Leonard M. Fleck

Leonard Fleck photo

Acting Director, Professor

Center for Ethics and Humanities in the Life Sciences

Professor, Department of Philosophy

C-202 East Fee Hall
(517) 355-7552
fleck @ msu.edu

PhD 1975 St. Louis University
BA 1966 Loyola University

Curriculum Vitae
MSU Scholars Profile
Research Gate Profile


Leonard Fleck's interests focus on medical ethics, health care policy, priority-setting and rationing, and reproductive decision-making. He explores the role of community dialogue (rational democratic deliberation) in addressing controversial issues of ethics and public policy related to emerging genetic technologies. More recently, he has been working on a book-length manuscript that addresses a number of ethical and policy issues related to precision medicine, primarily in a cancer treatment context.

Selected Publications

Danis M, Hurst SA, Fleck L, Forde R, Slowther A, eds. Fair Resource Allocation and Rationing at the Bedside. 1 ed: Oxford University Press; 2014. This volume is comprised of over twenty essays addressing various aspects of the issue of bedside rationing from both European and American perspectives. Dr. Fleck also contributed “Just Caring: The Ethical Challenges of Bedside Rationing,” Chapter Ten, 171-203.

Fleck L. Just Caring: Health Care Rationing and Democratic Deliberation. Oxford University Press; 2009.

Fleck LM. Just caring: Do we need philosophical foundations? Ethics, Medicine and Public Health. Available online June 9 2017. April-June 2017;3(2):221-232. This is the official journal for the International Academy of Medical Ethics and Public Health, jointly sponsored by the Sorbonne and Université René Descartes.

Fleck LM. Just Caring: Precision Medicine, Cancer Biomarkers and Ethical Ambiguity. In: Blanchard A, Strand R, eds. Cancer Biomarkers: Ethics, Economics and Society. Kokstad: Megaloceros Press; 2017:73-94.

Fleck LM, Danis M. How Should Therapeutic Decisions about Expensive Drugs Be Made in Imperfect Environments? AMA Journal of Ethics. February 2017;19(2):147-156.

Fleck LM. Choosing Wisely: Is Parsimonious Care Just Rationing? Cambridge Quarterly of Healthcare Ethics. July 2016;25(3):366-376.

Fleck L. Critical Care Limits: What Is the Right Balance? American Journal of Bioethics. Jan 2016;16(1):48-50.

Fleck LM. Just Caring: The Insufficiency of the Sufficiency Principle in Health Care. In: Fourie C, Rid A, eds. What Is Enough? Sufficiency, Justice, and Health: Oxford University Press; 2016:223-243.

Fleck L. Just Solidarity: The Key to Fair Health Care Rationing. Diametros. 2015;43(March 2015):44-54; an online European Philosophy journal.

Fleck L. Just Caring: Fair Innings and Priority Setting. In: Nagel E, Lauerer M, eds. Prioritization in Medicine: An International Dialogue: Springer International Publishing; 2016.

Fleck L. Just Caring: Do the Indolent, the Inebriated and the Irresponsible Deserve Equal Access to Needed Health Care? Indiana Health Law Review. July 2014;11(2):553-587.

Fleck L. Pharmacogenomics and Personalized Medicine: Wicked Problems, Ragged Edges, Ethical Precipices. New Biotechnology. Sept 2012(special issue “Personalized Medicine and Diagnostics"):757-768.

Fleck L. Liberty and the Individual Mandate. In: Kronenfeld J, Parmet W, Zezza M, eds. Debates on U.S. Health Care: Sage Publications; 2012:132-145.

Fleck L. Just Caring: In Defense of the Role of Rational Democratic Deliberation in Health Care Rationing and Priority Setting. In: den Exter A, Buijsen M, eds. Rationing Healthcare: Hard Choices and Unavoidable Trade-offs. Antwerp: Maklu Press; 2012:19-36.

Fleck L. Just Caring: Health Care Rationing, Terminal Illness, and the Medically Least Well Off. Journal of Law, Medicine, and Ethics. Summer 2011;39:156-171.

Fleck L. Just Caring: Defining a Basic Benefit Package. Journal of Medicine and Philosophy. Dec 2011;36:589-611.

Selected Achievements and Awards

University Distinguished Faculty Award, 2003

Distinguished Faculty Award, College of Human Medicine, 2003

Elected Fellow of The Hastings Center, June 2002