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E-raamat: This Is Bioethics: An Introduction

(Queen's University, Canada), (Cardiff University, UK; University of Leeds, UK)
  • Formaat: EPUB+DRM
  • Sari: This is Philosophy
  • Ilmumisaeg: 01-Sep-2020
  • Kirjastus: Wiley-Blackwell
  • Keel: eng
  • ISBN-13: 9781118770733
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  • Formaat: EPUB+DRM
  • Sari: This is Philosophy
  • Ilmumisaeg: 01-Sep-2020
  • Kirjastus: Wiley-Blackwell
  • Keel: eng
  • ISBN-13: 9781118770733

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"Imagine you were running a medical non-governmental organization (NGO) established to preserve the lives of poverty-stricken people in resource poor countries. Your NGO is also usually among the first to provide emergency assistance in case natural emergencies such as tsunamis strike. However, you did notice that agencies evaluating your efficiency1 give you a below-average ranking. That is a worry to your fundraising staff, mostly because you rely on donations and such ratings are said to impact eventually negatively, on your capacity to raise cash. You investigate what the problem is, and it turns out that the ratings agency is critical of your policy of responding mostly in cases of high-impact disasters such as earthquakes, floods or civil wars, because they invariably require a highly resource intensive intervention. The agency's verdict is that, on the same capital outlay, you could preserve more lives in developing countries if you aimed at establishing medium- to long-term health delivery solutions, including setting up primary health care facilities, beginning vaccination programs, and other such relatively low-cost means. Chartering private jets to fly emergency teams in response to disaster also preserves lives deserving to be rescued, the ratings agency says, but it demonstrably results in a substantially lower number of lives preserved than you could preserve if you dropped such actions in favor of working toward better health care delivery infrastructure in the countries you usually serve"--

Should editing the human genome be allowed? What are the ethical implications of social restrictions during a pandemic? Is it ethical to use animals in clinical research? Is prioritizing COVID-19 treatment increasing deaths from other causes? Bioethics&;is a dynamic field of inquiry that draws on interdisciplinary expertise and methodology to address normative issues in healthcare, medicine, biomedical research, biotechnology, public health, and the environment. This Is Bioethics is an ideal introductory textbook for students new to the field, exploring the fundamental questions, concepts, and issues within this rapidly evolving area of study.

Assuming no prior knowledge of the subject, this accessible volume helps students consider both traditional and cutting-edge questions, develop informed and defensible answers, and evaluate the strengths and weaknesses of a diverse range of ethical positions in medicine. The authors avoid complex technical terms and jargon in favor of an easy-to-follow, informal writing style with engaging chapters designed to stimulate student interest and encourage class discussion. The book also features a deep dive into the realm of global public health ethics, including the response to the COVID-19 pandemic. It considers topics like triage decision-making, the proportionality of society's response to COVID-19, whether doctors have a professional obligation to treat COVID-19 patients, and whether vaccines for this virus should be mandatory.

A timely addition to the acclaimed This Is Philosophy &;series, This Is Bioethics is the ideal primary textbook for undergraduate bioethics and practical ethics courses, and is a must-have reference for students in philosophy, biology, biochemistry, and medicine.

