Full text
Levenbook, Barbara Baum. That Makes It Worse
1980, The Monist 63 (2):228-245.
Expand entry
Added by: Chris Blake-Turner, Contributed by: Barbara Baum Levenbook
Abstract: Essays on excusing conditions and their correlates, mitigating conditions, usually begin with the assumption that there is general agreement on what the standard excuses are, and on where they are inapplicable. This assumption is justified; criminal law and the history of discussions of excuses have produced accord, though now and then doubts are expressed about particulars. Essays on excuses typically aim not so much to convince one that such-and-such are the general types of excuses but, rather, to show how they work and what their operation reveals about the nature of voluntary acts, full responsibility, etc.

Comment: In a course on moral reasoning

Export citation in BibTeX format
Export text citation
View this text on PhilPapers
Export citation in Reference Manager format
Export citation in EndNote format
Export citation in Zotero format
Share on Facebook Share on LinkedIn Share by Email
Full text
O'Neill, Onora. Autonomy and Trust in Bioethics
2002, Cambridge University Press.
Expand entry
Added by: Chris Howard, Contributed by: Simon Fokt
Publisher's Note: Onora O'Neill suggests that the conceptions of individual autonomy (so widely relied on in bioethics) are philosophically and ethically inadequate; they undermine rather than support relationships based on trust. Her arguments are illustrated by issues raised by such practices as the use of genetic information by the police, research using human tissues, new reproductive technologies, and media practices for reporting on science, medicine, and technology. The study appeals to a wide range of readers in ethics, bioethics, and related disciplines.

Comment: Parts of this book are an excellent supplement to units on autonomy and informed consent in an intermediate-advanced level medical ethics course. In particular, chapters 1, 2, and 4 would be excellent additions to a unit on autonomy, and chapter 7 would be a similarly excellent addition to a unit on informed consent.

Export citation in BibTeX format
Export text citation
View this text on PhilPapers
Export citation in Reference Manager format
Export citation in EndNote format
Export citation in Zotero format
Share on Facebook Share on LinkedIn Share by Email
Full text
O'Neill, Onora. Some limits of informed consent
2003, Journal of Medical Ethics 29 (1):4-7
Expand entry
Added by: Simon Fokt
Abstract: Many accounts of informed consent in medical ethics claim that it is valuable because it supports individual autonomy. Unfortunately there are many distinct conceptions of individual autonomy, and their ethical importance varies. A better reason for taking informed consent seriously is that it provides assurance that patients and others are neither deceived nor coerced. Present debates about the relative importance of generic and specific consent (particularly in the use of human tissues for research and in secondary studies) do not address this issue squarely. Consent is a propositional attitude, so intransitive: complete, wholly specific consent is an illusion. Since the point of consent procedures is to limit deception and coercion, they should be designed to give patients and others control over the amount of information they receive and opportunity to rescind consent already given.

Comment: A great introductory text offering a short overview of the problems related to consent. The point regarding the intransitivity of consent is likely to inspire interesting discussions. As the paper is quite short, it can easily be used in conjunction with other texts.

Export citation in BibTeX format
Export text citation
View this text on PhilPapers
Export citation in Reference Manager format
Export citation in EndNote format
Export citation in Zotero format
Share on Facebook Share on LinkedIn Share by Email
Full text
Rhodes, Rosamond. The professional responsibilities of medicine
2007, In Rosamond Rhodes, Leslie Francis & Anita Silvers (eds.), The Blackwell Guide to Medical Ethics. Blackwell.
Expand entry
Added by: Clotilde Torregrossa, Contributed by: Simon Fokt
Publisher's Note: The Blackwell Guide to Medical Ethics is a guide to the complex literature written on the increasingly dense topic of ethics in relation to the new technologies of medicine. Examines the key ethical issues and debates which have resulted from the rapid advances in biomedical technology Brings together the leading scholars from a wide range of disciplines, including philosophy, medicine, theology and law, to discuss these issues Tackles such topics as ending life, patient choice, selling body parts, resourcing and confidentiality Organized with a coherent structure that differentiates between the decisions of individuals and those of social policy

Comment:

