Bibliographic record
Abstract
Many international organizations and countries have adopted the principles of American bioethics as their own principles. However, further analysis of what is going on in the United States shows that what we have come to call principlism is only one expression among many other health care ethics approaches that are found in the U.S. The first section of the text presents American bioethics from the point of view of principlism, the main focus being the creation of this vision, and its meaning. The second section examines, first of all, the critiques that from the beginning have been addressed to this approach; and secondly, other visions developed as much in response to the limits intrinsic to principlism as to the major changes that drive the American health system. In the third section, I will attempt to indicate that the real challenge of American bioethics is not a consequence of the tension existing between principlism and the other approaches, but that it arises in the political domain: the polarization between liberals and conservatives.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.012 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.005 | 0.009 |
| Scholarly communication | 0.007 | 0.005 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.004 | 0.008 |
| Insufficient payload (model declined to judge) | 0.018 | 0.006 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".