ArticleMedicine, health care, and philosophy2026
Epistemic disadvantage and looping breaks: a reply to Gauld et al.
Article in Medicine, health care, and philosophy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
While Gauld et al. correctly argue that warranted clinical exclusion of patient narratives need not constitute epistemic injustice, this paper introduces epistemic disadvantage, a coextensive but distinct category of harm. Drawing on its three conditions, I show how epistemic harm persists even when exclusions are non-prejudicial and justified, contributing to clinical ethical obligations.
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