Driven by a global vision of clean, just, and ethical health care and technology through the development of strategies and policies

 

Cristina Richie

Lecturer; Cohort Lead, Data and Artificial Intelligence Ethics

 

Research Areas of Expertise:

clean, just and ethical health care and technology

Research Summary:

Cristina Richie’s research is driven by a global vision of clean, just, and ethical health care and technology through the development of strategies and policies. In addition to her monographs, Principles of Green Bioethics: Sustainability in Health Care (Michigan State University Press, 2019); Environmental Ethics and Medical Reproduction (Oxford University Press, 2024), and edited volumes, Environmental Bioethics: Theory and Practice for Environmentally Sustainable Health Care (Routledge, 2024); The Oxford Handbook of Environmental Bioethics (Oxford University Press, forthcoming), Dr. Richie is the author of over sixty articles in journals including Nature Climate Change, The Lancet, and the American Journal of Bioethics.

Key Publications:  

Monographs:

Environmental Ethics and Medical Reproduction (Oxford University Press, 2024).

Principles of Green Bioethics: Sustainability in Health Care (East Lansing: Michigan State University Press, 2019).

Edited Volumes:

Handbook of Environmental Bioethics (Oxford University Press, 2025).

Environmental Bioethics: Theory and Practice for Environmentally Sustainable Health Care (Routledge, 2024).

Co-edited Journal Issues

Bioethics. SI on Annual World Bioethics Conference, with Ruth Chadwick.

Environmental Research Health. Focus issue: Environmental Sustainability and Health Care, 2025, with Nancy S. Jecker, Federica Lucivero, Gabrielle Samuel, Emily Senay, Charles Dupras, and Phil Mackie.

Selected Peer-Reviewed Journal Articles:

“NHS policy on HPV vaccines is failing women ages 26-45,” Perspectives in Public Health 145, no. 1 (2025): 16-17.

“Patients' attitudes towards integrating environmental sustainability into healthcare decision-making: an interview study,” co-authors Eva S. Cohen, Dionne S. Kringos, Lisanne HJA Kouwenberg, Nicolaas H. Sperna Weiland, Johanna WM Aarts, and Wouter JK Hehenkamp. Health Expectations, 28, no. 1 (2025): e70155.

“A focus group study of ethical issues during climate-informed health decision-making,” co -authors Andrew Hantel, Emily Senay, Anna Revette, Brett Nava-Coulter, Fay J. Hlubocky, Thomas P. Walsh, Mark Siegler & Gregory A. Abel. Nature Climate Change no. 14 (2024): 1040–1046.

“Patient perspectives on climate friendly healthcare: an exploratory study in obstetrics and gynaecology." co-authors Eva S. Cohen, Dionne S. Kringos, Lisanne HJA Kouwenberg, Nicolaas H. Sperna Weiland, Johanna WM Aarts, and Wouter JK Hehenkamp. Patient Education and Counseling 130 (2025): 108427.

“Environmental and Clinical Ethics Support Decarbonising End-Of-Life Care,” co-author Forbes McGain. Lancet Planet Health, 8 no. 8, August 2024): e530.

“Research on the health impact of climate must consider distributive justice and environmental sustainability.” With Garcia-Gomez P, Thio HB, Rwei A, Joo C, Staufer U, et al. PLOS Climate 3 no. 6 (2024): e0000431. 🔗

“Environmental Sustainability and the Paradox of Prevention,” Journal of Medical Ethics 50 no. 8 (2024):534–538.

“‘Green Informed Consent’ in the Classroom, Clinic, and Consultation Room,” Medicine, Health Care and Philosophy: A European Journal no. 26 (2023): 507–515.

“Environmental Ethics Beyond Conferences: A Response to the WCB Bioethics in Qatar,” Bioethics (2023): 🔗

“Planetaire gezondheid: ethische implicaties voor gezondheidszorg,” Co author Marcel Verweij, Nederlands Tijdschrift voor Geneeskunde (“Planetary Health: Ethical Implications for Health Care,” Dutch Journal of Medicine) 167 (2023):D7443.

“Concerns About Climate Activism In Clinical Practice- Author Reply,” Co authors: David S. Jones and Aaron S. Kesselheim, The Lancet, 401, no. 10390 (2023):1772.

“Re-imagining Research Ethics to Include Environmental Sustainability: A Principled Approach, Including a Case Study of Data-Driven Health Research,” Co author: Gabrielle Samuel. Journal of Medical Ethics 49, no. 6 (2023): 428-433.

