James Sabin
James Evan Sabin, MD | |
|---|---|
| Nationality | American |
| Alma mater | Harvard College (BA) Harvard Medical School (MD)[1] |
| Known for | accountability for reasonableness, psychiatric ethics, healthcare ethics |
| Scientific career | |
| Fields | psychiatry, population health, health ethics, philosophy, ethics |
| Institutions | Harvard Pilgrim Health Care, Harvard Medical School, Harvard University |
James Evan Sabin, MD is an American psychiatrist, bioethicist, and health policy scholar. He is best known for his co-development of the “Accountability for Reasonableness” (A4R) ethical framework for fair health care resource allocation, in collaboration with philosopher Norman Daniels. Sabin's work integrates clinical psychiatry, ethics, and organizational decision-making in managed care and public health systems.
Career and contributions
[edit]Sabin served as Clinical Professor in the Department of Population Medicine at Harvard Medical School and as Director of the Ethics Program at Harvard Pilgrim Health Care, where he pioneered models for ethical oversight in managed care. He is also a Faculty Affiliate at the Harvard Medical School Center for Bioethics[2].
He is co-author, with Norman Daniels, of Setting Limits Fairly: Can We Learn to Share Medical Resources? (Oxford University Press), a widely cited book that elaborates the A4R framework. This model has been applied by policymakers and public health agencies in the United Kingdom, Canada, and by international institutions such as the World Bank and the World Health Organization.
Sabin has published extensively in the fields of clinical ethics, psychiatric ethics, and health policy. He is recognized for addressing ethical dilemmas in mental health care, including issues of consent, equity, and institutional responsibility. His writings appear in journals such as Health Affairs, The Hastings Center Report, Psychiatric Services, and BMJ.
Selected publications
[edit]- Daniels, N., & Sabin, J. E. (2008). Setting Limits Fairly: Can We Learn to Share Medical Resources? 2nd edition. Oxford University Press.
- Sabin, J. E. (1998). "Fairness, accountability, and transparency in health care rationing." *Hastings Center Report*.
- Sabin, J. E., & Daniels, N. (1997). "The ethics of accountability in managed care reform." *JAMA*.
Influence and recognition
[edit]Sabin’s work on A4R is referenced in global health policy and academic literature on distributive justice in health care. His collaborative but distinct contributions complement those of Norman Daniels by grounding ethical frameworks in psychiatric practice and clinical health system management.
See also
[edit]References
[edit]- ^ "Bread Loaf 100+: Summer 2021 Faculty | Middlebury Bread Loaf School of English". www.middlebury.edu.
- ^ "James Evan Sabin | Bioethics". bioethics.hms.harvard.edu. July 1, 2019.
External links
[edit]- Personal website
- Harvard Medical School Center for Bioethics. "James Evan Sabin, MD."
- Department of Population Medicine. "Jim Sabin, MD."
- Hasman, A., & Holm, S. (2005). "Accountability for Reasonableness: Opening the Black Box of Process." Health Care Analysis, 13(4), 261–273.
- Sabin, J. E., & Cochran, D. (2007). "Confronting Trade-Offs in Health Care: Harvard Pilgrim Health Care's Organizational Ethics Program." Health Affairs, 26(4), 1129–1134.