Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health? [Book Review]
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Philosophy, Ethics, and Humanities in Medicine 5 (1):1 (2010)
Through its adoption of the biomedical model of disease which promotes medical individualism and its reliance on the individual-based anthropology, mainstream bioethics has predominantly focused on respect for autonomy in the clinical setting and respect for person in the research site, emphasizing self-determination and freedom of choice. However, the emphasis on the individual has often led to moral vacuum, exaggeration of human agency, and a thin (liberal?) conception of justice. Applied to resource-poor countries and communities within developed countries, autonomy-based bioethics fails to address the root causes of diseases and public health crises with which individuals or communities are confronted. A sociological explanation of disease causation is needed to broaden principles of biomedical ethics and provides a renewed understanding of disease, freedom, medical practice, patient-physician relationship, risk and benefit of research and treatment, research priorities, and health policy
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
James Phillips, Allen Frances, Michael A. Cerullo, John Chardavoyne, Hannah S. Decker, Michael B. First, Nassir Ghaemi, Gary Greenberg, Andrew C. Hinderliter, Warren A. Kinghorn, Steven G. LoBello, Elliott B. Martin, Aaron L. Mishara, Joel Paris, Joseph M. Pierre, Ronald W. Pies, Harold A. Pincus, Douglas Porter, Claire Pouncey, Michael A. Schwartz, Thomas Szasz, Jerome C. Wakefield, G. Waterman, Owen Whooley & Peter Zachar (2012). The Six Most Essential Questions in Psychiatric Diagnosis: A Pluralogue Part 3: Issues of Utility and Alternative Approaches in Psychiatric Diagnosis. [REVIEW] Philosophy, Ethics, and Humanities in Medicine 7 (1):9-.
Matthew R. Hunt, Lisa Schwartz, Christina Sinding & Laurie Elit (2012). The Ethics of Engaged Presence: A Framework for Health Professionals in Humanitarian Assistance and Development Work. Developing World Bioethics 12 (3):47-55.
Similar books and articles
Craig Blinderman (2009). Palliative Care, Public Health and Justice: Setting Priorities in Resource Poor Countries. Developing World Bioethics 9 (3):105-110.
Jacquineau Azetsop (2011). New Directions in African Bioethics: Ways of Including Public Health Concerns in the Bioethics Agenda. Developing World Bioethics 11 (1):4-15.
Bridget Pratt & Bebe Loff (2013). A Framework to Link International Clinical Research to the Promotion of Justice in Global Health. Bioethics 27 (3):387-396.
Patricia A. Marshall (2005). Human Rights,Cultural Pluralism, and International Health Research. Theoretical Medicine and Bioethics 26 (6):529-557.
Bridget Pratt & Bebe Loff (2013). Linking International Research to Global Health Equity: The Limited Contribution of Bioethics. Bioethics 27 (4):208-214.
D. S. Goldberg (2012). Social Justice, Health Inequalities and Methodological Individualism in US Health Promotion. Public Health Ethics 5 (2):104-115.
Edmund D. Pellegrino (1984). Autonomy and Coercion in Disease Prevention and Health Promotion. Theoretical Medicine and Bioethics 5 (1).
Angus Dawson (ed.) (2011). Public Health Ethics: Key Concepts and Issues in Policy and Practice. Cambridge University Press.
Madison Powers & Ruth Faden (2008). Social Justice: The Moral Foundations of Public Health and Health Policy. OUP Usa.
T. M. Wilkinson (2010). Community, Public Health and Resource Allocation. Public Health Ethics 3 (3):267-271.
Javier Hidalgo (2012). Why Restrictions on the Immigration of Health Workers Are Unjust. Developing World Bioethics 12 (3):117-126.
James Dwyer (2007). What's Wrong with the Global Migration of Health Care Professionals? Individual Rights and International Justice. Hastings Center Report 37 (5):36-43.
Nancy S. Jecker (2008). A Broader View of Justice. American Journal of Bioethics 8 (10):2 – 10.
Nicole Hassoun (2012). Global Health Impact: A Basis for Labeling and Licensing Campaigns? Developing World Bioethics 12 (3):121-134.
Added to index2010-08-24
Total downloads34 ( #113,264 of 1,790,540 )
Recent downloads (6 months)6 ( #142,533 of 1,790,540 )
How can I increase my downloads?