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Just Healthcare beyond Individualism: Challenges for North American Bioethics

Published online by Cambridge University Press:  29 July 2009

Solomon R. Benatar
Solomon R. Benatar
Affiliation:
is Professor and Head of the Department of Medicine and Director of the Bioethics Centre at the University of Cape Town, and Physician-in-Chief at Groote Schuur Hospital, South Africa.
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Extract

Medical practitioners have traditionally seen themselves as part of an international community with shared and unifying scientific and ethical goals in the treatment of disease, the promotion of health, and the protection of life. This shared mission is underpinned by explicit acceptance of traditional concepts of medical morality, and by an implied link between individual human rights and the ethics of medical practice long enshrined in a range of World Medical Association (WMA) and other medical codes. These have been powerful instruments exhorting individual practitioners to promote health and to defend universal principles in order to protect their patients and the physician-patient relationship even in the face of authoritarian state coercion and imposed national ideologies and policies. There has been widespread support for this approach and this should be intensified.

Type
Special Section: Expanding the Boundaries of Bioethics
Information
Cambridge Quarterly of Healthcare Ethics , Volume 6 , Issue 4 , Fall 1997 , pp. 397 - 415
Copyright
Copyright © Cambridge University Press 1997

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References

1. British Medical Association. Medicine Betrayed: The Participation of Doctors in Human Rights Abuses. London: Zed Books, 1992.Google Scholar

2. Grodin, MA, Annas, GJ, Glantz, LH. Medicine and human rights: a proposal for international action. Hastings Center Report 1993;23(4):8–12.CrossRefGoogle ScholarPubMed

3. Richards, T. The World Medical Association: can hope triumph over experience? British Medical Journal 1994;308:262–6.CrossRefGoogle Scholar

4. Commonwealth Medical Association. Medical Ethics and Human Rights: Report of the Commonwealth Medical Association Project on the Role of Medical Ethics in the Protection of Human Rights. Parts 1 and 2. London: British Medical Association 1994.Google Scholar

5. See note 1, British Medical Association 1992.Google Scholar

6. Crawshaw, R. Greed and the medical profession. British Medical Journal 1993;306:151.CrossRefGoogle ScholarPubMed

7. See note 3, Richards, 1994Google Scholar.

8. Sagan, LA. The Health of Nations: True Causes of Sickness and Well Being. New York: Basic Books, 1987.Google Scholar

9. Desjarlais, R, Eisenberg, L, Good, B, Kleinman, A. World Mental Health: Problems and Priorities in Low Income Countries. New York: Oxford University Press, 1995.Google Scholar

10. Benatar, SR. Prospects for global health: lessons from tuberculosis. Thorax 1995;50:89–90.CrossRefGoogle ScholarPubMed

11. See note 4, Commonwealth Medical Association 1994.Google Scholar

12. Benatar, SR. War, or peace and development: South Africa's message for global peace and security. Medicine, Conflict and Survival 1997;13(2):125–34.CrossRefGoogle Scholar

13. See note 9, Desjarlais, , Eisenberg, , Good, , Kleinman, 1995.Google Scholar

14. See note 10, Benatar, 1995.Google Scholar

15. See note 12, Benatar, (submitted) 1997.Google Scholar

16. Benatar, SR. Medicine and health care in South Africa. New England Journal of Medicine 1986;315:527–32.CrossRefGoogle ScholarPubMed

17. Benatar, SR. Academic medicine in South Africa: past, present and future. Adler Museum Bulletin 1992;18(1):28–36.Google ScholarPubMed

18. Benatar, SR, Van Rensburg, HCJ. Health care services in a new South Africa. Hastings Center Report 1995;25(4):16–21.CrossRefGoogle Scholar

19. Van Rensburg, HCJ, Benatar, SR. The legacy of apartheid in health and health care. South Afric Journal of Sociology 1993;241:99–111.CrossRefGoogle Scholar

20. Benatar, SR. Africa and the world. South Africa Medical Journal 1994;84:723–6.Google Scholar

21. Tarnas, R. The Passion of the Western Mind: Understanding the Ideas That Have Shaped Our Worl View. New York: Ballantine Books, 1991.Google Scholar

