ABSTRACTThe latest draft of UNESCO's proposed Universal Declaration on Bioethics and Human Rights is a major disappointment. The committee of government ‘experts’ that produced it made sure that it would not introduce any new obligations for States, and so the document simply restates existing agreements and lists desirable goals without specifying how they can be achieved. This article focuses on the shortcomings of the document as it would apply to health care. These shortcomings are evident in the document's scope, aims (...) and principles. The conclusion is that if UNESCO still thinks that such a declaration is needed, it should produce either an ethical document addressed to individuals and groups, which would be primarily educational in nature, or a legal document addressed to States, which should not have the word ‘ethics’ in its title. (shrink)
In this essay, Brook Ziporyn’s reading of Zhuangzi 莊子 is explicated and broken down into what I take to be its two primary parts: first, Zhuangzi’s epistemological agnosticism and perspectivism, and second, Zhuangzi’s Wild Card. The former presents a unique set of philosophical problems through the specialized terminology of the classical Chinese lexicon, while the latter tries to remedy these problems. I take the first part of Zhuangzi’s position to be compelling and pertinent, while the second part is problematic. Carrying (...) out the project, I focus primarily on Ziporyn’s recent publication, Ironies of Oneness and Difference, as well as his translation of the Zhuangzi chapters that (allegedly —... (shrink)
Canadians frequently have recourse to public commissions as a means of dealing with contentious public policy issues. This essay examines the role of philosophers and philosophy in nine such commissions, all of which have dealt with issues in biomedical ethics. The principal findings of this essay are that philosophers have not been used extensively by these commissions, and that the philosophical aspects of the issues under investigation have been dealt with quite inadequately. The essay concludes with suggestions for an expanded (...) role for philosophers in such commissions. Keywords: bioethics, Canada, commissions, inquiries, philosophers CiteULike Connotea Del.icio.us What's this? (shrink)
Responsibility for the protection of human research subjects is shared by investigators, research ethics committees, sponsors/funders, research institutions, governments and, the focus of this article, physicians who enrol patients in clinical trials. The article describes the general principles of the patient-physician relationship that should regulate the participation of physicians in clinical trials and proposes guidelines for determining when and how such participation should proceed. The guidelines deal with the following stages of the trial: when first considering participation, when deciding whether (...) to enrol patients, when asking patients to participate, when the trial is underway and when it is completed. (shrink)
This book taps the best American thinkers to answer the essential American question: How do we sustain our experiment in government of, by, and for the people? Authored by an extraordinary and politically diverse roster of public officials, scholars, and educators, these chapters describe our nation's civic education problem, assess its causes, offer an agenda for reform, and explain the high stakes at risk if we fail.