“Climate Change and the Prescription Pad,” Co authors: David S. Jones and Aaron S. Kesselheim, The Lancet, 401, no.10372 (2023): 178-179.

“Carbon Emissions from Overuse of US Healthcare Delivery: Medical and Ethical Problem,” Co-author: Cassandra L. Thiel. Hastings Center Report 52, no. 4 (2022): 10-16.

“Environmentally Sustainable Development and Use of Artificial Intelligence in Health Care,” Bioethics 36, no. 5 (2022): 547-555.

“Environmental Sustainability and the Carbon Emissions of Pharmaceuticals,” Journal of Medical Ethics 48, no. 5 (2022): 334–337.

“Sex, not Gender. A Plea for Accuracy,” Experimental & Molecular Medicine 51, no. 133 (2019): 1.

“Not Sick: Liberal, Trans, and CripFeminist Critiques of Medicalization,” Journal of Bioethical Inquiry 16, no. 3 (2019): 375–387.

“A Queer, Feminist Bioethics Critique of Facial Feminization Surgery,” American Journal of Bioethics 18, no. 12 (2018): 33-35.

“Lessons from Queer Bioethics: A Response to Timothy F. Murphy,” Bioethics 30, no. 5 (2016): 365–371.

“Global Justice and Maternal Resources: Taking a Note From Catholic Social Teachings,” Developing World Bioethics 15, no. 3 (2015): 179-190.

Laudato Si’, Catholic Health Care, and Climate Change,” Health Care Ethics USA 23, no. 3 (2015): 30-32.

“What Would An Environmentally Sustainable Reproductive Technology Industry Look Like?,” Journal of Medical Ethics 41, no. 5 (2015): 383-387.

“Reading Between the Lines: Infertility and Current Health Insurance Policies in the United States,” Clinical Ethics 9, no. 4 (2014): 127-134.

“A Brief History of Environmental Bioethics,” AMA Journal of Ethics (formerly Virtual Mentor) 16, no. 9 (2014): 749-752.

“Voluntary Sterilization for Childfree Women: Understanding Patient Profiles, Evaluating Accessibility, Examining Legislation,” Hastings Center Report 43, no. 6 (2013): 36-44.

Book Chapters:

“Climate Change and Health Care Education,” in Applied Philosophy for Health Professions Education: A Journey Towards Mutual Understanding, Megan Brown, Mario Veen & Gabrielle Finn, eds. (Springer, 2022): 233-250.

“Greening the End of Life: Refracting Clinical Ethics through an Ecological Prism,” in Catholic Bioethics and Social Justice: The Praxis of US Health Care in a Globalized World, M. Therese Lysaught and Michael McCarthy, eds. (Collegeville: Liturgical Academic Press, 2018), 129-142.

Reports, Fact Sheets, and Position Papers:

European Society of Human Reproduction and Embryology (ESHRE), Expert Panel for Environmental Factors and Fertility: Willem Ombelet, Maribel Acién, Pauliina Damdimopoulou, Linda Giudice, Niels E. Skakkebæk, Miguel Angel Checa, Rémi Béranger, Nicolas Garrido, Karin Sørig Hougaard, Rune Lindahl-Jacobsen, Olwenn Martin, Jeanne Perrin, Cristina Richie, and Nathalie Vermeulen.

European Society of Human Reproduction and Embryology (ESHRE), Expert Panel for Environmental Factors and Fertility “Factsheet on air pollution, climate change and reproductive health,” March 2024 🔗

European Society of Human Reproduction and Embryology (ESHRE), Expert Panel for Environmental Factors and Fertility “Environmental exposure, fertility and reproductive health,” March 2024 🔗

European Society of Human Reproduction and Embryology (ESHRE), Expert Panel for Environmental Factors and Fertility “Factsheet on environmental exposure and offspring health,” March 2024 🔗

European Society of Human Reproduction and Embryology (ESHRE), Expert Panel for Environmental Factors and Fertility “Factsheet on environmental exposure and male reproductive health,” March 2024 🔗

European Society of Human Reproduction and Embryology (ESHRE), Expert Panel for Environmental Factors and Fertility “Factsheet on environmental exposure and female reproductive health.” 🔗

European Society of Human Reproduction and Embryology (ESHRE), Expert Panel for Environmental Factors and Fertility “Recommendations,” Brussels, 12 May 2023 🔗

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Engaging with issues of automation and the rule of law, human dignity and the denial of reasoned explanations for autonomous decisions, and balancing human judgment, AI proficiency and overall safety