There remains a need to properly analyze the metaphysical assumptions underlying two organ procurement policies: presumed consent and organ sales. Our contention is that if one correctly understands the metaphysics of both the human body and material property, then it will turn out that while organ sales are illiberal, presumed consent is not. What we mean by illiberal includes violating rights of bodily integrity, property, or autonomy, as well as arguing for or against a policy in a manner that runs (...) afoul of Rawlsian public reason. (shrink)

John Harris argues that opponents of human embryonic stem cell research, Catholics specifically, suffer an inconsistency in their moral thinking, opposing it on the basis that the sacrifice of an embryo is impermissible even for the good of curing disease. They have no objection to natural procreation, however, which results in many early miscarriages. Harris contends that Catholics tacitly endorse these miscarriages as a permissible sacrifice for the good of producing other, healthy children. This paper offers a response to the (...) argument that relies on only basic moral principles that Harris himself is likely to accept. National Catholic Bioethics Quarterly 12.3 (Autumn 2012): 461–476. (shrink)

There are ethical guidelines that form the foundation of the traditional doctor–patient relationship in medicine. Health care providers are under special obligations to their patients. These include obligations to disclose information, to propose alternative treatments that allow patients to make decisions based on their own values, and to have special concern for patients’ best interests. Furthermore, patients know that these obligations exist and so come to their physicians with a significant level of trust. In this sense, therapeutic medicine significantly differs (...) from straightforward business practices such as the buying and selling of houses, cars, cell phones, etc. However, we argue that this relationship differs when medicine is used for enhancement rather than therapy. When patients seek enhancements they are not as vulnerable as when they are ill. And in an enhancement setting, physicians have little role outside of medical risks to discuss motivation and alternatives. Therefore, we conclude that a more reasonable alternative may be for doctors and patients to use ethical norms associated more with straightforward business practices, specifically sales. We believe that full disclosure of this different set of norms will benefit both physicians and patients. (shrink)

The American Journal of Bioethics, Volume 12, Issue 4, Page 24-26, April 2012.

Well-being is that which is non-instrumentally good for a person. It is identical to how well someone's life goes. There are three main theories of well-being: hedonism, desire-fulfillment, and objective list theories. Each of these theories is subject to criticism, which has led some philosophers to posit a hybrid theory in which well-being is defined as taking pleasure in objective goods. One problem that comes with such an account is the possibility of what I will call harmless pleasures; that is, (...) pleasures that while not taken in something bad, are neither linked to objective goods. It is counterintuitive to say that such pleasures do not make a person's life go better, yet this seems to be what hybrid theories entail. I call this the harmless-pleasure objection. In this paper, I argue that there is no obvious solution to this objection and this result casts doubt on hybrid theories of well-being. (shrink)

In relating philosophy to intercultural understanding, one of the key problems that arises is that of the relationship between tolerance and religious belief.This paper challenges the common understanding of tolerance in contemporary debates over religious diversity. It argues that tolerance is overused and over-applied in these debates, and has wrongfully come to refer to tactlessness, harshness of condemnation, and even exclusivity of belief. In seeking to clarify the concept and ensure its appropriate usage, it proposes that religious tolerance should only (...) be applied to beliefs and actions following from those beliefs. It offers a framework in which tolerance about epistemic matters and tolerance about metaphysical matters is differentiated, and proposes that rejecting a certain element of metaphysical tolerance, namely the coexistence of incompatible content, is not a legitimate condition for intolerance. These clarifications enable a more consistent way of understanding tolerance and religious diversity. (shrink)

In relating philosophy to intercultural understanding, one of the key problems that arises is that of the relationship between tolerance and religious belief.This paper challenges the common understanding of tolerance in contemporary debates over religious diversity. It argues that tolerance is overused and over-applied in these debates, and has wrongfully come to refer to tactlessness, harshness of condemnation, and even exclusivity of belief. In seeking to clarify the concept and ensure its appropriate usage, it proposes that religious tolerance should only (...) be applied to beliefs and actions following from those beliefs. It offers a framework in which tolerance about epistemic matters and tolerance about metaphysical matters is differentiated, and proposes that rejecting a certain element of metaphysical tolerance, namely the coexistence of incompatible content, is not a legitimate condition for intolerance. These clarifications enable a more consistent way of understanding tolerance and religious diversity. (shrink)

In September of 2008, the Congregation for the Doctrine of the Faith published Dignitas Personae, which addresses several newly emerging topics in thearea of biomedical ethics. One of these topics is genetic engineering, which we can define as the intentional manipulation of genetic material so as to produce some desired trait or characteristic. Genetic engineering is discussed in Dignitas Personae, but is done so relatively briefly. In this paper, I explore some of the metaphysical and ethical questions that are key (...) in assessing the morality of this practice by examining other Church documents as well as philosophical literature. Ultimately, I will argue that aside from some instrumental restrictions, questions about the moral permissibility of genetic engineering, the distinction between therapy and enhancement, and what it means to be human are not as easily answered from a Catholic perspective as one might think. (shrink)

In September of 2008, the Congregation for the Doctrine of the Faith published Dignitas Personae, which addresses several newly emerging topics in thearea of biomedical ethics. One of these topics is genetic engineering, which we can define as the intentional manipulation of genetic material so as to produce some desired trait or characteristic. Genetic engineering is discussed in Dignitas Personae, but is done so relatively briefly. In this paper, I explore some of the metaphysical and ethical questions that are key (...) in assessing the morality of this practice by examining other Church documents as well as philosophical literature. Ultimately, I will argue that aside from some instrumental restrictions, questions about the moral permissibility of genetic engineering, the distinction between therapy and enhancement, and what it means to be human are not as easily answered from a Catholic perspective as one might think. (shrink)

The nature of the doctor–patient relationship is central to the practice of medicine and thus to bioethics. The American Medical Association (in AMA principles of medical ethics, available at: https://www.ama-assn.org/delivering-care/ethics/patient-physician-relationships, 2016) states, “The practice of medicine, and its embodiment in the clinical encounter between a patient and a physician, is fundamentally a moral activity that arises from the imperative to care for patients and to alleviate suffering.” In this issue of Christian Bioethics, leading scholars consider what relevance (if any) Christianity (...) brings to the relationship between physician and patient: does Christianity make a difference? The contributors consider this question from several different perspectives: the proper model of medicine, the role that the Christian moral tradition can play in medicine in a secular pluralistic society, how a Christian understanding of virtue can inform practices such as perinatal hospice and physician-assisted suicide, and whether or not appeals to Christian values can (or should) ground a physician’s right to conscientious objection. (shrink)