David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Journal of Law, Medicine and Ethics 39 (4):678-689 (2011)
Communicable diseases, especially those that are highly contagious, are on the rise and each of us, no matter who we are or where we live, is equally at risk of transmitting contagious diseases to others as we are of contracting such diseases from others. Because contagious diseases are as readily passed state-to-state as person-to-person, we all have a stake in every country's ability to enact effective infectious disease control policies, while policies grounded in shared values are more likely to gain widespread acceptance and thereby prove most effective. This paper suggests that principlism proved invaluable as an ethical framework for resolving hard medical cases and setting health care policy because it nicely “fits” dilemmas that arise in the context of the special relationship between doctors and patients or within family units. It then argues that communitarianism provides the better foundation for crafting infectious diseases control policies because contagious diseases, which often pass between perfect strangers, raise questions about the moral obligations we owe to (or are entitled to demand of) people with whom we share no “special” relationship. Accordingly, a socially embedded framework such as communitarianism may be a better fit for the more socially embedded ethical dilemmas of communicable diseases
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References found in this work BETA
D. Callahan (2003). Principlism and Communitarianism. Journal of Medical Ethics 29 (5):287-291.
Daniel Callahan (2003). Individual Good and Common Good: A Communitarian Approach to Bioethics. Perspectives in Biology and Medicine 46 (4):496-507.
Paul Farmer & Nicole Gastineau Campos (2004). New Malaise: Bioethics and Human Rights in the Global Era. Journal of Law, Medicine and Ethics 32 (2):243-251.
Leslie P. Francis, Margaret P. Battin, Jay A. Jacobson, Charles B. Smith & Jeffrey Botkin (2005). How Infectious Diseases Got Left Out–and What This Omission Might Have Meant for Bioethics. Bioethics 19 (4):307-322.
R. Gillon (2003). Ethics Needs Principles—Four Can Encompass the Rest—and Respect for Autonomy Should Be “First Among Equals”. Journal of Medical Ethics 29 (5):307-312.
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