As of 2019, 30 US states have adopted abortion-specific informed consent laws that require state health departments to develop and disseminate written informational materials to patients seeking an abortion. Abortion is the only medical procedure for which states dictate the content of informed consent counseling. State abortion counseling materials have been criticized for containing inaccurate and misleading information, but overall, informed consent laws for abortion do not often receive national attention. The objective of this project was to determine the importance of informed consent laws to achieving the larger goal of dismantling the right to abortion. I found that informed consent counseling materials in most states contain a full timeline of fetal development, along with information about the risks of abortion, the risks of childbirth, and alternatives to abortion. In addition, informed consent laws for abortion are based on model legislation called the “Women’s Right to Know Act” developed by Americans United for Life (AUL). AUL calls itself the legal architect of the pro-life movement and works to pass laws at the state level that incrementally restrict abortion access so that it gradually becomes more difficult to exercise the right to abortion established by Roe v. Wade. The “Women’s Right to Know Act” is part of a larger package of model legislation called the “Women’s Protection Project,” a cluster of laws that place restrictions on abortion providers, purportedly to protect women, but actually to decrease abortion access. “Women’s Right to Know” counseling laws do not directly deny access to abortion, but they do reinforce key ideas important to the anti-abortion movement, like the concept of fetal personhood, distrust in medical professionals, the belief that pregnant people cannot be fully autonomous individuals, and the belief that abortion is not an ordinary medical procedure and requires special government oversight. “Women’s Right to Know” laws use the language of informed consent and the purported goal of protecting women to legitimize those ideas, and in doing so, they significantly undermine the right to abortion. The threat to abortion rights posed by laws like the “Women’s Right to Know” laws indicates the need to reevaluate and strengthen our ethical defense of the right to abortion.

In this project, I will attempt to determine the moral permissibility of amateurism, as it relates to student athlete compensation, defined by the NCAA. Amateurism is the term that defines the current profiling of student athletes by the NCAA as non-professionals. Therefore, in the eyes of the NCAA, in order for a student to participate as an athlete, there are eight stipulations of characteristics they may not embody, specifically surrounding playing sports for personal monetary gain. The problem in question with this definition is the perceived inequity of the amount of money coaches, officials and directors are making from revenues surrounding the sport versus how much the players see. This analysis will include a situational analysis of the current environment—the nature of the NCAA student athlete problem, as well as an investigation into two proposal environments. The first is labeling student athletes as “professionals” and compensating them through negotiated contracts, and the second models after the pre-1988 International Olympic Committee definition of amateurism, which allowed athletes to pursue their own side endorsements relating to their athletic performance.

Through literature review and semi-structured surveys and interviews, this study will attempt to discern the true motives of the stakeholders in the student-athlete compensation case and use these motives along with ethical analysis to determine the moral permissibility of the proposed environments. This study will follow 4 specific research questions:

1. To what extent is “amateurism” a morally permissible concept to govern student athlete compensation?
2. To what extent is “professionalism” a morally permissible concept to govern student athlete compensation?
3. To what extent is “Olympic amateurism” a morally permissible concept to govern student athlete compensation?
4. How should the knowledge of these concepts’ moral permissibility affect how we apply the law in the area of this case?

This project will conclude with commentary on what the implications are towards modern law for after determining the moral permissibility of all environments.

This paper explores the impacts of dam-induced displacement on the health of populations. By the start of the 21st century, an estimated 40-80 million people worldwide were forced to resettle due to the construction of large dams. The process of displacement and resettlement is connected to numerous social impacts on communities such as decreases in household income, natural resources, and social connectivity, but less seems to be known about specific health impacts. Analyzing literature in a formal review allowed for increased understanding about what information already exists in published research regarding the connections between dams, displacement, and health. Some negative health impacts as a result of forced displacement were identified, including increases in infectious disease transmission, depression, and mortality rates as well as losses of food and water sources. However, the small amount of cases found in the literature review when compared to the massive scale of dam development worldwide indicates a gap in knowledge in the dam industry and research field specifically about the health of the vast majority of populations forcibly displaced by dams. Health impacts must be considered and systematically studied in dam projects involving displacement to fully understand the needs of resettled populations and move towards equitable processes in development projects worldwide.