22. I hope that my concerns will be viewed in the context of an ongoing attempt by a physician to “stand outside his discipline and world view” and see perplexing social problems as symptorr arising in an unjust world that is undergoing profound changes–changes that are reflected i the much admired transition taking place in South Africa which, with all its turbulence, has positive message for the world. The concerns and criticisms I shall express regarding bioethic and medicine in the U.S. relate to the system within which these operate and not to the man fine colleagues in both fields whom I hold in high regard and affection, and from whom I hav received so much intellectual stimulation and friendship over the years. Having experienced th impact of being included by some in the stereotypic picture of “Apartheid medicine” in Sout Africa–perhaps an inevitable consequence of living in this society–I am aware that in taking broad view I risk offending colleagues by portraying a somewhat monolithic image of America medicine and bioethics. This is certainly not my intention and I regret any offense I may cause i my attempt to provoke greater interest in the pervasiveness of exploitation and in the symbolic and material influence of the U.S. medical and bioethics enterprises on a global scale.

23. Pellegrino, ED, Thomasma, DC. For the Patient's Good: The Restoration of Beneficence in Health Care. New York: Oxford University Press, 1988.Google Scholar

24. Fox, RC. The evolution of American bioethics: a sociological perspective. In: Weisz, G, ed. Soch Science Perspectives on Medical Ethics. Dordrecht: Kluwer Academic Press, 1990:201–17.CrossRefGoogle Scholar

25. Jonsen, AR. The birth of bioethics (special supplement). Hastings Center Report 1993;23(6):S1–S15.Google Scholar

26. Pellegrino, ED. The metamorphosis of medical ethics. JAMA 1993;269:1158–62.CrossRefGoogle ScholarPubMed

27. Emanuel, EJ. The Ends of Human Life. Cambridge (MA): Harvard University Press, 1992.Google Scholar

28. Jonsen, AR. American moralism and the origin of bioethics in the United States. Journal of Medicine and Philosophy 1991;16:113–30.CrossRefGoogle ScholarPubMed

29. Beauchamp, TL, Childress, JF. Principles of Biomedical Ethics. 4th ed.New York: Oxford Universit Press, 1994.Google Scholar

30. See note 23, Pellegrino, , Thomasma, 1988.Google Scholar

31. Beauchamp, TL. The promise of the beneficence model for medical ethics. Journal of Con tempi rary Health Law and Policy 1990;6:145–55.Google Scholar

32. Pellegrino, ED. Patient and physician autonomy: conflicting rights and obligations in the physician/patient relationship. Journal of Contemporary Health Law and Policy 1994;10:47–68.Google Scholar

33. Jonsen, AR. Is individual responsibility a sufficient basis for public confidence? Archives i Internal Medicine 1991;151:660–2.CrossRefGoogle Scholar

34. Daniels, N. Just Health Care. New York: Cambridge University Press, 1985.CrossRefGoogle ScholarPubMed

35. The quest for justice and community in health care: a quarter century of bioethics (speci. issue). Hastings Center Report 1994;24(3):7–41.Google Scholar

36. Buchanan, AE. Privatization and just healthcare. Bioethics 1995;9:220–39.CrossRefGoogle ScholarPubMed

37. Rothman, D. Strangers at the Bedside. New York: Basic Books, 1991.Google Scholar

38. Siegler, M. Falling off the pedestal: what is happening to the traditional doctor-patient rek tionship? Mayo Clinic Proceedings 1993;68:461–7.CrossRefGoogle Scholar

39. See note 27, Emanuel 1992.

40. Lee, PR, Etheridge, L. Clinical freedom: two lessons for the UK from US experience wit privatization of health care. Lancet 1989;1:263–5.CrossRefGoogle Scholar

41. Woolhandler, D, Himmelstein, DU. Extreme risk-the new corporation proposition for phys cians. New England Journal of Medicine 1995;25:1706–8.CrossRefGoogle Scholar

42. Gilbert, A. An Unequal World: The Links Between Rich and Poor Countries. 2nd ed.Edinburgh: Nelson, 1992.Google Scholar

43. Kennedy, PM. Preparing for the Twenty First Century. New York: Random House, 1993.Google Scholar

44. See note 8, Sagan, 1987.Google Scholar

45. Himmelstein, DU, Woolhandler, S. The National Health Program Book. Monroe (ME): Commc Courage Press, 1994.Google Scholar

46. Hiatt, HM. Medical Lifeboat. New York: Harper and Row, 1989.Google Scholar

47. See note 41, Woolhandler, , Himmelstein, 1995.Google Scholar

48. Reich, WT, ed. Encyclopedia of Bioethics. 2nd ed.New York: Macmillan Publ. Co., 1995.Google ScholarPubMed

49. See note 46, Hiatt, 1989.Google Scholar

50. See note 48, Reich, 1995.Google Scholar

51. Chapman, AR, ed. Health Care Reform: A Human Rights Approach. Washington (DC): Georgetown University Press, 1994.Google Scholar

