Health Care Analysis 9 (2):213-228 (2001)

Around the world the wealthy can get their lives extended while the poorget little basic medical help. Over the same years that the field ofbioethics has prospered and expanded, this disparity has increased.Reasons for the failure of bioethics to successfully address thishealth/wealth issue include its identification with the cognitiveand social authority of medicine; its gatekeeping behavior;its funding sources; its questionable use of ``principlism'' andits emphasis on crises and dilemmas to the neglect of ``housekeeping''issues. The work of most women in bioethics rarely addresses thehealth/wealth issue; if it does, their work may be ignored, aswere the recommendations of Canadian feminists working under governmentgrants. To achieve equity in health care, the structure of both medicineand bioethics needs to be changed. Yet, since bioethicists generallyhave accepted the status quo, this seems unlikely to happen
Keywords authority in medicine  crisis medicine  feminist analysis  equity  gender analysis  health care  justice  poverty  principles  women
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DOI 10.1023/A:1011338404680
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Principles of Biomedical Ethics.Tom L. Beauchamp - 1979 - Oxford University Press.

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