Ethics on Call
Ethicists, clinicians, and administrators share a sincere commitment to building health care ministries that serve those in need and strengthen the social conditions that support healthy communities. But how can we achieve this without a clear account of what social structures and culture are, how they change, and—most importantly—how they can help us provide the best care, especially to those who are most poor and vulnerable? In this episode Dan and Tom begin by reviewing the ways that critical realist social theory has contributed to a Christian ethical analysis of social structures and culture. Then they consider two recent articles that apply these insights to clinical and bioethics, and to building healthy hospital cultures. The articles and resources discussed in this episode can be found below: Finn, Daniel K. “Ch. 4: Social Structures,” in Moral Agency Within Social Structures and Culture: A Primer on Critical Realism for Christian Ethics. Edited by Daniel K. Finn. Georgetown University Press. 2020: 29-41. [https://press.georgetown.edu/Book/Moral-Agency-within-Social-Structures-and-Culture] Kolmes, Sara, Ariana Thompson-Lastad, Kevin Dirksen, Kayla Tabari, and Seth M. Holmes. “Incorporating Structural Competency into Clinical Ethics: Piloting New Bioethics Education.” Journal of Clinical Ethics, Vol. 26, No. 2 (2025): 158-166. https://doi.org/10.1086 /734776 [https://www.journals.uchicago.edu/doi/abs/10.1086/734776?journalCode=jce] Miller, Ireland. “Building an Ethical Hospital Culture: Integrating Ethics into Organizational Frameworks in Healthcare.” Journal of Health Ethics & Administration, Vol. 11, No. 3 (2025): 14-24. https://doi.org/10.22461/jhea.6.7164 [https://www.jheaonline.org/pdf/Miller_jhea.6.7164.pdf] “Case Studies in Social Medicine,” New England Journal of Medicine, Massachusetts Medical Society, https://www.nejm.org/case-studies-in-social-medicine. Subscribe to Ethics on Call on YouTube [https://www.youtube.com/channel/UCwcBPo8tM2UQR7Y8SdBjugA/], Spotify, Apple or Simplecast. Visit our website, theologyandethics.org [https://site.chausa.org/theologyandethics/], for more information on the Center for Theology & Ethics in Catholic Health.
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