The expanded and revised edition of Bioethics: An Anthology is a definitive one-volume collection of key primary texts for the study of bioethics. Brings together writings on a broad range of ethical issues relating such matters as reproduction, genetics, life and death, and animal experimentation. Now includes introductions to each of the sections. Features new coverage of the latest debates on hot topics such as genetic screening, the use of embryonic human stem cells, and resource allocation between patients. The selections (...) are independent of any particular approach to bioethics. Can be used as a source book to complement A Companion to Bioethics (1999). (shrink)
It is widely believed that reproductive human cloning is morally wrong and should be prohibited because it infringes on human uniqueness, individuality, freedom and personal identity. The philosophical and ethical discussion has, however, shown that it is far more difficult than might initially be supposed to sustain arguments against cloning on these and related grounds. More recently, a potentially viable argument, initially put forward by Hans Jonas, has regained new prominence. The argument holds that cloning is wrong because it denies (...) the clone an `open future', that is, the ability to freely shape her own personal identity, life plans, self-chosen goals, etc. After a critical exposition of the argument, I argue as follows: If one understands the Open Future Argument as an argument about the welfare of the cloned child, then it cannot show that cloning harms the child in a person-affecting sense of harming and benefiting. If, on the other hand, one understands the argument in a non-person-affecting sense, then some, but not all, reproductive cloning decisions can be shown to be wrong. The argument does not show, however, that cloning ought to be prohibited by law. While cloning, like other widely accepted reproductive decisions, will sometimes fail to minimize harm to `the child', such acts â to the extent that they do not constitute harm in a person-affecting sense â ought to be tolerated by proponents of the Open Future Argument. Attempts to prohibit reproductive choices on the basis that they are not optimal, will undermine the same set of values that the Open Future Argument seeks to uphold. (shrink)
: In this paper, I consider objections to advance directives based on the claim that there is a discontinuity of interests, and of personal identity, between the time a person executes an advance directive and the time when the patient has become severely demented. Focusing narrowly on refusals of life-sustaining treatment for severely demented patients, I argue that acceptance of the psychological view of personal identity does not entail that treatment refusals should be overridden. Although severely demented patients are morally (...) considerable beings, and must be kept comfortable whilst alive, they no longer have an interest in receiving life-sustaining treatment. (shrink)
The association of women with caring dispositions and thinking has become a persistent theme in recent feminist writing. There are a number of reasons for this. One reason is the impetus that has been provided by the empirical work of Carol Gilligan on women’s moral development. The fact that this association is not merely an ideologically or philosophically postulated one, but is argued for on empirical grounds, tends to add to its credibility. Another reason for the resilience of the association (...) is the existence of an increasingly prominent theme in feminist thought and action that focuses on the importance of women’s difference from men, both as a fact and as a goal. Within this theme, there are various views on what the relevant differences are between women and men, and why the differences ought to be emphasized and properly respected. Women’s caring, as will be seen, turns out to have a firm presence in all of these views, and as a result, many women argue that caring should form the basis of a distinctive feminist ethic. On these views, women’s approaches to understanding moral situations, defining selfconceptions, choosing goals and roles, and guiding behaviour, should all be informed by and based upon dispositions of caring. However, if this idea of a feminist ethic of care is to be plausible, it will need to be reconciled with another strong theme in feminism, according to which in fundamental moral respects women ought not be considered or treated differently from men. We will examine the standing of a feminist ethic of care in the context of this tension between the difference theme and the sameness theme in feminism. The discussion begins by re-characterizing the justice and care debate in terms of impartialist and partialist ethical perspectives, and it then goes on to indicate the various ways in which women’s presumed disposition to caring and partialism finds prominence within the difference theme. The central focus of the discussion, however, will be the question of how to reconcile the conflict that exists between impartialist, justice-based moral thinking, and a partialist, caring approach to morality.. (shrink)
Since 1989 there has been an ongoing controversy about the limits of public discussion of bioethical issues in the German-speaking world. While a number of scholars have been involved, Peter Singer and Helga Kuhse have been the principal targets of those seeking to limit bioethical debates. Those who have supported silencing discussion of certain issues have argued that such public discussion leads to a loss of freedom. In the article we argue that toleration is not based on subjectivism but rather (...) on reason. Furthermore, the efforts to suppress debate are often based on a failure to understand our position. Such efforts at suppression also rest on an elitist view of society that must assume that the general public cannot debate such topics. Keywords: bioethics, disabled infant, Helga Kuhse, Peter Singer, sanctity of life, toleration CiteULike Connotea Del.icio.us What's this? (shrink)
According to the "sanctity-of-life" view, all human lives are equally valuable and inviolable, and it would be wrong to base life-and-death medical decisions on the quality of the patient's life. Examining the ideas and assumptions behind the sanctity-of-life view, Kuhse argues against the traditional view that allowing someone to die is morally different from killing, and shows that quality-of-life judgments are ubiquitous. Refuting the sanctity-of-life view, she provides a sketch of a quality-of-life ethics based on the belief that there is (...) a profound difference between merely being alive and life being in the patient's interest. (shrink)
It has recently been suggested that doctors have a duty to act in their patient's best interest and that this duty demands that life-sustaining treatmentâincluding food and fluidsâshould sometimes be withheld or withdrawn and the patient allowed to die. In this article, the author explores the scope of the âbest interests principleâ in the context of treatment decisions for seriously handicapped newborn infants. She argues that those who hold that it is permissible to starve or dehydrate an infant to death (...) are mistaken to think that this course of action is in the infant's best interests. While it may be true that there are times whendeath is, everything considered, in an infant's best interests, a slow and distressingmethod of bringing death about is not. Since death by dehydration and starvation is not benign, the withholding of food and fluids is generally not in an infant's best interests. The author concludes by suggesting thatwhenever the withdrawal or non-employment of life-sustaining means imposes a heavy burden on the infant, the âbest interests principleâ would demand that the infant be killed rather than allowed to die. (shrink)
