This book critically analyses experiences with bioethics education in various countries across the world and identifies common challenges and interests. It presents ethics teaching experiences in nine different countries and the basic question of the goals of bioethics education. It addresses bioethics education in resource-poor countries, as the conditions and facilities are widely different and set limits and provide challenges to bioethics educators. Further, the question of how bioethics education can be improved is explored by the contributors. Despite the volume of journal publications agreement on bioethics education is rather limited. There are only few examples of core curricula, demonstrating consensus on the contents, goals, methods and assessment of teaching programs. We need ask: How can agreement on the best modalities of bioethics education be promoted?.
The panorama of bioethical problems is different today. Patients travel to Thailand for fast surgery; commercial surrogate mothers in India deliver babies to parents in rich countries; organs, body parts and tissues are trafficked from East to Western Europe; physicians and nurses migrating from Africa to the U.S; thousands of children or patients with malaria, tuberculosis and AIDS are dying each day because they cannot afford effective drugs that are too expensive. Mainstream bioethics as it has developed during the last 50 years in Western countries is evolving into a broader approach that is relevant for people across the world and is focused on new global problems. This book provides an introduction into the new field of global bioethics. Addressing these problems requires a broader vision of bioethics that not only goes beyond the current emphasis on individual autonomy, but that criticizes the social, economic and political context that is producing the problems at global level. This book argues that global bioethics is a necessity because the social, economic and environmental effects of globalization require critical responses. Global bioethics is not a finished product that can simply be applied to solve global problems, but it is the ongoing result of interaction and exchange between local practices and global discourse. It combines recognition of differences and respect for cultural diversity with convergence towards common perspectives and shared values. The book examines the nature of global problems as well as the type of responses that are needed, in order to exemplify the substance of global bioethics. It discusses the ethical frameworks that are available for global discourse and shows how these are transformed into global governance mechanisms and practices.
This book presents and elaborates on how the teaching of global ethics in healthcare contributes to furthering ideals of cosmopolitanism: solidarity, equality, respect for differences and concern with what human beings, and specifically patients have in common, regardless of where they live and who they are. Global problems such as pandemic diseases, disasters, lack of care and medication, homelessness and displacement call for global responses. The new area of global bioethics is providing answers by arguing that ethical discourse should first of all criticize the structures of violence and injustice that underlie many threats to global health. Education of health professionals should articulate that they are ‘citizens of the world’, like their patients. This book first demonstrates that a moral vision of global education is necessary to gain a global dimension. It is argued that a global framework of ethical principles is available; the challenge is to elaborate and specify that framework into specific educational approaches and models. The book subsequently analyzes goals and challenges of global education in biomedicine and healthcare. It is shown how such challenges (e.g. inequities and cultural differences) can be overcome. Finally, the book presents concrete examples (cases, methods, and practices) of global education in bioethics. The unique feature of the book is that it addresses global education challenges specifically in the area of healthcare, medicine, and medical science. It combines two areas of research and experience that are usually not connected: global bioethics and global education. This book is written for all those involved in global ethics teaching in medicine, nursing, ethics, philosophy, law, and theology courses.
The History and Bioethics of Medical Education: "You’ve Got to Be Carefully Taught" continues the Routledge Advances in the History of Bioethics series by exploring approaches to the teaching of bioethics from disparate disciplines, geographies, and contexts. Van Rensselaer Potter coined the phrase "Global Bioethics" to define human relationships with their contexts. This and subsequent volumes return to Potter’s founding vision from historical perspectives and asks, how did we get here from then? The patient-practitioner relationship has come to the fore in bioethics; this volume asks: is there an ideal bioethical curriculum? Are the students being carefully taught and, in turn, are they carefully learning? This volume will appeal to those working in both clinical medicine and the medical humanities, as vibrant connections are drawn between various ways of knowing.
This book focuses on the real-world application of the Philosophy for/with Children (P4wC) pedagogy to cultivate reasonableness in individuals through communities of philosophical inquiry. It presents a collection not only of theories but, more importantly, of experiences, discoveries, and innovations on P4wC by scholars, trainers, advocates, and practitioners around the world. Each chapter provides readers with insights and lessons that have resulted from the continuous application, exploration, and enrichment of the concepts, principles, and practices that were developed by Matthew Lipman and Ann Margaret Sharp into what P4wC is today - a dialogic pedagogical approach that may just be what is needed at a time when reasonableness and dialogue are essential to maintaining global stability and progress. In this light, this book also looks into how the P4wC approach can be practiced with adults such as when it is employed in various settings or contexts such as in business consulting, textbook writing, peace education, and extremism prevention, among others. Furthermore, this book also features chapters that discuss how the P4wC pedagogy can be beneficial once integrated into processes such as classroom teaching, teacher education, bioethics, and employee education. This book provides valuable insights about how reasonableness that is cultivated through building communities of philosophical inquiry in education can be a powerful tool for nation-building and social transformation.
This Dictionary presents a broad range of topics relevant in present-day global bioethics. With more than 500 entries, this dictionary covers organizations working in the field of global bioethics, international documents concerning bioethics, personalities that have played a role in the development of global bioethics, as well as specific topics in the field.The book is not only useful for students and professionals in global health activities, but can also serve as a basic tool that explains relevant ethical notions and terms. The dictionary furthers the ideals of cosmopolitanism: solidarity, equality, respect for difference and concern with what human beings- and specifically patients - have in common, regardless of their backgrounds, hometowns, religions, gender, etc. Global problems such as pandemic diseases, disasters, lack of care and medication, homelessness and displacement call for global responses.This book demonstrates that a moral vision of global health is necessary and it helps to quickly understand the basic ideas of global bioethics.
