Moral consensus in public ethics: Patient autonomy and family decisionmaking in the work of one state bioethics commission
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medicine and Philosophy 21 (2):149-168 (1996)
Focusing on the work of one bioethics commission, the New York State Task Force on Life and the Law, this article explores the role played by moral consensus in public ethics. Task Force members, who were appointed to represent diverse interests in New York State, identified a culturally strong value of individual autonomy as the ethical basis for their work on life-sustaining treatment. This moral consensus permitted the members to unite across their differences and develop public policy recommendations that substantially reformed a highly troubling New York law. However, the principle of autonomy insufficiently guides decisions by caring family members for incompetent adults in cases where little is known of patient preference. A different, more innovative moral vision is required – one that grants a more robust moral authority to the family. While government efforts that rely on moral consensus developed in a broadbased and well-reasoned manner can serve us well, in some cases the consensus will provide inadequate moral guidance. Government bioethical efforts must guard against the limits of moral vision in light of their disproportionate societal power. Keywords: autonomy, consensus, family decisionmaking, government bioethics, incompetent patients, life-sustaining treatment, surrogate decisionmaking CiteULike Connotea Del.icio.us What's this?
|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
No citations found.
Similar books and articles
Barry Hoffmaster & Wayne Weston (1987). The Patient in the Family and the Family in the Patient. Theoretical Medicine and Bioethics 8 (3).
Lawrence J. Schneiderman (1995). When Families Request That 'Everything Possible' Be Done. Journal of Medicine and Philosophy 20 (2):145-163.
Dan C. English (2005). Moral Obligations of Patients: A Clinical View. Journal of Medicine and Philosophy 30 (2):139 – 152.
Kam-Yuen Cheng, Thomas Ming & L. A. I. Aaron (2011). Can Familism Be Justified? Bioethics 26 (8):431-439.
John H. Kultgen (1995). Autonomy and Intervention: Parentalism in the Caring Life. Oxford University Press.
Xinqing Zhang (2012). Reflection on Family Consent: Based on a Pregnant Death in a Beijing Hospital. Developing World Bioethics 12 (3):164-168.
Jonathan D. Moreno (1988). Ethics by Committee: The Moral Authority of Consensus. Journal of Medicine and Philosophy 13 (4):411-432.
Bruce Jennings (1991). Possibilities of Consensus: Toward Democratic Moral Discourse. Journal of Medicine and Philosophy 16 (4):447-463.
Jonathan D. Moreno (1995). Deciding Together: Bioethics and Moral Consensus. Oxford University Press.
Added to index2010-08-24
Total downloads6 ( #233,499 of 1,679,387 )
Recent downloads (6 months)1 ( #183,003 of 1,679,387 )
How can I increase my downloads?