Which care? Whose responsibility? And why family? A confucian account of long-term care for the elderly
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
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Journal of Medicine and Philosophy 32 (5):495 – 517 (2007)
Across the world, socio-economic forces are shifting the locus of long-term care from the family to institutional settings, producing significant moral, not just financial costs. This essay explores these costs and the distortions in the role of the family they involve. These reflections offer grounds for critically questioning the extent to which moral concerns regarding long-term care in Hong Kong and in mainland China are the same as those voiced in the United States, although family resemblances surely exist. Chinese moral values such as virtue and filial piety embedded in a Confucian moral and social context cannot be recast without distortion in terms of modern Western European notions. The essay concludes that the Confucian resources must be taken seriously in order to develop an authentic Chinese bioethics of long-term care and a defensible approach to long-term care policy for contemporary society in general and Chinese society in particular.
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Citations of this work BETA
H. T. Engelhardt (2010). Beyond the Best Interests of Children: Four Views of the Family and of Foundational Disagreements Regarding Pediatric Decision Making. Journal of Medicine and Philosophy 35 (5):499-517.
H. T. Engelhardt (2011). Confronting Moral Pluralism in Posttraditional Western Societies: Bioethics Critically Reassessed. Journal of Medicine and Philosophy 36 (3):243-260.
H. Tristram Engelhardt Jr (2010). Moral Obligation After the Death of God: Critical Reflections on Concerns From Immanuel Kant, G.W.F. Hegel, and Elizabeth Anscombe. [REVIEW] In Ellen Frankel Paul, Fred Dycus Miller & Jeffrey Paul (eds.), Social Philosophy and Policy. Cambridge University Press 317-340.
H. T. Engelhardt (2009). Moral Pluralism, the Crisis of Secular Bioethics, and the Divisive Character of Christian Bioethics: Taking the Culture Wars Seriously. Christian Bioethics 15 (3):234-253.
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