Many journals provide guidelines for their publications, which outline the expectations for authors when submitting an article for publication. Although these guidelines have become common practice for some journals, there is little written regarding the impact that these guidelines have on the reporting of research. This paper aims to provide insight regarding the question of “How do journal guidelines address the reporting of data in scientific journals?” This study does not measure the impact that guidelines have had on the reporting of research and instead aims to use the established methodology of document analysis to develop a new instrument for helping understand how and whether publication guidelines impact the reporting of data. The work conducted to develop this methodology involved analysis of the language used in publication guidelines and its potential impact on the use of qualitative versus quantitative data in the reporting of animal behavior research. The topic was chosen as animal behavior research often requires the use of both quantitative and qualitative observations when reporting. In this study, we examined the differences in publication guidelines outlined by the Elsevier’s Animal Behaviour between the years 1960 and 2019, to identify any potential influence of the journal’s publication guidelines on the reporting of scientific research in Animal Behaviour. This study highlights three emerging themes (data presentation, types of research topics and paper types) and identifies supporting language in the guidelines that address the use of qualitative and quantitative terms in the reporting of scientific research.

Electronic Health Records: Suggestions for Future Use explores how EHRs are currently being used in the clinical setting and in the research setting. This paper provides suggestions for how EHRs should be used in the future, so that patient centered health care is optimized while maintaining efficiency. Additionally, the thesis discusses why privacy is viewed as an innate human right in society as well as why it is specifically valued in the healthcare setting. The value of privacy significantly impacts how EHRs are currently used, and the more automated EHR systems become, the more likely it is that the privacy of patients is threatened. It was concluded that the healthcare industry can improve EHR use in future clinical and research settings, while upholding privacy laws.

The concept of when human death occurs had for most of history been determined by criteria for cardiac death, defined as the cessation of a heartbeat and respiration. However, in the mid-1900's, a new definition of death emerged in the form of brain death, characterized by an irreversible cessation of brain and brainstem function. This definition was needed after resuscitation of the heart was made possible and a growing number of patients were in a state of ventilatory support but had undetectable brain function. The success of organ transplantation and the growing need for more organ procurements further reinforced the advantage of using neurological criteria to declare death. These advancements in medicine have created a need for a definition of death other than cardiac death and have led to the acceptance of brain death, though it is still the subject of controversy. It has been attacked as a concept with weak scientific foundations and ethical justifications, since the brain itself is not well understood and the definition is used to the advantage of the organ donation system. Those in opposition to the use of neurological criteria to pronounce death argue that it is not always correctly detected and is conceptually incoherent. It would help to resolve this point of controversy if accurate methods to detect brain death were standardized for all physicians to use when declaring death, so that no declarations could be termed inaccurate or incomplete. The definition of brain death needs more rigorous and updated scientific backing in its ability to be detected if it is to be imposed upon individuals by law, as it is in the United States. It is also possible that new research and developments in medical treatments will make the current definition of death subject to change, and understanding the underlying problems of the current definition of brain death will help eliminate issues in a new definition of death.

