Bibliographic record
Abstract
This chapter examines the notion of dignity in international healthcare contexts, with specific attention to serious and terminal illness and the role of palliative care. The role of “death with dignity” in the unique experience of Canada’s legalization of medically assisted death (MAD) provides many lessons for those in countries that have legalized medically assisted death and those contemplating it. Major advances in the power of medical technology in the past 50 years have created death-defying technology with the portable ventilator, cardiopulmonary resuscitation, cardiac defibrillators, and organ transplantation. Dignity rapidly became central in debates surrounding the increasing power of science and technology in controlling human life, especially with emerging genetic, reproductive, and enhancement technologies; in research involving human subjects; and in health policy debates in aging societies. Dignity did not enter the Western moral vocabulary or modern bioethics through the Judeo-Christian heritage. Religious claims about dignity exemplify the belief that dignity is distinct from autonomy.
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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 | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.005 | 0.018 |
| Scholarly communication | 0.007 | 0.007 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.005 | 0.009 |
| Insufficient payload (model declined to judge) | 0.006 | 0.002 |
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".