MIES biblioteka

Naujausi A B C D E F G H I J K L M N O P R S T V W Y Z

ISBN: 0-19-505736-8
Brūkšninis kodas: 003075180349
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3 1. Introduction: bioethics as a plural noun
3 Bioethics in the face of moral pluralism
8 Bioethics and postmodernity
11 Politics, morality, and bioethics
13 Bioethics in the ruins
14 Toleration in the face of moral diversity
32 2. The Intellectual Bases of Bioethics
33 Varieties of ethics
35 The problem of objectivity in morals
37 Problems in justifying a particular moral viewpoint
40 Attempts to justify a content-full secular ethics: why they all fail
65 At the brink of nihilism
67 The way out of nihilism: saving the moral legitimacy of secular bioethics
72 Moral authority in postmodernity: legitimating health care policy
74 Morality and bioethics for friends; morality and bioethics for strangers
78 Communities, secularity, and bioethics: providing health care in a
morally fragmented world
80 The strangeness of moral strangers
81 The health professional as bureaucrat and geographer of values
83 Bioethics in the face of moral diversity: a summary
102 3. The Principles of Bioethics
103 Permission and beneficence: the conflict at the roots of bioethics
103 The will to morality and the problem of intersubjectivity
105 How Kant smuggled content into his moral conclusions
108 The sanctions for immorality
111 Giving authority and content to the principle of beneficence
116 Justifying the principles of morality
119 The tension between the principles
121 The principle of justice
121 The principles of bioethics
124 Moral tension and the centrality of forbearance rights
128 Conflicting rights and obligations
129 TEYKU: the opacity of some problems to moral reasoning
135 4. The Context of Health Care: Persons, Possessions, and States
135 The special place of persons
140 A bias in favor of persons?
141 Potentiality and probability
144 An excursus regarding animals
146 Infants, the profoundly retarded, and social senses of "person"
148 Severely defective newborns: weakening the protections of the social role of person
149 Being a person: in the strict sense and in various social senses
151 Sleeping persons and the problem of embodiment
154 Owning people, animals, and things
162 Endangered species, the Coliseum, and the bioethics of ecology
163 Ownership: a summary
166 States and their authority
172 The limited moral authority of the secular state
175 Toward Utopia
179 A postmodern reflection on property, states, and health care policy
189 5. The Languages of Medicalization
189 Shaping reality
196 The four languages of medicine
197 Disease language as evaluative
207 Disease language as descriptive
208 Disease language as explanatory
217 Disease language as shaping social reality
218 The social construction of medical reality and the challenge of clinical judgment
222 Seeing a problem as a medical, rather than as a legal, religious, or educational problem
226 The democratization of medical reality: some conclusions
239 6. The Endings and Beginnings of Persons: Death, Abortion,
and Infanticide
241 The definition of death
241 Bodies, minds, and persons
243 Embodiments
244 Living and dying with less than absolute certainty
245 The development of a whole-brain definition of death
247 Being there
250 Toward a higher-brain-centers definition of death
253 Abortion, harm to fetuses, and infanticide
255 The status of zygotes, embryos, and fetuses
258 Wrongful life
261State interventions on behalf of the fetus, cesarean sections, fetal surgery, and civil commitment
263 Letting defective newborns die
269 Infanticide
271 Fetal experimentation and in vitro fertilization
276 The patient as person: the secular moral vision
288 7. Free and Informed Consent, Refusal of Treatment, and the Health Care
Team: The Many Faces of Freedom
291 The patient-healer relationship
291 The profession
295 The patient as a stranger in a strange land
296 Strangers and friends
300 Medical care from passing strangers
300 Free and informed consent
303 The right to be left alone
306 Three senses of freedom
310 Three senses of being informed
321 Making choices for others: three forms of paternalism
327 Proxy consent and the emancipation of minors
330 Research involving human subjects
336 Confidentiality
340 Suicide, euthanasia, and the choice of a style for dying
344 The right to be left alone and deciding to die
347 Advance directives, proxy consent, and stopping treatment on the incompetent
349 Death in an age of disbelief
354 Euthanasia
354 The health care team
357 Consent, moral diversity, and health care policy: why does everything have to be uniform?
375 8. Rights to Health Care, Social Justice, and Fairness in Health Care
Allocations: Frustrations in the Face of Finitude
376Health care policy: the ideology of equal, optimal care
379 Justice, freedom, and inequality
379 The natural and social lotteries
381 The rich and the poor: differences in entitlements
382 Drawing the line between the unfortunate and the unfair
384 Beyond equality: an egalitarianism of altruism versus an egalitarianism of envy
387 From macroallocations to microallocations
387 Higher-level macroallocational choices
388 Lower-level macroallocational choices
388 Higher-level microallocational choices
389 Lower-level microallocational choices
390 Gambling with human life, and setting a price on health and survival
391 Conflicting models of justice: from content to procedure
398 The moral inevitability of a multitier health care system
403 Conclusions: creating rights to health care in the face of moral diversity
411 9. Reshaping Human Nature: Virtue with Moral Strangers and
Responsibility without Moral Content
411 Cosmic disorientation
414 Dr. Feelgood and the pursuit of health: drugs, treatments, artificial well-beings,
and the realization of happiness
418 Virtues and vices
421 Postmodernity, pluralism, and secularity: the vision of secular bioethics
427 Index

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