52. See note 45, Himmelstein, , Woolhandler, 1994.Google Scholar

53. See note 46, Hiatt, 1989.Google Scholar

54. Howard, RE. Monitoring human rights: problems of consistency. Ethics and International Affairs 1990;4:33–51.CrossRefGoogle Scholar

55. Thompson, D. Hospital ethics. Cambridge Quarterly of Healthcare Ethics 1992;3:203–15.CrossRefGoogle Scholar

56. Thompson, D. Ethics and Congress: From Individual Corruption to Institutional Corruption. Washington (DC): The Brookings Institution, 1995.Google Scholar

57. Wolf, SM. Health care reform and the future of physician ethics. Hastings Center Report 1994;24(2):28–41.CrossRefGoogle Scholar

58. Attfield, R. The global distribution of health care resources. Journal of Medical Ethics 1990;16:153–6.CrossRefGoogle ScholarPubMed

59. Jonsen, AR. The New Medicine and the Old Ethics. Cambridge (MA): Harvard University Press, 1992.Google Scholar

60. See note 8, Sagan, 1987.Google Scholar

61. See note 9, Dejarlais, , Eisenberg, , Good, , Kleinman, 1995.Google Scholar

62. See note 10, Benatar, 1995.Google Scholar

63. See note 12, Benatar, 1997.Google Scholar

64. See note 9, Dejarlais, , Eisenberg, , Good, , Kleinman, 1995.Google Scholar

65. Jennings, B, Callahan, D, Wolf, SM. The public duties of the professions (special supplement). Hastings Center Report 1987;17(1):3–16.CrossRefGoogle Scholar

66. White, KL. The Task of Medicine. Menlo Park (CA): The Kaiser Family Foundation, 1988.Google Scholar

67. Maclntyre, A. Why is the search for the foundations of ethics so frustrating? Hastings Center Report 1979;10(4):16–22.CrossRefGoogle Scholar

68. Rachels, J. Can ethics provide answers? Hastings Center Report 1980;10(3):32–9.CrossRefGoogle ScholarPubMed

69. Macer, D. Bioethics for the People by the People. Christchurch: Eubios Ethics Institute, 1994.Google Scholar

70. See note 23, Pellegrino, , Thomasma, 1988.Google Scholar

71. See note 24, Fox, 1990.Google Scholar

72. Thomasma, DC, Pellegrino, ED. Autonomy and trust in the clinical encounter: reflections from a theological perspective. In: McKenny, GP, Sandler, JR, eds. Theological Analogies of the Clinical Encounter. Dordrecht: Kluwer Academic Publishing, 1994:69–84.CrossRefGoogle Scholar

73. Sherwin, S. No Longer Patient: Feminist Ethics and Health Care. Philadelphia: Temple University Press, 1992.Google Scholar

74. Pellegrino, ED, Mazzarella, P, Corsi, P, eds. Transcultural Dimensions in Medical Ethics. (MD): Frederick, 1992.Google Scholar

75. Clouser, KD, Gert, B. A critique of principlism. Journal of Medicine and Philosophy 1991;15:219–36.CrossRefGoogle ScholarPubMed

76. Jonsen, AR. Casuistry and clinical ethics. Theoretical Medicine 1986;7:65–74.CrossRefGoogle ScholarPubMed

77. Kleinman, A. Anthropology of medicine. In: Reich, WT, ed. Encyclopedia of Bioethics. New York, Macmillan Publ. Co., 1995:1667–72.Google Scholar

78. ten Have, H, Kimsma, G. Changing conceptions of medical ethics. In: Jensen, UJ, Mooney, G, eds. Changing Values in Medical and Health Care Decision Making. New York: Wiley, 1990.Google Scholar

79. Weisz, G, ed. Social Science Perspectives on Medical Ethics. Dordrecht: Kluwer Academic Publishing, 1990.CrossRefGoogle Scholar

80. Hoffmaster, B. The forms and limits of bioethics. Social Science and Medicine 1994;39:1155–64.CrossRefGoogle Scholar

81. Hill, T. The cultural and philosophical foundations of normative medical ethics. Social Science and Medicine 1994;39:1149–54.CrossRefGoogle ScholarPubMed

