Leonard M. Fleck
Acting Director, Professor
Center for Ethics and Humanities in the Life Sciences
Professor, Department of Philosophy
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 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.
More Items on the Web
- Just Caring: Meeting the Health Care Needs of the Elderly (and Everyone Else)
- Should Women Pay More for Health Insurance?
- Misconceptions: Ethics and the Rejection of Reproductive Roulette
- The Ethical Challenges Raised by Hepatitis C Drugs
- Precision Medicine/Ambiguous Ethics?
- Medicare Part "Q": Fantasy or Fantastic?
- No More Death Panels; Politically-Assisted Suicide Instead
- Charlie Gard: An Unnecessary Tragedy?
- Gene Editing: God's Will or God's Won't
- Greed Is God: The Divine Right to Avaricious Drug Pricing
- 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. 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
Distinguished Faculty Award, College of Human Medicine
Elected Fellow of The Hastings Center