I am an ethicist and writer, and the program manager for Rutgers University's Center for Population-Level Bioethics (CPLB), where I also co-edit Dilemmas.
Before coming to Rutgers, I was a research fellow at the Department of Global Health and Population at the Harvard T. H. Chan School of Public Health. My research projects there centered on the ethics of harm reduction in tobacco control, on the ethics of clinical trials for interventions aiming to cure HIV, and on the Brazilian pharmaceutical market.
In 2017, I received my PhD in Health Policy, with a concentration in Ethics, from Harvard University. My dissertation explored the ethical questions raised by high-cost health technologies (including but not limited to orphan drugs for rare diseases) and the strain they put on public health care budgets. The first paper argues that public insurers are justified in paying more per QALY for orphan drugs, not on account of the diseases’ rarity, but because of their severity. The second paper is a qualitative analysis of small-group deliberation sessions conducted in Alberta, Canada. The aim is to understand how citizens conceptualize severity of illness, and how severity interacts with the size of the patient population in citizens’ views on priority setting. The third paper examines the normative commitments implied by competing approaches to setting cost-effectiveness thresholds.
I have designed and taught an undergraduate Introduction to Health Systems class at Simmons College School of Management. At Harvard, I have served as a teaching fellow in undergraduate courses in health care policy and health economics and in graduate courses in public health ethics and research ethics, and in 2015-2016 was a Graduate Fellow at the Edmond J. Safra Center for Ethics.