics
1. Jonsen, A. R. (2003). The Birth of Bioethics. Oxford University Press. (pp. 3-90)
2. McMillan, J. (2018). The Methods of Bioethics: An Essay in Meta-Bioethics. Oxford University Press. (pp. 1-25)
· Lesson 2: Core Concepts and Epistemological Foundations of Bioethics
1. Reichlin, M. (1994). Observations on the epistemological status of bioethics. The Journal of Medicine and Philosophy, 19(1), 79-102
2. McMillan, J. (2018). The Methods of Bioethics: An Essay in Meta-Bioethics. Oxford University Press. (pp. 28-42)
· Lesson 3: How to Do Bioethics: Methods and Reasoning
1. Huxtable, R. (2013). For and against the four principles of biomedical ethics. Clinical Ethics, 8(2-3), 39-43
2. Beauchamp, T. L., & Childress, J. F. (2019). Principles of Biomedical Ethics. Oxford University Press. (Chapter 1)
· Lesson 4: A Bioethics Classic - Abortion I
1. Thomson, J. J. (1976). A defense of abortion. In Biomedical Ethics and the Law (pp. 39-54). Springer US
2. Giubilini, A., & Minerva, F. (2013). After-birth abortion: why should the baby live? Journal of Medical Ethics, 39(5), 261-263
· Lesson 5: A Bioethics Classic - Abortion II
1. Marquis, D. (1989). Why abortion is immoral. The Journal of Philosophy, 86(4), 183-202
2. Thomson, J. J. (1976). A defense of abortion. In Biomedical Ethics and the Law (pp. 39-54). Springer US
Part 2: The Healthcare of the Future and the Need for Rationing
· Lesson 6: The Value of Health
Bognar, G., & Hirose, I. (2022). The Ethics of Health Care Rationing: An Introduction. Routledge. (Chapter 2)
· Lesson 7: Ethics and Cost-Effectiveness
Bognar, G., & Hirose, I. (2022). The Ethics of Health Care Rationing: An Introduction. Routledge. (Chapter 3)
· Lesson 8: The Aggregation Problem
Bognar, G., & Hirose, I. (2022). The Ethics of Health Care Rationing: An Introduction. Routledge. (Chapter 6)
· Lesson 9: Alternative Criteria for Allocating Healthcare Resources: Age and Responsibility
Turoldo, F. (2022). The triage of "blameworthy" patients. Philosophies, 7(5), 99
Part 3: Genetics and Reproduction
· Lesson 10: Ethical Issues in Genetic Testing: NIPT and Newborn Screening
Johnston, J. et al. (2018). Sequencing newborns: a call for nuanced use of genomic technologies. Hastings Center Report, 48(S2), S2-S6
· Lesson 11: Preimplantation Genetic Testing and the Expressivist Argument
1. Buchanan, A. (1996). Choosing who will be disabled: genetic intervention and the morality of inclusion. Social Philosophy and Policy, 13(2), 18-46
2. Savulescu, J., & Kahane, G. (2011). Disability: a welfarist approach. Clinical Ethics, 6(1), 45-51
3. Hofmann, B. (2017). "You are inferior!" Revisiting the expressivist argument. Bioethics, 31(7), 505-514
· Lesson 12: The Future of Reproduction: Ethics of Germline Genome Editing
Gyngell, C., Douglas, T., & Savulescu, J. (2017). The ethics of germline gene editing. Journal of Applied Philosophy, 34(4), 498-513
· Lesson 13: Genetic Enhancement and the Obsolescence Argument
Sparrow, R. (2019). Yesterday's child: how gene editing for enhancement will produce obsolescence—and why it matters. The American Journal of Bioethics, 19(7), 6-15
· Lesson 14: New Procreative Obligations? Procreative Beneficence and the Non-Identity Problem
1. Savulescu, J., & Kahane, G. (2009). The moral obligation to create children with the best chance of the best life. Bioethics, 23(5), 274-290
2. Parfit, D. (1984). Reasons and Persons. Oxford University Press. (Part 4, Chapter 16)
· Lesson 15: Models of Procreative Responsibility
1. Douglas, T., & Devolder, K. (2013). Procreative altruism: beyond individualism in reproductive selection. Journal of Medicine and Philosophy, 38(4), 400-419
2. Marway, H. K. (2023). Procreative justice and genetic selection for skin colour. Bioethics, 37(4), 389-398
3. Magni, S. F. (2021). In defence of person‐affecting procreative beneficence. Bioethics, 35(5), 473-479
Part 4: Artificial Intelligence in Healthcare
· Lesson 16: Ethical Challenges of AI in Medicine
Savulescu, J., Giubilini, A., Vandersluis, R., & Mishra, A. (2024). Ethics of artificial intelligence in medicine. Singapore Medical Journal, 65(3), 150-158
