Autonomy is either relational or it does not exist at all. All life is irreducibly relational and human personhood is helplessly engaging and being engaged by all life. Significant as individual personal consciousness is, consciousness of others as fellow selves is a higher form of consciousness. It is the other selves that define and affirm the autonomous individual. Relationality is the basis of autonomy. This work claims that autonomy should not undermine relationality and that individual good is based on common good. Overemphasizing autonomy may lead to moral relativism, hence ethical anarchism. Veracity ought to be the proto-principle of bioethics.
This book develops a unique account of autonomy in which its attribution to agents is dependent in part on their relationships with others and not merely upon their mental states. This is then applied to bioethical issues—e.g., informed consent and patient confidentiality—in which autonomy plays a central role.
Providing readers with the confidence needed to debate key issues in bioethics, this introductory text clearly explains bioethical theories and their philosophical foundations. Over 250 activities introduce topics for personal reflection, and discussion points encourage students to think for themselves and build their own arguments. Highlighting the potential pitfalls for those new to bioethics, each chapter features boxes providing factual information and outlining the philosophical background, along with detailed case studies that offer an insight into real-life examples of bioethical problems. Within-chapter essay questions and quizzes, along with end-of-chapter review questions, allow students to check their understanding and to broaden their thinking about the topics discussed. The accompanying podcasts by the author (two of whose podcasts on iTunesUTM have attracted over 3 million downloads) explain points that might be difficult for beginners. These, along with a range of extra resources for students and instructors, are available at www.cambridge.org/bioethics.
An argument against the “lifeboat ethic” of contemporary bioethics that views medicine as a commodity rather than a tradition of care and caring. Bioethics emerged in the 1960s from a conviction that physicians and researchers needed the guidance of philosophers in handling the issues raised by technological advances in medicine. It blossomed as a response to the perceived doctor-knows-best paternalism of the traditional medical ethic and today plays a critical role in health policies and treatment decisions. Bioethics claimed to offer a set of generally applicable, universally accepted guidelines that would simplify complex situations. In Thieves of Virtue, Tom Koch contends that bioethics has failed to deliver on its promises. Instead, he argues, bioethics has promoted a view of medicine as a commodity whose delivery is predicated not on care but on economic efficiency. At the heart of bioethics, Koch writes, is a “lifeboat ethic” that assumes “scarcity” of medical resources is a natural condition rather than the result of prior economic, political, and social choices. The idea of natural scarcity requiring ethical triage signaled a shift in ethical emphasis from patient care and the physician's responsibility for it to neoliberal accountancies and the promotion of research as the preeminent good. The solution to the failure of bioethics is not a new set of simplistic principles. Koch points the way to a transformed medical ethics that is humanist, responsible, and defensible.
The greatest violence and violation of human life is legalization of its disposability and annihilation based on its condition. Such killing, whether of self or another, depicts absolute contradiction and betrayal of the very hypothesis of humanity. It manifests absolute failure to provide due care, and that is inhuman. Human life is who we are. It is the basis of any argument for human rights. There cannot be a right to terminate the existence of the rights bearer. Such a right contradicts the possibility of its own existence. There cannot be dignity in terminating the one in whom dignity resides. There can only be indignity in killing a person. The paradox of legalization of euthanasia and assisted suicide represents humanity turned on itself. It is endorsement of existential nihilism and objectification of human life. It is the beginning of the end of humanhood. This book is a critical ethical exploration of mind-sets around euthanasia and assisted suicide to provide clarity, sobriety, and objectivity. The book is really about ontology of human life. Dr. Leonard Tumaini Chuwa is a Catholic priest and scholar working for Ascension as director of spiritual care for the state of Florida. Dr. Chuwa is certified by the National Association of Catholic Chaplains (NACC). Chuwa has bachelor of arts degrees in philosophy and theology; master of arts degree in theology and religious studies from John Carroll Jesuit University in Cleveland, Ohio; and a doctor of philosophy degree in bioethics and health-care ethics from Duquesne University in Pittsburgh, Pennsylvania. Chuwa is a distinguished public speaker on different bioethical issues. His first book, titled African Indigenous Ethics in Global Bioethics: Interpretation of Ubuntu, was published by Springer Academic Publishing as the first book in a new global bioethics series. Father Chuwa also authored Bioethical False Truths: Egotistic and Relativistic Autonomy vs. Christian and Ubuntu Relational Autonomy.
Human annihilation has never been so easy. Artificial intelligence-guided genetic-engineered nanotechnology and robotics (AI-GNR) are widely recognized as our most transformative technological revolution ever, yet we do not even have a common moral language to unite our pluralistic world to prevent an AI apocalypse should this revolution explode out of our control. This book is the first known comprehensive global bioethical analysis of AI and AI-GNR by defining the Thomistic-Aristotelian personalist foundation of the rights and duties-based social contract framework of the United Nations, and then applying it to AI. As such, it creates a compelling approach which will appeal to scientists, health professionals, policy makers, politicians, students, and anyone interested in our shared survival around shared solutions.
