David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medicine and Philosophy 32 (5):519 – 536 (2007)
Long-term care is controversial because it involves foundational disputes. Some are moral-economic, bearing on whether the individual, the family, or the state is primarily responsible for long-term care, as well as on how one can establish a morally and financially sustainable long-term-care policy, given the moral hazard of people over-using entitlements once established, the political hazard of media democracies promising unfundable entitlements, the demographic hazard of relatively fewer workers to support those in need of long-term care, the moral hazard to responsibility of shifting accountability to third parties, and the bureaucratic hazard of moving from individual and family choice to bureaucratic oversight. These disputes are compounded by controversies regarding the nature of the family (Is it to be regarded primarily as a socio-biological category, a fundamental ontological category of social reality, or a construct resulting from the consent of the participants?), as well as its legal and moral autonomy and authority over its members. As the disputes show, there is no common understanding of respect and human dignity that will easily lead out of these disputes. The reflections on long-term care in this issue underscore the plurality of moralities defining bioethics.
|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
X. Chen & R. Fan (2010). The Family and Harmonious Medical Decision Making: Cherishing an Appropriate Confucian Moral Balance. Journal of Medicine and Philosophy 35 (5):573-586.
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.
Similar books and articles
David E. Weissman & Sandra Matson (1999). Pain Assessment and Management in the Long-Term Care Setting. Theoretical Medicine and Bioethics 20 (1):31-43.
Julia Tao Lai Po Wah (2007). Dignity in Long-Term Care for Older Persons: A Confucian Perspective. Journal of Medicine and Philosophy 32 (5):465 – 481.
Eugene V. Boisaubin, Adeline Chu & Janine M. Catalano (2007). Perceptions of Long-Term Care, Autonomy, and Dignity, by Residents, Family and Care-Givers: The Houston Experience. Journal of Medicine and Philosophy 32 (5):447 – 464.
Mark G. Kuczewski (1999). Ethics in Long-Term Care: Are the Principles Different? Theoretical Medicine and Bioethics 20 (1):15-29.
George J. Agich (1993). Autonomy and Long-Term Care. Oxford University Press.
Xiaomei Zhai & Ren Zong Qiu (2007). Perceptions of Long-Term Care, Autonomy, and Dignity, by Residents, Family and Caregivers: The Beijing Experience. Journal of Medicine and Philosophy 32 (5):425 – 445.
Ho Mun Chan & Sam Pang (2007). Long-Term Care: Dignity, Autonomy, Family Integrity, and Social Sustainability: The Hong Kong Experience. Journal of Medicine and Philosophy 32 (5):401 – 424.
Ruiping Fan (2007). Which Care? Whose Responsibility? And Why Family? A Confucian Account of Long-Term Care for the Elderly. Journal of Medicine and Philosophy 32 (5):495 – 517.
H. T. Engelhardt (2007). Long-Term Care: The Family, Post-Modernity, and Conflicting Moral Life-Worlds. Journal of Medicine and Philosophy 32 (5):519-536.
Added to index2009-01-28
Total downloads21 ( #91,041 of 1,410,302 )
Recent downloads (6 months)1 ( #155,456 of 1,410,302 )
How can I increase my downloads?