Theoretical Medicine and Bioethics 18 (1-2):145-163 (1997)

George Khushf
University of South Carolina
Germund Hesslow has argued that concepts of health and disease serve no important scientific, clinical, or ethical function. However, this conclusion depends upon the particular concept of disease he espouses; namely, on Boorse's functional notion. The fact/value split embodied in the functional notion of disease leads to a sharp split between the science of medicine and bioethics, making the philosophy of medicine irrelevant for both. By placing this disease concept in the broader context of medical history, I shall show that it does capture an essential part of modern medical ideology. However, it is also a self-contradictory notion. By making explicit the value desiderata of medical nosologies, a reconfiguration of the relation between medicine, bioethics, and the philosophy of medicine is initiated. This, in turn, will involve a recovery of the caring dimensions of medicine, and thus a more humane practice.
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DOI 10.1023/a:1005730108133
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An Agenda for Future Debate on Concepts of Health and Disease.George Khushf - 2007 - Medicine, Health Care and Philosophy 10 (1):19-27.

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