This book challenges the unchallenged methods in medicine, such as "evidence-based medicine," which claim to be, but often are not, scientific. It completes medical care by adding the comprehensive humanistic perspectives and philosophy of medicine. No specific or absolute recommendations are given regarding medical treatment, moral approaches, or legal advice. Given rather is discussion about each issue involved and the strongest arguments indicated. Each argument is subject to further critical analysis. This is the same position as with any philosophical, medical or scientific view. The argument that decision-making in medicine is inadequate unless grounded on a philosophy of medicine is not meant to include all of philosophy and every philosopher. On the contrary, it includes only sound, practical and humanistic philosophy and philosophers who are creative and critical thinkers and who have concerned themselves with the topics relevant to medicine. These would be those philosophers who engage in practical philosophy, such as the pragmatists, humanists, naturalists, and ordinary-language philosophers. A new definition of our own philosophy of life emerges and it is necessary to have one. Good lifestyle no longer means just abstaining from cigarettes, alcohol and getting exercise. It also means living a holistic life, which includes all of one's thinking, personality and actions. This book also includes new ways of thinking. In this regard the "Metaphorical Method" is explained, used, and exemplified in depth, for example in the chapters on care, egoism and altruism, letting die, etc.
"Ethics 101 offers an exciting look into the history of moral principles that dictate human behavior. This easy-to-read guide presents the key concepts of ethics in fun, straightforward lessons and exercises featuring only the most important facts, theories, and ideas. Ethics 101 includes unique, accessible elements such as explanations of the major moral philosophies, including utilitarianism, deontology, virtue ethics, and eastern philosophers including Avicenna, Buddha, and Confucius; and unique profiles of the greatest characters in moral philosophy"--
Before Bioethics narrates the history of American medical ethics from its colonial origins to current bioethical controversies over abortion, AIDS, animal rights, and physician-assisted suicide. This comprehensive history tracks the evolution of American medical ethics over four centuries, from colonial midwives and physicians' oaths to medical society codes, through the bioethics revolution. Applying the concept of "morally disruptive technologies," it analyzes the impact of the stethoscope on conceptions of fetal life and the criminalization of abortion, and the impact of the ventilator on our conception of death and the treatment of the dying. The narrative offers tales of those whose lives were affected by the medical ethics of their era: unwed mothers executed by puritans because midwives found them with stillborn babies; the unlikely trio-an Irishman, a Sephardic Jew and in-the-closet gay public health reformer-who drafted the American Medical Association's code of ethics but received no credit for their achievement, and the founder of American gynecology celebrated during his own era but condemned today because he perfected his surgical procedures on un-anesthetized African American slave women. The book concludes by exploring the reasons underlying American society's empowerment of a hodgepodge of ex-theologians, humanist clinicians and researchers, lawyers and philosophers-the bioethicists-as authorities able to address research ethics scandals and the ethical problems generated by morally disruptive technologies. To access the companion website for Before Bioethics: A History of American Medical Ethics from the Colonial Period to the Bioethics Revolution, please visit: http://global.oup.com/us/companion.websites/9780199774111/
Engaging Bioethics: An Introduction with Case Studies draws students into this rapidly changing field, helping them to actively untangle the many issues at the intersection of medicine and moral concern. Presuming readers start with no background in philosophy, it offers balanced, philosophically based, and rigorous inquiry for undergraduates throughout the humanities and social sciences as well as for health care professionals-in-training, including students in medical school, pre-medicine, nursing, public health, and those studying to assist physicians in various capacities. Written by an author team with more than three decades of combined experience teaching bioethics, this book offers Flexibility to the instructor, with chapters that can be read independently and in an order that fits the course structure Up-to-date coverage of current controversies on topics such as vaccination, access to health care, new reproductive technologies, genetics, biomedical research on human and animal subjects, medically assisted death, abortion, medical confidentiality, and disclosure Attention to issues of gender, race, cultural diversity, and justice in health care Integration with case studies and primary sources Pedagogical features to help instructors and students, including Chapter learning objectives Text boxes and figures to explain important terms, concepts, and cases End-of-chapter summaries, key words, and annotated further readings Discussion cases and questions Appendices on moral reasoning and the history of ethical issues at the end and beginning of life An index of cases discussed in the book and extensive glossary/index A companion website (http://www.routledgetextbooks.com/textbooks/9780415837958/) with a virtual anthology linking to key primary sources, a test bank, topics for papers, and PowerPoints for lectures and class discussion