· Lesson 17: AI and the Doctor-Patient Relationship
Dalton-Brown, S. (2020). The ethics of medical AI and the physician-patient relationship. Cambridge Quarterly of Healthcare Ethics, 29(1), 115-121
· Lesson 18: AI in End-of-Life Decision-Making I
Earp, B. D. et al. (2024). A personalized patient preference predictor for substituted judgments in healthcare: technically feasible and ethically desirable. The American Journal of Bioethics, 24(7), 13-26
· Lesson 19: AI in End-of-Life Decision-Making II
1. Hubbard, R., & Greenblum, J. (2020). Surrogates and artificial intelligence: why AI trumps family. Science and Engineering Ethics, 26(6), 3217-3227
2. Annoni, M. (2025). It is not about autonomy: realigning the ethical debate on substitute judgement and AI preference predictors in healthcare. Journal of Medical Ethics, 51(7), 450-455
· Lesson 20: Conclusions
/
Final Notes for Students
Students are required to select at least two articles per part (minimum 8 articles in total) and review the course slides.
· Slides are not mandatory for non-attending students.
· Non-attending students are instead required to read the following textbook:
Chadwick, R. F., & Schüklenk, U. (2020). This Is Bioethics: An Introduction. John Wiley & Sons.
Part 1: Basics of Bioethics
· Lesson 1: Ethics, Morality, and the Birth of Bioethics
1. Jonsen, A. R. (2003). The Birth of Bioethics. Oxford University Press. (pp. 3-90)
2. McMillan, J. (2018). The Methods of Bioethics: An Essay in Meta-Bioethics. Oxford University Press. (pp. 1-25)
· Lesson 2: Core Concepts and Epistemological Foundations of Bioethics
1. Reichlin, M. (1994). Observations on the epistemological status of bioethics. The Journal of Medicine and Philosophy, 19(1), 79-102
2. McMillan, J. (2018). The Methods of Bioethics: An Essay in Meta-Bioethics. Oxford University Press. (pp. 28-42)
· Lesson 3: How to Do Bioethics: Methods and Reasoning
1. Huxtable, R. (2013). For and against the four principles of biomedical ethics. Clinical Ethics, 8(2-3), 39-43
2. Beauchamp, T. L., & Childress, J. F. (2019). Principles of Biomedical Ethics. Oxford University Press. (Chapter 1)
· Lesson 4: A Bioethics Classic - Abortion I
1. Thomson, J. J. (1976). A defense of abortion. In Biomedical Ethics and the Law (pp. 39-54). Springer US
2. Giubilini, A., & Minerva, F. (2013). After-birth abortion: why should the baby live? Journal of Medical Ethics, 39(5), 261-263
· Lesson 5: A Bioethics Classic - Abortion II
1. Marquis, D. (1989). Why abortion is immoral. The Journal of Philosophy, 86(4), 183-202
2. Thomson, J. J. (1976). A defense of abortion. In Biomedical Ethics and the Law (pp. 39-54). Springer US
Part 2: The Healthcare of the Future and the Need for Rationing
· Lesson 6: The Value of Health
Bognar, G., & Hirose, I. (2022). The Ethics of Health Care Rationing: An Introduction. Routledge. (Chapter 2)
· Lesson 7: Ethics and Cost-Effectiveness
Bognar, G., & Hirose, I. (2022). The Ethics of Health Care Rationing: An Introduction. Routledge. (Chapter 3)
· Lesson 8: The Aggregation Problem
Bognar, G., & Hirose, I. (2022). The Ethics of Health Care Rationing: An Introduction. Routledge. (Chapter 6)
· Lesson 9: Alternative Criteria for Allocating Healthcare Resources: Age and Responsibility
Turoldo, F. (2022). The triage of "blameworthy" patients. Philosophies, 7(5), 99
Part 3: Genetics and Reproduction
· Lesson 10: Ethical Issues in Genetic Testing: NIPT and Newborn Screening
Johnston, J. et al. (2018). Sequencing newborns: a call for nuanced use of genomic technologies. Hastings Center Report, 48(S2), S2-S6
· Lesson 11: Preimplantation Genetic Testing and the Expressivist Argument
1. Buchanan, A. (1996). Choosing who will be disabled: genetic intervention and the morality of inclusion. Social Philosophy and Policy, 13(2), 18-46
2. Savulescu, J., & Kahane, G. (2011). Disability: a welfarist approach. Clinical Ethics, 6(1), 45-51
3. Hofmann, B. (2017). "You are inferior!" Revisiting the expressivist argument. Bioethics, 31(7), 505-514
· Lesson 12: The Future of Reproduction: Ethics of Germline Genome Editing