82. Wikler, D. Bioethics in health policy: what methodology? In: Principles of Medical Biology, vol 1A. (CT): JAI Press, 1994:23–6.Google Scholar

83. Del Vecchio-Good, MJ. Cultural studies of biomedicine: an agenda for research. Social Science and Medicine 1995;41 (4):461–73.CrossRefGoogle Scholar

84. See note 67, Maclntyre, 1979.Google Scholar

85. See note 68, Rachels, 1980.Google Scholar

86. See note 72, Thomasma, , Pellegrino, 1994.Google Scholar

87. See note 77, Kleinman, 1995.Google Scholar

88. See note 79, Weisz, 1990.Google Scholar

89. See note 80, Hoffmaster, 1994.Google Scholar

90. See note 81, Hill, 1994.Google Scholar

91. See note 73, Sherwin, 1992.Google Scholar

92. See note 74, Pellegrino, , Mazzarella, , Corsi, 1992.Google Scholar

93. See note 83, Del Vecchio-Good, 1995.Google Scholar

94. See note 75, Clouser, , Gert, 1991.Google Scholar

95. See note 76, Jonsen, 1986.Google Scholar

96. See note 78, Have, ten, Kimsma, 1990.Google Scholar

97. See note 82, Wikler, 1994.Google Scholar

98. Minow, M. Making All the Differences: Inclusion, Exclusion, and American Law. Ithaca (NY): Cornell University Press, 1990.Google Scholar

99. Charlesworth, M. Bioethics in a Liberal Society. Cambridge: Cambridge University Press, 1993.CrossRefGoogle Scholar

100. See note 54, Howard, 1990.Google Scholar

101. See note 51, Chapman, 1994.Google Scholar

102. See note 51, Chapman, 1994.Google Scholar

103. Blumenthal, D. Health care reform-past and future. New England Journal of Medicine 1995;332:465–8.CrossRefGoogle Scholar

104. See note 54, Howard, 1990.Google Scholar

105. Ethics, Khushf G., politics and health care reform. Journal of Medicine and Philosophy 1995;19(5):397–405.Google Scholar

106. Rosenblum, N, ed. Liberalism and the Moral Life. Cambridge (MA): Harvard University Press, 1989.CrossRefGoogle Scholar

107. Douard, J. Health care allocation: a deflationary account. In: Humber, JM, Almeda, RF, eds. Biomedical Ethics Reviews. Totowa (NJ): Humana Press, 1994:123–44.Google Scholar

108. Mulhall, S, Swift, A. Liberals and Communitarians. Oxford: Blackwell, 1992.Google Scholar

109. Etzioni, A. The Spirit of Community. New York: Crown Publishers, 1993.Google Scholar

110. Daly, M. Communitarianism: A New Public Ethics. Belmont (CA): Wadsworth, 1994.Google Scholar

111. Benhabib, S. Situating the Self: Gender, Community, and Postmodernism Contemporary Ethics. New York: Routledge, 1992.Google Scholar

112. Buchanan, AE. Assessing the communitarian critique of liberalism. Ethics 1989;99:852–82.CrossRefGoogle Scholar

113. See note 27, Emanuel, 1992.Google Scholar

114. See note 112, Buchanan, 1989.Google Scholar

115. Howard, RE, Donnelly, J. Human dignity, human rights, and political regimes. American Political Science Review 1986;80:801–7.CrossRefGoogle Scholar

116. See note 112, Buchanan 1989.

117. See note 106. Rosenblum 1989.

118. Gutmann, A, Thompson, DF. Moral conflict and political consensus. Ethics 1990;101:64–88.CrossRefGoogle Scholar

119. Gutman, A. The challenge of multiculturalism in political ethics. Philosophy and Public Affairs 1993;22:171–206.Google Scholar

120. Walzer, M. The communitarian critique of liberalism. Political Theory 1990;18:6–23.CrossRefGoogle Scholar

121. See note 112, Buchanan, 1989.Google Scholar

122. See note 108, Mulhall, , Swift, 1992.Google Scholar

123. See note 115, Howard, , Donnelly, 1986.Google Scholar

124. Mitchell, N, Howard, RE, Donnelly, J. Liberalism, human rights, and human dignity. American Political Science Review 1987;81:921–7.CrossRefGoogle Scholar

125. Hoffman, S. The crisis of liberal internationalism. Foreign Policy 1985;98:159–77.Google Scholar

126. Kung, H. Global Responsibility: In Search of a New World Ethic. New York: Continuum, 1993.Google Scholar

127. Attfield, R, Wilkins, B, eds. International Justice and the Third World. London: Routledge, 1992.CrossRefGoogle Scholar