This work presents the first comprehensive and systematic treatment of all relevant issues and topics in contemporary global bioethics. Now that bioethics has entered into a novel global phase, a wider set of issues, problems and principles is emerging against the backdrop of globalization and in the context of global relations. This new stage in bioethics is furthermore promoted through the ethical framework presented in the UNESCO Universal Declaration on Bioethics and Human Rights adopted in 2005. This Declaration is the first political statement in the field of bioethics that has been adopted unanimously by all Member States of UNESCO. In contrast to other international documents, it formulates a commitment of governments and is part of international law (though not binding as a Convention). It presents a universal framework of ethical principles for the further development of bioethics at a global level. The Encyclopedia of Global Bioethics caters to the need for a comprehensive overview and systematic treatment of all pertinent new topics and issues in the emerging global bioethics debate. It provides descriptions and analysis of a vast range of important new issues from a truly global perspective and with a cross-cultural approach. New issues covered by the Encyclopedia and neglected in more traditional works on bioethics include, but are not limited to, sponsorship of research and education, scientific misconduct and research integrity, exploitation of research participants in resource-poor settings, brain drain and migration of healthcare workers, organ trafficking and transplant tourism, indigenous medicine, biodiversity, commodification of human tissue, benefit sharing, bio industry and food, malnutrition and hunger, human rights and climate change.
Dorothy Wertz and John Fletcher pioneered the first international study of ethical and social issues in genetics in 18 nations. This book reports and discusses their second and more representative study in 36 nations. The survey focused on actual situations that occur in the practice of medical genetics, presented as case vignettes that can also be used in teaching and policy discussion. Among the issues discussed are privacy, prenatal diagnosis, patient autonomy, directiveness in counseling, sex selection, forensic DNA banking, "genetic discrimination," and "eugenics". This is Dorothy Wertz's final book, as she died in April, 2003. It is a one of a kind cross-cultural study of complex ethical issues in the uses of genetic information. No one else has attempted to look at the international aspects of medical genetics on such a broad scale. The results provide a resource for discussion both within and among nations. Much bioethical and policy discussion now occurs in an information vacuum. The survey showed that what people would do, and their reasons for doing it, differed considerably from what ethicists think they "should" do. Many will be surprised at the results, especially in nations where bioethical discussion is just beginning. Genetics and Ethics in Global Perspective is of interest to medical geneticists, genetic counselors, social scientists and anthropologists who study cross-cultural issues, bioethicists and bioethics centers and health policy makers.
Contemporary bioethics, now roughly 40 years old as a discipline, originated in the United States with a primarily Anglo-American cultural ethos. It continues to be professionalized and institutionalized as a maturing discipline at the intersections of philosophy, medicine, law, social sciences, and humanities. Increasingly bioethics - along with its foundational values, concepts and principals - has been exported to other countries, not only in the developed West, but also in developing and/or Eastern countries. Bioethics thus continues to undergo intriguing transformations as it is globalized and adapted to local cultures. These processes have occurred rapidly in the last two decades, with relatively little reflection and examination. This volume brings together contributors from a wide variety of disciplines to take a critical, empirical look at bioethics around the globe, examining how it is being transformed - at both local and global levels - in this process of cross-cultural exporting and importing. One concern is to identify sociocultural forces and consequences which may positively or negatively affect ethics and social justice goals. This book thereby offers the first comparative anthropology and sociology of globalizing bioethics in the field, exploring the global dissemination, local adaptations, cultural meanings and social functions of bioethics theories, practices and institutions and comparing developed and developing countries. The volume considers a full range of countries on every inhabited continent, including: Africa, Asia, Australia, Central and South America, Europe, the Middle East, and North America. Topics include government agendas such as nationalism and nation building; agendas of powerful, associated professions (e.g., medicine, law); theological and political agendas such as 'culture wars'; agendas of entrepreneurial economies of profit; and other cultural and ideological agendas consciously or unconsciously advanced or contested by bioethics work in particular countries based on their unique history, politics and culture. This cross-cultural exploration of globalizing bioethics will be of great interest to a field that is increasingly introspective about its underlying sociocultural assumptions and biases. "At last-an unabashedly sociological and anthropological look at the globalization of bioethics, a really fresh approach to a maturing discipline. The chapters speak from the perspective of sophisticated Western-developed exporters of the bioethical paradigm [and equally sophisticated] Eastern-developing and third-world and interdisciplinary critics suspicious of the canonical view. Trained in the dominant school of American, mainstream philosophy, Myser draws on her long-standing commitment to a social and cultural approach to bioethics to take a fresh look at bioethics globally. She grasps the globalization of bioethics and the skepticism about analytical philosophy's Americanized consensus. The book sets the stage for a new era in bioethics theory and practice {debating] whether a universal common morality underlies the rich variation in national and cultural bioethics traditions." - Robert Veatch, Georgetown University "This path-breaking volume is the first to explore the global export of Western bioethics to a variety of non-Western settings. Explicitly critical, the book also points to the liberating potential of bioethics to achieve social justice and improve the lives of patients around the world. The book is a must-read for all medical anthropologists interested in bioethics." - Marcia Inhorn, Yale University "Bioethics Around the Globe should change the way bioethics is conceived and practiced in the U.S. and elsewhere. Its rich and wide-ranging comparative examination opens new possibilities for bioethical reflection. I enthusiastically recommend this wonderful book." - James F. Childress, University of Virginia "The past 40 years have seen a remarkable spread of bioethics to every part of the world. Dr. Myser's collection is a wonderful and rich exploration of its international impact, revealing important similarities and differences from country to country. It will have an important impact." - Daniel Callahan, The Hastings Center