Intestinal Transplant is becoming more prevalent with time as an powerful alternative to other therapies for intestinal failure such as parenteral nutrition. The small intestine is an organ especially susceptible to ischemia, or the lack of blood and oxygen supply to an organ. I studied ischemia at Yale Medical School in the lab of Dr. John Geibel. The purpose of this study was to find which kind of solution best protects the intestine from ischemia as well as which segments of the intestine are more susceptible to ischemic damage. This was done by cold static storage as well as through perfusing the organ with a unit developed in the lab called the Intestinal Perfusion Unit (IPU). Intestines were procured from deceased donors following the protocol for handling human specimen and then flushed with either the University of Wisconsin (UW) solution or the Histidine-tryptophan-ketoglutarate solution (HTK). It was found that the jejunum is more susceptible ischemia than the ileum. It was also found that in the jejunum, when using UW solution there was less damage then when using HTK. Clinically, this means that in transplant, if the ileum part is used, there is less risk for ischemic damage. The potential applications of this research raise many ethical issues related to organ transplantation more broadly. The ethical issues include but are not limited to: consent, distribution and need-based donation, transplant tourism, and cost and access. The costs for transplant are exorbitant for the average American. Private insurance companies and Medicare have no policy for intestinal transplant and are therefore not covering many patients in need. In this thesis, I briefly explore the role of insurance companies in the equitable distribution of innovative medical interventions.

Whether legal, banned or unregulated, states and nations are reconsidering the morality and legality of the practice of surrogacy. Though many advocate for the absolute right to this practice, there are serious ethical concerns about the practice of surrogacy. Using critical theory, this thesis examines the relationships between the systems and people who have fostered a space where assisted reproductive technologies (ARTs) thrive. A theoretical analysis of Karl Marx and his literature on women and reproduction adds more comprehensive depth to the last four decades of literature on surrogacy. I respond to Marx and contemporary researchers with a recommendation: surrogacy should be regulated (and not necessarily banned) across states and nations. I also suggest that future discussions should point to market-inalienability as a tool to guide discussion on the state of surrogacy. I argue surrogacy is synonymous with purchasing children. If we are able to have clearer conversations about the ways in which children are treated as commodities, then we can start to understand the ways in which other forms of conception and childbearing practices are also problematic and exploitative.

The current American opioid crisis is seeing an exponential number of fatalities. The opioid epidemic is a problem with massive scope, and while no clear reason has been identified, many causal relationships have been linked to its genesis. This thesis examines the role of the pharmaceutical industry in perpetuating the abuse rates we see today. Topics of sociological norms and values, economic incentives that benefitted private business practices, and political-legal means of restitution and market completion are examined to make sense of specific mechanisms that the pharmaceutical industry took advantage of, and the future trajectory of what is to come from the industry as well. Combined with policies (or, lack thereof) that do not provide adequate checks against opioid marketing strategies and incentives, governmental interferences come too little, too late in attempting to solve the issue.

In the current political moment, sex trafficking is an issues that has gained increased political and media attention. This thesis first analyzes the stories that are told about sex trafficking in policy and the media. Analyzing these stories help us make sense of whose voices, experiences, and needs we listen to, and in relief, whose we do not. Through a case study that evaluates the research, policy work, and advocacy being conducted through the Office of Sex Trafficking Intervention Research at ASU, I first explore how they are dominating the conversation about sex trafficking in Arizona. I offer four critiques on STIR's approach to sex trafficking. First, I critique the language that STIR uses, and the implications of explaining this social issue as sex trafficking instead of survival sex. I then critique the policy and responses around the experiences of LGBTQ youth, and how the theory of dynamic nominalism informs the way we should represent LGBTQ youth in research. Through analyzing specific responses to sex trafficking prevention that STIR offers, such as calling 911, I will explore the need for intersectionality to protect the wellbeing of youth of color. Lastly, through theoretical critiques of neoliberalism, I will explore the ways in which STIR's research, advocacy, and trainings neglect to explore the systems youth must navigate and exist in, and how those systems fail. Through each of these unique critiques, we notice different silences and important considerations that are missing from the work that is dominating the discussion of sex trafficking in the US. Ultimately, this thesis does not argue that we should not care about sex trafficking, but instead argues we need to care more. It explores the ways that acknowledging the complexity and nuance of this great social problem can provide the ability to create meaningful solutions that care for and listen to youth.