128. Shue, H. Basic Rights: Subsistence, Affluence and US Foreign Policy. Princeton (NJ): Princeton University Press, 1980.Google Scholar

129. Gardels, N. The post-Atlantic capitalist order. New Perspectives Quarterly 1993;Spring:2–3.Google Scholar

130. Misgeld, D. Human rights and education: conclusions from some Latin American experiences. Journal of Moral Education 1994;23:239–50.CrossRefGoogle Scholar

131. See note 4, Commonwealth Medical Association 1994.Google Scholar

132. See note 12, Benatar, 1997.Google Scholar

133. Galbraith, JK. The Culture of Contentment. Boston: Houghton Mifflin, 1992.Google Scholar

134. Bethke-Elshtain, J. Democracy on Trial. New York: Basic Books, 1995.Google Scholar

135. Farmer, P. On suffering and structural violence: a view from below. Daedalus 1996;125:261–83.Google Scholar

136. Ray, JL. Global Politics, 4th ed.Boston: Houghton Mifflin, 1992.Google Scholar

137. Donnelly, J. Universal Human Rights in Theory and Practice. Ithaca (NY): Cornell University Press, 1989.Google Scholar

138. Ericson, EL. The Free Mind Through the Ages. New York: Frederick Ungar, Publ. Co., 1985.Google Scholar

139. American Association for the Advancement of Science. Committee on Science in the Promotion of Human Welfare. Science and human welfare. Science 1960;132:68–73.Google Scholar

140. National Academy of Sciences. Responsible Science: Ensuring the Integrity of the Research Process, vol. 1. Washington (DC): National Academy Press, 1992.Google Scholar

141. The Toronto Resolution. Formulated at a workshop on ethical considerations in scholarship and science. Toronto: University of Toronto, 1991.Google Scholar

142. Rayner, M. Turning a Blind Eye? Medical Accountability and the Prevention of Torture in South Africa. Washington (DC): American Academy for the Advancement of Science, 1987.Google Scholar

143. Stover, E. Thex Open Secret: Torture and the Medical Profession in Chile. Washington (DC): American Academy for the Advancement of Science, 1987Google Scholar.

144. Douglas, M. How Institutions Think. Syracuse (NY): Syracuse University Press, 1986.Google Scholar

145. See note 127, Attfield, , Wilkins, 1992.Google Scholar

146. See note 128, Shue, 1980.Google Scholar

147. See note 137, Donnelly, 1989.Google Scholar

148. Nardin, T, Maple, DR, eds. Traditions of International Ethics. Cambridge: Cambridge University Press, 1992.CrossRefGoogle Scholar

149. Beitz, CR. Political Theory and International Relations. Princeton (NJ): Princeton University Press, 1979.Google Scholar

150. Wipfler, WL. Human rights violations and US foreign assistance: the Latin American connection. In: Brown, PG, Maclean, D, eds. Human Rights and US Foreign Policy. Lexington (MA): Lexington Books, 1979.Google Scholar

151. See note 104, Khushf, 1995Google Scholar.

152. Symposium on the role of philosophers in the development of public policy. Ethics 1987;07:775–91.Google Scholar

153. Noble, CE. Ethics and experts. Hastings Center Report 1982;12(4):7–8.CrossRefGoogle Scholar

154. Seedhouse, D. Why bioethicists have nothing useful to say about health care rationing. Journal of Medical Ethicss 1995;21:288–91.CrossRefGoogle ScholarPubMed

155. See note 36, Buchanan, 1995.Google Scholar

156. Sharp, JS. The role and development of Volkekunde in South Africa. Journal of Southern African Studies 1981;8:16–36.CrossRefGoogle Scholar

157. Scheper-Hughes, N. Three proposals for a critically applied medical anthropology. Social Science and Medicine 1990;30:189–97.CrossRefGoogle Scholar

158. D'Andrade, R. Objectivity and militancy: a debate, moral models in anthropology. Current Anthropology 1995;36:399–408.CrossRefGoogle Scholar

159. Scheper-Hughes, N. Objectivity and militancy: a debate, the primacy of the ethical: proposals for a militant anthropology. Current Anthropology 1995;36:409–20.CrossRefGoogle Scholar

160. Crappanzano, V, Friedman, J, Harris, M et al. , Comments: objectivity and militancy: a debate. Current Anthropology 1995;36:420–40..Google Scholar

