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HEFA2025 symposium poster: Disability Ethics in the Public Square

Prospera Institute

Advancing Health Equity Through Community-Centered Bioethics

About us

Leading the Movement to Redefine Ethics in Health from the Ground Up

At Prospera Institute, we believe that ethics, values, and beliefs about health belong not only in hospitals or classrooms—but in the communities where health is lived, shaped, and defined.

Our mission is to reimagine bioethics as a tool for advancing health equity by addressing the ethical and moral questions that emerge at the intersection of community health, culture, and society.

Areas of Ethical Inquiry

Social Determinants of Health

We explore how factors like housing, education, income, environment, and access to care shape health outcomes. This pillar helps us uncover the systems and structures that impact health long before someone enters a doctor’s office.

Science, Technology and Society

We believe that life science and tech must serve communities, not just institutions. This pillar allows us to explore the ethics behind innovation, ensuring that progress doesn’t deepen disparities or overlook marginalized voices in research, data, and design.

Health and Human Rights

We see health as a human right—not a privilege. This pillar grounds our work in the belief that dignity, justice, and access must be non-negotiable in all health systems.

Arts, Health and Culture

We believe ethics also lives in the artistic and cultural practices as tools for dialogue, healing, and meaning-making. This pillar recognizes the power of the arts and culture in shaping how communities understand health, illness, and healing.

Learn more about

How we leverage ethics to advance health equity in our communities.

Our Impact

Community Members Served
200+

People directly served, with countless more reached through events, panels, and public initiatives.

Advocates Mobilized
400+

Public health and disability advocates who pushed to reform Massachusetts’ Crisis Standards of Care.

Active & Ongoing Partnerships
4

UCLA Tornini Lab, UCLA-CDU Center, Esperanza Community Housing, and Morehouse School of Medicine.

Increase Bioethics Literacy

We make ethical concepts and frameworks accessible to the public—so that individuals, families, and communities can better understand and navigate the moral questions that shape health, science, and care.

Engage Communities in Ethical Dialogue

We partner with communities—especially those historically marginalized—to co-create space for dialogue, reflection, and action on the ethical dilemmas emerging in healthcare, public health, the environment, and beyond.

Train the Next Generation of Ethical Leaders

We equip students, professionals, and emerging leaders with the tools to integrate ethics into their work—from clinical practice to policy-making to grassroots organizing.

Participants and community members in dialogue at the HEFA Symposium

Our Story

The vision was simple yet powerful—to bring the perspectives of communities into the heart of bioethics.

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Bioethics 101

What is bioethics?

Bioethics is the study of ethical questions that come up in health, medicine, and science. It helps us think critically about what is fair, just, and respectful when it comes to decisions that affect people’s lives and wellbeing.

Bioethics encourages us to consider not just what we can do with medical or public health resources—but what we should do, especially when lives, rights, and communities are at stake.

Bioethicists help people, institutions, and communities think through complex questions about health, science, and care—especially when there’s no easy answer. They examine what is fair, what is right, and what should guide decision-making when health, values, and justice are on the line.

Bioethicists come from many fields. Most are trained professionals with a primary background in areas like:

  • Medicine
  • Public Health
  • Law
  • Research
  • Community Organizing
  • Policy

What they share is specialized training in ethics and a deep understanding of how to apply ethical principles to real-world situations.

You’ll find bioethicists working in:

  • Hospitals
  • Universities
  • Government
  • Community Settings

Bioethicists help us:

  • Ask better questions and make the hard choices
  • Guide public health decisions and consider different perspectives
  • Raise awareness about ethical concerns in society and work toward decisions that are thoughtful, inclusive, and just

Because understanding what’s the right thing to do in the context of healthcare, science, and policy requires more than opinions—it requires evidence, learning, and action.

  • Research helps us explore real-life ethical issues—like who gets access to care, how new technologies affect communities, or how racism and inequality shape health outcomes. It gives us the information we need to ask better questions and propose meaningful solutions.
  • Education gives people the tools to understand and engage with ethical issues—whether they’re students, health workers, or community members. When more people are equipped to think critically about health and justice, we build stronger, more informed communities.
  • Social action (advocacy) takes what we learn and turns it into change. Whether it’s pushing for fairer policies, amplifying community voices, or holding institutions accountable, this work makes sure ethical reflection leads to real impact—not just talk.

Together, these three parts make bioethics a living, active tool for justice—not just a theory, but a way to transform how we care for one another.

Great question. Bioethics has traditionally been centered in hospitals, elite universities, research boards, and policy institutions, often leaving out the voices of the communities most impacted by health decisions. However, like all things in our world, bioethics is evolving and increasing its relationship to broader issues of social justice and health equity.

A community-engaged bioethics—as we call it in Prospera—ensures that ethical decisions are shaped by real experiences, cultural wisdom, and the people most affected. It makes bioethics more inclusive, grounded, and better prepared to guide just and meaningful change.

This is the bread and butter!

Well, if you are confronted with a situation that raises questions like:

  • Is this fair?
  • Whose voices are missing?
  • What should we do, not just what can we do?

—then it’s likely an ethical issue.

However, remember…Bioethics deals with moral and ethical questions in health, science, and care—especially when values conflict or decisions impact people’s rights, dignity, or wellbeing.

It’s important not to confuse bioethics with the law.

  • Law tells us what is legally allowed.
  • Bioethics helps us decide what is morally right, even when the law is silent or unclear.

The two often work together, but they’re not the same. Something can be legal but still raise serious ethical concerns.

Example: A hospital may legally deny care to someone without insurance. But is it ethical to do so if the person’s life is at risk? In this case, and many others, bioethics invites us to ask deeper questions, consider different perspectives, and reflect on what kind of care and justice we want to uphold in our communities.