Applying Nonideal Theory to Bioethics

Applying Nonideal Theory to Bioethics

Author: Elizabeth Victor

Publisher: Springer Nature

Published: 2021-08-03

Total Pages: 415

ISBN-13: 3030725030

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This book offers new essays exploring concepts and applications of nonideal theory in bioethics. Nonideal theory refers to an analytic approach to moral and political philosophy (especially in relation to justice), according to which we should not assume that there will be perfect compliance with principles, that there will be favorable circumstances for just institutions and right action, or that reasoners are capable of being impartial. Nonideal theory takes the world as it actually is, in all of its imperfections. Bioethicists have called for greater attention to how nonideal theory can serve as a guide in the messy realities they face daily. Although many bioethicists implicitly assume nonideal theory in their work, there is the need for more explicit engagement with this theoretical outlook. A nonideal approach to bioethics would start by examining the sociopolitical realities of healthcare and the embeddedness of moral actors in those realities. How are bioethicists to navigate systemic injustices when completing research, giving guidance for patient care, and contributing to medical and public health policies? When there are no good options and when moral agents are enmeshed in their sociopolitical viewpoints, how should moral theorizing proceed? What do bioethical issues and principles look like from the perspective of historically marginalized persons? These are just a few of the questions that motivate nonideal theory within bioethics. This book begins in Part I with an overview of the foundational tenets of nonideal theory, what nonideal theory can offer bioethics, and why it may be preferable to ideal theory in addressing moral dilemmas in the clinic and beyond. In Part II, authors discuss applications of nonideal theory in many areas of bioethics, including reflections on environmental harms, racism and minority health, healthcare injustices during incarceration and detention, and other vulnerabilities experienced by patients from clinical and public health perspectives. The chapters within each section demonstrate the breadth in scope that nonideal theory encompasses, bringing together diverse theorists and approaches into one collection.


A Theory of Bioethics

A Theory of Bioethics

Author: David DeGrazia

Publisher: Cambridge University Press

Published: 2021-08-26

Total Pages: 329

ISBN-13: 1316515834

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Offers a compelling theory of bioethics, covering medical assistance-in-dying, the right to health care, abortion, animal research, and the definition of death.


Vulnerability and Incarceration

Vulnerability and Incarceration

Author: Elizabeth Victor

Publisher: Rowman & Littlefield

Published: 2019-07-09

Total Pages: 133

ISBN-13: 1498533841

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In light of a history of exploitation by researchers, most of the limited scholarship on prisoners in medical ethics is focused on precaution and protections. Vulnerability and Incarceration: Evaluating Protections for Prisoners in Research explores the best ways for researchers to balance these concerns with the rights of incarcerated persons to both participate in medical research and benefit from medical and scientific progress. The book examines the historical and contemporary regulatory landscape governing prisoner participation in research and the concept of vulnerability in play when classifying prisoners as vulnerable. Elizabeth Victor discusses how this concept might preclude a prisoner’s positive right to participate in research from being acknowledged. She also addresses the differences in oversight between public and private prisoners and how the shift to privatized prisons compounds the vulnerability of prisoners in the United States.


Disaster Bioethics: Normative Issues When Nothing is Normal

Disaster Bioethics: Normative Issues When Nothing is Normal

Author: Dónal P. O’Mathúna

Publisher: Springer Science & Business Media

Published: 2013-12-26

Total Pages: 220

ISBN-13: 9400738641

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This book provides an early exploration of the new field of disaster bioethics: examining the ethical issues raised by disasters. Healthcare ethics issues are addressed in the first part of this book. Large-scale casualties lead to decisions about who to treat and who to leave behind, cultural challenges, and communication ethics. The second part focuses on disaster research ethics. With the growing awareness of the need for evidence to guide disaster preparedness and response, more research is being conducted in disasters. Any research involving humans raises ethical questions and requires appropriate regulation and oversight. The authors explore how disaster research can take account of survivors? vulnerability, informed consent, the sudden onset of disasters, and other ethical issues. Both parts examine ethical challenges where seeking to do good, harm can be done. Faced with overwhelming needs and scarce resources, no good solution may be apparent. But choosing the less wrong option can have a high price. In addition, what might seem right at home may not be seen to be right elsewhere. This book provides in-depth and practical reflection on these and other challenging ethical questions arising during disasters. Scholars and practitioners who gathered at the Brocher Foundation in Geneva, Switzerland in 2011 offer their reflections to promote further dialogue so that those devastated by disasters are respected by being treated in the most ethically soun d ways possible.


Social Justice

Social Justice

Author: Madison Powers

Publisher: Oxford University Press

Published: 2008-09-25

Total Pages: 244

ISBN-13: 0199705194

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In bioethics, discussions of justice have tended to focus on questions of fairness in access to health care: is there a right to medical treatment, and how should priorities be set when medical resources are scarce. But health care is only one of many factors that determine the extent to which people live healthy lives, and fairness is not the only consideration in determining whether a health policy is just. In this pathbreaking book, senior bioethicists Powers and Faden confront foundational issues about health and justice.