161. Agich, GJ. Clinic ethics: a role theoretic outlook. Social Science and Medicine 1990;30:389–99.CrossRefGoogle Scholar

162. See note 27, Emanuel, 1992.Google Scholar

163. See note 99, Charlesworth, 1993.Google Scholar

164. Levine, R. Ethics and the Regulation of Clinical Research. 2nd ed.New Haven: Yale University Press, 1988.Google ScholarPubMed

165. Relman, AR. The health care industry: where is it taking us? New England Journal of Medicine 1991;325:854–9.CrossRefGoogle ScholarPubMed

166. Kassirer, J. Managed care and the morality of the market-place. New England Journal of Medicine 1995;333:50–2.CrossRefGoogle Scholar

167. See note 6, Crawshaw, 1993.Google Scholar

168. See note 51, Chapman, 1994.Google Scholar

169. See note 65, Jennings, , Callahan, , Wolf, 1987.Google Scholar

170. See note 66, White, 1988.Google Scholar

171. See note 165, Relman, 1991.Google Scholar

172. See note 166, Kassirer, 1995.Google Scholar

173. Lyons, JPThe American medical doctor in the current milieu: a matter of trust. Perspectives in Biology and Medicine 1994;37(3):442–59.CrossRefGoogle ScholarPubMed

174. Annas, GJ. Reforming the debate on health care reform by replacing our metaphors. New England Journal of Medicine 1995;332:744–7CrossRefGoogle Scholar.

175. Adson, MA. An endangered ethic-the capacity for caring. Mayo Clinic Proceedings 1995;70:496–500.CrossRefGoogle ScholarPubMed

176. Trust and ethics in medical care: patients and their doctors. Journal of the Royal Society of Medicine 1994;87(Suppl. 22).Google ScholarPubMed

177. See note 51, Chapman, 1994.Google Scholar

178. See note 59, Jonsen, 1992.Google Scholar

179. See note 165, Relman, 1991.Google Scholar

180. See note 174, Annas, 1995.Google Scholar

181. See note 175, Adson, 1995.Google Scholar

182. Betrayal of the NHS (editorial). The Lancet 1995;346:651.CrossRefGoogle Scholar

183. Pollock, K. The NHS goes bankrupt. 77a? Lancet 1995;346:683–4.CrossRefGoogle Scholar

184. See note 18, Benatar, 1995.Google Scholar

185. See note 36, Buchanan, 1995.Google Scholar

186. See note 78, Have, ten, Kimsma, 1990.Google Scholar

187. See note 79, Weisz, 1990.Google Scholar

188. See note 80, Hoffmaster, 1994.Google Scholar

189. See note 81, Hill, 1994.Google Scholar

190. See note 82, Wikler, 1994.Google Scholar

191. See note 83, Del Vecchio-Good, 1995.Google Scholar

192. See note 106, Rosenblum, 1989.Google Scholar

193. See note 108, Mulhall, , Swift, 1992.Google Scholar

194. See note 109, Etzioni, 1993.Google Scholar

195. See note 110, Daly, 1994.Google Scholar

196. See note 112, Buchanan, 1989.Google Scholar

197. See note 118, Gutmann, , Thompson, 1990.Google Scholar

198. See note 120, Walzer, 1990.Google Scholar

199. See note 98, Minow, 1990.Google Scholar

200. See note 55, Thompson, 1992.Google Scholar

201. See note 56, Thompson, 1995.Google Scholar

202. See note 174, Annas, 1995.Google Scholar

203. See note 124, Hoffman, 1995.Google Scholar

204. Commission on Global Governance. Our Global Neighborhood. New York: Oxford University Press, 1995.Google ScholarPubMed

205. U.S. Congress, Office of Technology Assessment. In: Office of Technology Assessment. U.S. Public Policy-Background Paper. Washington (DC): U.S. Government Printing Office, 1993. OTA–BP–BBS–105.Google Scholar

206. Declaration of Ixtapa. In: Bankowski, Z, Bryant, JH, eds. Poverty, Vulnerability, and the Value of Human Life. A Global Agenda for Bioethics. Geneva: CIOMS, 1994:vii–xi.Google Scholar

207. Benatar, SR. The importance of medical ethics as an international endeavor. World Medical Journal 1995;41:20–5.Google Scholar

208. Gaylin, W. Knowing good and doing good. Hastings Center Report 1994;24(3):36–41.CrossRefGoogle ScholarPubMed