Gyngell, C., Douglas, T., & Savulescu, J. (2017). The ethics of germline gene editing. Journal of Applied Philosophy, 34(4), 498-513
· Lesson 13: Genetic Enhancement and the Obsolescence Argument
Sparrow, R. (2019). Yesterday's child: how gene editing for enhancement will produce obsolescence—and why it matters. The American Journal of Bioethics, 19(7), 6-15
· Lesson 14: New Procreative Obligations? Procreative Beneficence and the Non-Identity Problem
1. Savulescu, J., & Kahane, G. (2009). The moral obligation to create children with the best chance of the best life. Bioethics, 23(5), 274-290
2. Parfit, D. (1984). Reasons and Persons. Oxford University Press. (Part 4, Chapter 16)
· Lesson 15: Models of Procreative Responsibility
1. Douglas, T., & Devolder, K. (2013). Procreative altruism: beyond individualism in reproductive selection. Journal of Medicine and Philosophy, 38(4), 400-419
2. Marway, H. K. (2023). Procreative justice and genetic selection for skin colour. Bioethics, 37(4), 389-398
3. Magni, S. F. (2021). In defence of person‐affecting procreative beneficence. Bioethics, 35(5), 473-479
Part 4: Artificial Intelligence in Healthcare
· Lesson 16: Ethical Challenges of AI in Medicine
Savulescu, J., Giubilini, A., Vandersluis, R., & Mishra, A. (2024). Ethics of artificial intelligence in medicine. Singapore Medical Journal, 65(3), 150-158
· Lesson 17: AI and the Doctor-Patient Relationship
Dalton-Brown, S. (2020). The ethics of medical AI and the physician-patient relationship. Cambridge Quarterly of Healthcare Ethics, 29(1), 115-121
· Lesson 18: AI in End-of-Life Decision-Making I
Earp, B. D. et al. (2024). A personalized patient preference predictor for substituted judgments in healthcare: technically feasible and ethically desirable. The American Journal of Bioethics, 24(7), 13-26
· Lesson 19: AI in End-of-Life Decision-Making II
1. Hubbard, R., & Greenblum, J. (2020). Surrogates and artificial intelligence: why AI trumps family. Science and Engineering Ethics, 26(6), 3217-3227
2. Annoni, M. (2025). It is not about autonomy: realigning the ethical debate on substitute judgement and AI preference predictors in healthcare. Journal of Medical Ethics, 51(7), 450-455
· Lesson 20: Conclusions
/
Final Notes for Students
Students are required to select at least two articles per part (minimum 8 articles in total) and review the course slides.
· Slides are not mandatory for non-attending students.
· Non-attending students are instead required to read the following textbook:
Chadwick, R. F., & Schüklenk, U. (2020). This Is Bioethics: An Introduction. John Wiley & Sons.
Modalità di verifica dell’apprendimento e criteri di valutazione
For attending students, the final exam consists of an oral discussion on the central issues of bioethics. A significant part of the final grade will also be based on active participation in class discussions.
Students who wish to explore a specific topic in greater depth may submit a short paper (maximum 5,000 words, excluding bibliography), which will be discussed during the oral exam. The paper accounts for 40% of the final grade. The topic must be approved in advance by the instructor, and the paper must be submitted to [email protected] at least two weeks prior to the oral discussion.
For non-attending students, the exam consists exclusively of a written paper, accompanied by an oral discussion that will also include questions on the required readings.
Students who wish to explore a specific topic in greater depth may submit a short paper (maximum 5,000 words, excluding bibliography), which will be discussed during the oral exam. The paper accounts for 40% of the final grade. The topic must be approved in advance by the instructor, and the paper must be submitted to [email protected] at least two weeks prior to the oral discussion.
For non-attending students, the exam consists exclusively of a written paper, accompanied by an oral discussion that will also include questions on the required readings.
SPS/01 - FILOSOFIA POLITICA - CFU: 6
Lezioni: 40 ore
Docente:
Battisti Davide