In this article, I describe how gender bias can affect the design, testing, clinical trials, regulatory approval, and clinical use of implantable devices. I argue that bad outcomes experienced by women patients are a cumulative consequence of small biases and inattention at various points of the design, testing, and regulatory process. However, specific instances of inattention and bias can be difficult to identify, and risks are difficult to predict. This means that even if systematic gender bias in implant design is an ethical issue, it is one with no clearly blameworthy player. From a practical perspective, there is no single obvious point at which to intervene. Philosophers working in other areas have explored structurally similar moral problems—sometimes referred to as “moral aggregation problems”—such as the type of environmental harm caused by small actions of many players. I describe key features of these type of problems and strategies to address them. I then draw on these to suggest an approach to gender bias in medical implant design and use.

This article illuminates a tension internal to Elizabeth Grosz's provocative theory of the irreducibility of sexual difference: while it establishes sexual difference as an ontological force of differentiation, it simultaneously delimits the forms sexual difference can take as fixed and uncrossable. This model thus privileges cissexual difference while invalidating trans modes of embodiment and identification, a move that perpetuates antitrans logic and practices while impoverishing feminist conceptions of the generativity of sexual difference. This article examines the uses of transsexuality throughout Grosz's work on sexual difference, evaluating her claim that sexual difference is irreducible alongside her insistence that transsexuality is an impossible attempt to assume a bodily sex other than that assigned at birth. Illustrating how Grosz's account narrows the generativity of sexual difference down to unchangeable dimorphic sex, this article argues that fixed dimorphic sex is not simply irreducibly given but is the effect of normative schemas. If the power of sexual difference lies in its capacity to generate difference, it need not be constrained to an immobile binary of sexually specific bodies whose morphological possibilities are fixed. This article thus argues for the capacity of sexual difference itself to become otherwise than solely cisgender.

Anna Doyle Wheeler was a nineteenth‐century, Irish‐born socialist and feminist. She and another Irish‐born socialist and feminist, William Thompson, produced a book‐length critique in 1825, Appeal of One Half the Human Race, Women: Against the Pretensions of the Other Half, Men, to Retain Them in Political, and Thence in Civil and Domestic, Slavery: In Reply to a Paragraph of Mr. Mill's Celebrated “Article on Government,” to refute the claims of liberal philosopher James Mill in 1820 that women did not need to be enfranchised. In so doing the Appeal undermined the philosophical credibility of Mill's liberal utilitarianism. The Appeal exposed the hypocrisy of the language of contract (whether social, sexual, or marriage) by showing that men's freedom and claims to rights presupposed the unfreedom and sexual subjugation of women. The article argues that the Appeal was an original formulation of feminist political theory that still retains its relevance in the twenty‐first century.

Bruno Latour is not the only scholar to reflect on his earlier contributions to science studies with some regret and resolve over climate skepticism and science denialism. Given the ascendency of merchants of doubt, should those who share Latour's concerns join the scientists they study in circling the wagons, or is there a productive role still for science studies to question and critique scientists and scientific institutions? I argue for the latter, looking to postpositivist feminist philosophy as exemplified by Alison Wylie and Lynn Nelson, among others, as a guide. Feminist philosophers of science who ground their analysis in a detailed understanding of scientific practice are not science's champions nor its antagonists, but they do stand in a distinct relationship to science. If not merchants of doubt, are they scientific gadflies or perhaps in scientific loyal opposition? Though these notions can underwrite useful approaches to science studies, neither captures the distinctive interdependency and interestedness of feminist philosophers and science. I suggest that we would be better served by the notion of trustworthy science criticism, building on the analyses of trust and trustworthiness by Annette Baier, among others, attendant to the dynamics of interdependency in trust relationships.