About the Authors xi
Preface and Acknowledgments xiii
1 Introduction to Ethics 1(20)
1.1 Religion and Ethics
6(3)
1.2 Law and Ethics
9(4)
1.2.1 Legal and Moral Rights
12(1)
1.3 Ethical Relativism
13(2)
1.4 Why be Ethical?
15(6)
2 Ethical Theory 21(16)
2.1 Virtue Ethics
21(2)
2.2 Feminist Ethics
23(2)
2.3 Utilitarian Ethics
25(4)
2.4 Rule-Based Ethics
29(1)
2.5 'Georgetown Mantra'
30(4)
2.5.1 Non-Maleficence
31(1)
2.5.2 Beneficence
31(1)
2.5.3 Respect for Autonomy
31(1)
2.5.4 Justice
32(2)
2.6 Contract Theory
34(3)
3 Basics of Bioethics 37(22)
3.1 History and Scope of Bioethics
37(4)
3.2 Who Can Claim to be a Bioethicist?
41(2)
3.3 Organizations and Journals
43(1)
3.4 Policy Advice
43(2)
3.5 Common Arguments in Bioethics
45(1)
3.6 Playing God
46(1)
3.7 Unnatural and Abnormal
47(1)
3.8 Dignity
48(3)
3.9 Nazi Arguments in Bioethics
51(2)
3.10 Slippery-Slope Arguments
53(2)
3.11 Treating Someone as a Means
55(4)
4 Moral Standing: What Matters 59(10)
4.1 Moral Standing and Moral Status
59(1)
4.2 Species Membership
60(2)
4.3 Sentientism
62(2)
4.4 Capabilities
64(1)
4.5 Biocentrism
64(1)
4.6 Holism
65(1)
4.7 The Future
66(3)
5 Beginning of Life 69(22)
5.1 Introduction
69(1)
5.2 Ethical Arguments about Reproductive Rights and Responsibilities
70(4)
5.2.1 Reproductive Autonomy and the Right to Reproduce
70(1)
5.2.2 Consequentialism and Procreative Beneficence
71(1)
5.2.3 'Do No Harm' and the Person-Affecting Restriction
72(1)
5.2.4 The Non-Identity Problem
72(1)
5.2.5 Virtue Ethics
73(1)
5.2.6 Feminist Bioethics
73(1)
5.3 Issues in Assisted Reproduction
74(5)
5.3.1 Genetic Relatedness: How Important Is It?
75(2)
5.3.2 Issues of Selection in Reproduction
77(2)
5.4 Embryos, Fetuses and Abortion
79(12)
5.4.1 Fetuses
80(1)
5.4.2 Judith Jarvis Thomson and the Violinist
81(1)
5.4.3 The 'Future-Like-Ours' Argument
81(1)
5.4.4 The Impairment Argument Against Abortion
82(1)
5.4.5 Women's Character
82(1)
5.4.6 Abortion and Fetal Transplants
83(1)
5.4.7 Savior Siblings
84(1)
5.4.8 Infants and Infanticide
85(1)
5.4.9 Severely Disabled Infants
86(1)
5.4.10 Acts and Omissions
87(1)
5.4.11 Newborn Screening
88(3)
6 Health Care Professional-Patient Relationship 91(24)
6.1 Informed Consent
92(4)
6.2 Paternalism
96(1)
6.3 Deciding for Others
97(5)
6.3.1 Deciding for Others: Advance Directives
97(1)
6.3.2 Deciding for Others: Patients Who Never Had Capacity
98(1)
6.3.3 Deciding for Others: Incapacitated Patients without Advance Directives
99(3)
6.4 Truth Telling
102(3)
6.5 Confidentiality
105(2)
6.6 Conscience Matters
107(3)
6.7 Duty to Treat
110(5)
7 Research Ethics 115(20)
7.1 Elements of Ethical Research
117(1)
7.2 Clinical Research: The Basics
118(2)
7.3 Animal Experiments
120(1)
7.4 Informed Consent
121(1)
7.5 Trial-Related Injuries
122(2)
7.6 Benefits
124(1)
7.7 Benefiting from Evil
125(2)
7.8 Ethical Issues Affecting Clinical Research Involving the Catastrophically III
127(3)
7.9 Developing World
130(5)
7.9.1 Utility of Research Question
130(1)
7.9.2 Standards of Care
131(4)
8 Genetics 135(24)
8.1 Genetics and Genomics
135(5)
8.1.1 Introduction - Genetics, Genomics and Bioethics: Is Genetics Special?
135(2)
8.1.2 Issues in Clinical Genetics: Genetic Testing and Counseling
137(3)
8.1.2.1 Non-Directiveness
137(1)
8.1.2.2 Children
138(1)
8.1.2.3 Genetic Screening
139(1)
8.1.2.4 Direct-to-Consumer Testing
139(1)
8.2 Gene Therapy: Somatic and Germline
140(6)
8.2.1 Is There a Need for Germline Gene Therapy?
142(1)
8.2.2 Risks and Irreversible Consequences
142(1)
8.2.3 Future Generations and Lack of Consent
143(1)
8.2.4 The Iconic Significance of the Germline
143(1)
8.2.5 Gene Editing
144(2)
8.3 Genomic Research
146(4)
8.3.1 The Human Genome Project
146(1)
8.3.2 Biobanks
147(2)
8.3.3 Feedback of Findings
149(1)
8.4 Personalized Medicine
150(5)
8.4.1 Human Cloning - Therapeutic Cloning
151(2)
8.4.2 Reproductive Cloning
153(2)
8.5 Other Issues in Genetics and Genomics
