Critical bioethics in the time of epidemic: The case of the criminalization of HIV/AIDS nondisclosure in Canada

This article highlights the ethically uncertain and emotionally charged climate that governs the criminalization \ud of HIV nondisclosure in Canada. Focusing on AIDS Service Organizations (ASO), we suggest that interlocutors \ud perform critical work that helps people living with HIV/AIDS make sense of their rights and responsibilities. \ud Semi-structured interviews with 62 ASO staff across Canada revealed this shifting landscape of HIV advocacy \ud in the age of criminalizing HIV nondisclosure. Drawing on a critical bioethics approach that is informed by \ud considering the role of emotion in decision-making, this article critiques the liberal model of the rational actor \ud that is central to traditional discussions of bioethics and law. Our findings suggest that ASO workers have \ud varying degrees of knowledge about the intricacies of legal duties of disclosure, which affect how they balance \ud their own emotions and thoughts about nondisclosure with their professional duties to provide support and \ud counselling. Ultimately, we argue that critical bioethics in the context of criminalization commands us to \ud appreciate the inherently affective nature of the environment in which bioethical decisions are made