Export citation in BibTeX format
Export text citation
View this text on PhilPapers
Export citation in Reference Manager format
Export citation in EndNote format
Export citation in Zotero format
Share on Facebook Share on LinkedIn Share by Email
Full text Read free
Sherman, Nancy. From Nuremberg to Guantánamo: Medical Ethics Then and Now
2007, Washington University Global Studies Law Review 6(3): 609-619.
Expand entry
Added by: John Baldari
Abstract: On October 25, 1946, three weeks after the International Military Tribunal at Nuremberg entered its verdicts, the United States established Military Tribunal I for the trial of twenty-three Nazi physicians. The charges, delivered by Brigadier General Telford Taylor on December 9, 1946, form a seminal chapter in the history of medical ethics and, specifically, medical ethics in war. The list of noxious experiments conducted on civilians and prisons of war, and condemned by the Tribunal as war crimes and as crimes against humanity, is by now more or less familiar. That list included: high-altitude experiments; freezing experiments; malaria experiments; sulfanilamide experiments; bone, muscle, and nerve regeneration and bone transplantation experiments; sea water experiments; jaundice and spotted fever experiments; sterilization experiments; experiments with poison and with incendiary bombs. What remains less familiar is the moral mindset of doctors and health care workers who plied their medical skill for morally questionable uses in war. In his 1981 work, The Nazi Doctors, Robert Jay Lifton took up that question, interviewing doctors, many of whom for forty years continued to distance themselves psychologically from their deeds. The questions about moral distancing Lifton raised (though not the questions about criminal experiments) have immediate urgency for us now. Military medical doctors, psychiatrists and psychologists serve in U.S. military prisons in Guantánamo, Abu Ghraib, Kandahar, and, until very recently, in undisclosed CIA operated facilities around the world where medical ethics are again at issue. Moreover, they serve in top positions in the Pentagon, as civilian and military heads of command, who pass orders and regulations to military doctors in the field, and who are in charge of the health of enemy combatants, as well as U.S. soldiers. Because we recently marked the sixtieth anniversary of the judgment at Nuremberg, I want to awaken our collective memory to the ways in which doctors in war, even in a war very different from the one the Nazis fought, can insulate themselves from their moral and professional consciences.

Comment: This text is best used as an additional reading in bioethics, or in just war theory (post ad bellum).

Export citation in BibTeX format
Export text citation
View this text on PhilPapers
Export citation in Reference Manager format
Export citation in EndNote format
Export citation in Zotero format
Share on Facebook Share on LinkedIn Share by Email
Full text
Sherwin, Susan. No Longer Patient: Feminist Ethics and Health Care
1992, Temple University Press.
Expand entry
Added by: Clotilde Torregrossa, Contributed by: Simon Fokt
Introduction: This book attempts to deepen common understandings of what considerations are relevant in discussions of bioethics. It is meant to offer a clearer picture of what morally acceptable health care might look like. I argue that a feminist understanding of the social realities of our world is necessary if we are to recognize and develop an adequate analysis of the ethical issues that arise in the context of health care.

Comment:

Export citation in BibTeX format
Export text citation
View this text on PhilPapers
Export citation in Reference Manager format
Export citation in EndNote format
Export citation in Zotero format
Share on Facebook Share on LinkedIn Share by Email
Full text
Sreenivasan, Gopal. A Human Right to Health? Some Inconclusive Scepticism
2012, Aristotelian Society Supplementary Volume 86 (1):239-265.
Expand entry
Added by: Simon Fokt
Abstract: This paper offers four arguments against a moral human right to health, two denying that the right exists and two denying that it would be very useful (even if it did exist). One of my sceptical arguments is familiar, while the other is not.The unfamiliar argument is an argument from the nature of health. Given a realistic view of health production, a dilemma arises for the human right to health. Either a state's moral duty to preserve the health of its citizens is not justifiably aligned in relation to the causes of health or it does not correlate with the human right to health. It follows that no one holds a justified moral human right to health against the state.Education and herd immunity against infectious disease both illustrate this dilemma. In the former case, the state's moral duty correlates with the human right to health only if it demands too much from a cause of health; and in the latter, only if it demands nothing from a cause of health (that is, too little).

Comment: Useful in teaching on distributive justice in medicine or medical ethics in general. Can also be used as further reading in political and moral philosophy modules on human rights.

Export citation in BibTeX format
Export text citation
View this text on PhilPapers
Export citation in Reference Manager format
Export citation in EndNote format
Export citation in Zotero format
Share on Facebook Share on LinkedIn Share by Email
Full text
Walker, Rebecca L.. Medical Ethics Needs a New View of Autonomy
2009, Journal of medicine and philosophy 33: 594-608.
Expand entry
Added by: Simon Fokt
Abstract: The notion of autonomy commonly employed in medical ethics literature and practices is inadequate on three fronts: it fails to properly identify nonautonomous actions and choices, it gives a false account of which features of actions and choices makes them autonomous or nonautonomous, and it provides no grounds for the moral requirement to respect autonomy. In this paper I offer a more adequate framework for how to think about autonomy, but this framework does not lend itself to the kinds of practical application assumed in medical ethics. A general problem then arises: the notion of autonomy used in medical ethics is conceptually inadequate, but conceptually adequate notions of autonomy do not have the practical applications that are the central concern of medical ethics. Thus, a revision both of the view of autonomy and the practice of “respect for autonomy” are in order.

Comment: Walker argues against the Black Box view advocated by Beauchamp and Childress. The text is most useful when discussing principlism in biomedical ethics and more general issues related to autonomy and consent. The text works well when read alongside's Onora O'Neill's "Some limits of informed consent."

Export citation in BibTeX format
Export text citation
View this text on PhilPapers
Export citation in Reference Manager format
Export citation in EndNote format
Export citation in Zotero format
Share on Facebook Share on LinkedIn Share by Email
Can’t find it?
Contribute the texts you think should be here and we’ll add them soon!