Leonard M. Fleck
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.
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 10, 171-203.
Fleck L. Just Caring: Health Care Rationing and Democratic Deliberation. Oxford University Press; 2009.
Fleck LM. Healthcare Priority-Setting: Chat-Ting Is Not Enough; Comment on “Swiss-CHAT: Citizens Discuss Priorities for Swiss Health Insurance Coverage”. International Journal of Health Policy and Management. October 2018;7(10):961-963. Available online July 28, 2018. PMID: 30316250. PMCID: PMC6186469. DOI: 10.15171/ijhpm.2018.66.
Fleck LM. Precision QALYs, Precisely Unjust. Cambridge Quarterly of Healthcare Ethics. July 2019;28(3):439-449. DOI: 10.1017/S0963180119000367.
Fleck L. Ethical Considerations Related to Obesity Intervention. In: Davies HD, Fitzgerald HE, Silk KJ, eds. Obesity in Childhood and Adolescence, 2nd Edition. Vol 2: Praeger; November 2018:3-35.
Fleck LM. Controlling Healthcare Costs: Just Cost Effectiveness or “Just” Cost Effectiveness? Cambridge Quarterly of Healthcare Ethics. April 2018;27(2):271-283. Available online March 6, 2018. PMID: 29509125. DOI: 10.1017/S0963180117000603.
Fleck LM, Murphy TF. First Come, First Served in the Intensive Care Unit: Always? Cambridge Quarterly of Healthcare Ethics. January 2018;27(1):52-61. PMID: 29214960. DOI: 10.1017/S0963180117000391.
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.
More Items on the Web
- Health Care and Social Justice: Just Take Two Aspirin for Your Tumor If You Cannot Afford Your Cancer Care
- Medicare For All: This Is Going to Hurt
- Greed Is God: The Divine Right to Avaricious Drug Pricing
- Gene Editing: God's Will or God's Won't
- Charlie Gard: An Unnecessary Tragedy?
- No More Death Panels; Politically-Assisted Suicide Instead
- Medicare Part "Q": Fantasy or Fantastic?
- Precision Medicine/Ambiguous Ethics?
- The Ethical Challenges Raised by Hepatitis C Drugs
- Misconceptions: Ethics and the Rejection of Reproductive Roulette
- Should Women Pay More for Health Insurance?
- Just Caring: Meeting the Health Care Needs of the Elderly (and Everyone Else)
- Podcast: Ethics and Policy Issues of Targeted Cancer Therapies: Fleck and Mackenzie - Episode 16
- Podcast: Why I Donated a Kidney to a Stranger: Fleck and Ward – Episode 14
- Podcast: Ethical Implications of Gene-Editing Human Embryos: Eijkholt and Fleck – Episode 13
- Podcast: Reflecting on Early Bioethics: Fleck and Tomlinson - Episode 9
- Podcast: Organ Donation Models: Eijkholt and Fleck - Episode 8
- Podcast: The Medical Ethics Resource Network of Michigan: a History - Episode 3
- Webinar: Personalized Genomic Medicine: Rough Justice, Ragged Edges, Rugged Moral Terrain
- Webinar: Whoopie Pies, Super-Size Fries: "Just" Snacks? "Just" Des(s)erts?
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.
Work in Progress:
Precision Medicine/Ethical Ambiguity? Wicked Problems, Ragged Edges, Rough Justice. Oxford University Press, (late 2020).
The Liberalism Problem, Public Reason, and Health Care Justice. Cambridge University Press, 2021 (anticipated).
Selected Achievements and Awards
- Elected Fellow of the Brocher Foundation (Geneva), 2011
- University Distinguished Faculty Award, 2003
- Distinguished Faculty Award, College of Human Medicine, 2003
- Elected Fellow of The Hastings Center, June 2002