Toward a Small Family Ethic

Toward a Small Family Ethic

Author: Travis N. Rieder

Publisher: Springer

Published: 2016-06-23

Total Pages: 78

ISBN-13: 3319338714

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This thought-provoking treatise argues that current human fertility rates are fueling a public health crisis that is at once local and global. Its analysis and data summarize the ecological costs of having children, presenting ethical dilemmas for prospective parents in an era of competition for scarce resources, huge disparities of wealth and poverty, and unsustainable practices putting irreparable stress on the planet. Questions of individual responsibility and integrity as well as personal moral and procreative issues are examined carefully against larger and more long-range concerns. The author’s assertion that even modest efforts toward reducing global fertility rates would help curb carbon emissions, slow rising global temperatures, and forestall large-scale climate disaster is well reasoned and more than plausible. Among the topics covered: · The multiplier effect: food, water, energy, and climate. · The role of population in mitigating climate change. · The carbon legacy of procreation. · Obligations to our possible children. · Rights, what is right, and the right to do wrong. · The moral burden to have small families. Toward a Small Family Ethic sounds a clarion call for bioethics students and working bioethicists. This brief, thought-rich volume steers readers toward challenges that need to be met, and consequences that will need to be addressed if they are not.


The Basics of Bioethics

The Basics of Bioethics

Author: Robert M. Veatch

Publisher: Routledge

Published: 2016-05-23

Total Pages: 224

ISBN-13: 1315510049

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The third edition of The Basics of Bioethics continues to provide a balanced and systematic ethical framework to help students analyze a wide range of controversial topics in medicine, and consider ethical systems from various religious and secular traditions. The Basics of Bioethics covers the “Principalist” approach and identifies principles that are believed to make behavior morally right or wrong. It showcases alternative ethical approaches to health care decision making by presenting Hippocratic ethics as only one among many alternative ethical approaches to health care decision-making. The Basics of Bioethics offers case studies, diagrams, and other learning aids for an accessible presentation. Plus, it contains an all-encompassing ethics chart that shows the major questions in ethics and all of the major answers to these questions.


Ethics and Chronic Illness

Ethics and Chronic Illness

Author: Tom Walker

Publisher: Routledge

Published: 2019-04-17

Total Pages: 345

ISBN-13: 0429559887

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This book provides an account of the ethics of chronic illness. Chronic illness differs from other illnesses in that it is often incurable, patients can live with it for many years, and its day-to-day management is typically carried out by the patient or members of their family. These features problematise key distinctions that underlie much existing work in medical ethics including those between beneficence and autonomy, between treatment and prevention, and between the recipient and provider of treatment. The author carries out a detailed reappraisal of the roles of both autonomy and beneficence across the different stages of treatment for a range of chronic illnesses. A central part of the author’s argument is that in the treatment of chronic illness, the patient and/or the patient’s family should be seen as acting with healthcare professionals to achieve a common aim. This aspect opens up unexplored questions such as what healthcare professionals should do when patients are managing their illness poorly, the ethical implications of patients being responsible for parts of their treatment, and how to navigate sharing information with those directly involved in patient care without violating privacy or breaching confidentiality. The author addresses these challenges by engaging with philosophical work on shared commitments and joint action, responsibility and justice, and privacy and confidentiality. The Ethics of Chronic Illness provides a new, and much needed, critical reappraisal of healthcare professionals’ obligations to their patients. It will be of interests to academics working in bioethics and medical ethics, philosophers interested in the topics of autonomy, responsibility, and consent, and medical practitioners who treat patients with chronic illness.


Disasters: Core Concepts and Ethical Theories

Disasters: Core Concepts and Ethical Theories

Author: Dónal P. O’Mathúna

Publisher: Springer

Published: 2018-10-16

Total Pages: 245

ISBN-13: 3319927221

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This Open Access Book is the first to examine disasters from a multidisciplinary perspective. Justification of actions in the face of disasters requires recourse both to conceptual analysis and ethical traditions. Part 1 of the book contains chapters on how disasters are conceptualized in different academic disciplines relevant to disasters. Part 2 has chapters on how ethical issues that arise in relation to disasters can be addressed from a number of fundamental normative approaches in moral and political philosophy. This book sets the stage for more focused normative debates given that no one book can be completely comprehensive. Providing analysis of core concepts, and with real-world relevance, this book should be of interest to disaster scholars and researchers, those working in ethics and political philosophy, as well as policy makers, humanitarian actors and intergovernmental organizations..


Ethics and Law for Chemical, Biological, Radiological, Nuclear & Explosive Crises

Ethics and Law for Chemical, Biological, Radiological, Nuclear & Explosive Crises

Author: Dónal P. O'Mathúna

Publisher: Springer

Published: 2019-04-25

Total Pages: 229

ISBN-13: 3030119777

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This book provides a current analysis of the legal and ethical challenges in preparing for and responding to chemical, biological, radiological, nuclear and explosive (CBRNE) crises. From past events like the Chernobyl nuclear incident in Russia or the Bhopal chemical calamity in India, to the more recent tsunami and nuclear accident in Japan or the Ebola crisis in Africa, and with the on-going threat of bioterrorism, the need to be ready to respond to CBRNE crises is uncontroversial. What is controversial is whether we are on a path that adequately prepares us for the next event. The ethical and legal scholars in this volume hold that much work remains to be done and offer this book to stimulate further reflection and dialogue around CBRNE crises. This is an indispensable book for both students and scholars of bioethics, international law, public health, as well as for regulators and administrators developing policy and legislation related to public health planning and emergency responses.