155(4)
9 Enhancement 159(22)
9.1 Introduction
159(1)
9.2 Enhancement and Superhumans
159(2)
9.3 The Meaning of Enhancement
161(2)
9.3.1 Enhancement and Improvement
161(2)
9.4 Alternatives to the 'Improvement' Account
163(3)
9.4.1 Therapy-Enhancement Distinction
163(1)
9.4.2 Species-Normal Functioning
164(1)
9.4.2.1 Quantitative Account of Enhancement
164(1)
9.4.3 Enhancement: The Umbrella View
165(1)
9.5 Ethical Issues
166(4)
9.5.1 Is Enhancement Necessary?
166(1)
9.5.2 Enhancement is Inevitable
167(1)
9.5.3 A Compromise Position?
168(1)
9.5.4 Autonomy
169(1)
9.5.5 The Habermasian Concern
169(1)
9.6 Social Inequalities and Social Justice
170(3)
9.6.1 Consequences for the Future of Humans
171(2)
9.7 Moral Enhancement
173(3)
9.8 Cognitive Enhancement
176(5)
10 Mental Health 181(14)
10.1 Mental Illness
182(2)
10.2 Diagnosis
184(2)
10.3 Autonomy and Capacity
186(1)
10.4 Least Restrictive Option
187(1)
10.5 Best Interests
188(1)
10.6 Treatment and Detention
189(6)
10.6.1 Detention for the Good of the Service User
189(2)
10.6.2 Detention for the Protection of Others
191(4)
11 End of Life 195(22)
11.1 Do You Want to Live Forever?
195(6)
11.2 Terminology
201(2)
11.3 Case for the Decriminalization of Assisted Dying
203(4)
11.4 The Case Against the Decriminalization of Assisted Dying
207(6)
11.4.1 In-Principle Reasons Against Assistance in Dying
207(1)
11.4.2 Slippery-Slope Reasons Against Assistance in Dying
208(10)
11.4.2.1 Pereira v. Downie
210(3)
11.5 Violation of Health Care Professional Values and Traditions
213(4)
12 Justice and Health Care 217(18)
12.1 Introduction
217(1)
12.2 Types of Justice
218(4)
12.2.1 Justice and Discrimination
218(1)
12.2.2 Justice in Distribution
219(1)
12.2.3 Procedural Justice
220(1)
12.2.4 Justice and Exploitation
220(2)
12.3 The Concept of Justice and its Connection With Equality
222(3)
12.3.1 Justice and Equality: Equal Treatment and Equal Consideration
222(1)
12.3.2 Justice, Deserving and Personal Responsibility
223(2)
12.3.3 Justice is Giving People What They Need
225(1)
12.4 Theories of Justice
225(7)
12.4.1 Utility and Well-Being
225(3)
12.4.2 Respect for Persons: Rights to Health and Health Care
228(1)
12.4.3 John Rawls and Norman Daniels
229(2)
12.4.4 The Capabilities Approach
231(1)
12.5 Special Cases
232(3)
12.5.1 Personalized Medicine and Justice
233(2)
13 Population Health 235(26)
13.1 Global Health Issues
235(1)
13.2 Health Aid Obligations
236(4)
13.2.1 Allocation Priorities
238(2)
13.3 Population Health and Public Health
240(3)
13.4 Communicable Disease Control Challenges
243(10)
13.4.1 Take One: Michael Johnson is Not Culpable
245(1)
13.4.2 Take Two: Michael Johnson is Culpable
245(1)
13.4.3 Take Three: Shared Responsibility
246(1)
13.4.4 Deterrence
246(1)
13.4.5 Private Acts and Social Consequences
247(1)
13.4.6 Novel Coronavirus Pandemic
248(3)
13.4.7 Vaccines
251(2)
13.5 Public Health Promotion
253(8)
13.5.1 Communicable Disease: HIV
254(2)
13.5.2 Non-Communicable Disease: Obesity
256(5)
Bibliography 261(26)
Further Reading 287(8)
Index 295
RUTH F. CHADWICK is Professor Emerita, Cardiff University, and Visiting Professor, University of Leeds, UK. She is Joint Editor-in-Chief of the journal Bioethics and has served on numerous international bodies including the Council of the Human Genome Organization. She is Fellow of the Academy of Social Sciences, the Hastings Center, the Royal Society of Arts, the Royal Society of Biology, and the Learned Society of Wales.

UDO SCHÜKLENK holds the Ontario Research Chair in Bioethics in the Department of Philosophy at Queen's University at Kingston, Canada. He is a Joint Editor-in-Chief of the journal Bioethics. His academic career has included teaching and research appointments in Australia, South Africa, and the UK. He is co-editor of Bioethics: An Anthology, Fourth Edition and co-author of 50 Great Myths About Atheism.