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Outer Origin examines the individual, social, and spiritual implications of ectogenesis, also known as artificial womb technology. Formerly considered the topic of science fiction, such devices are currently being developed and will soon be a medical reality. This book offers readers information on the status of this technology and considers the ways in which it may one day fully replace human gestation. Ectogenesis has previously been assessed with the future child in mind, but this book, instead, envisions what it might mean for women. It explores the value of pregnancy and childbirth in the twenty-first century and questions the notion that artificial wombs will lead to full equality of the sexes. Outer Origin seeks to elevate the maternal experience by reflecting on the meaning of reproductive technology in our lives. People everywhere must ponder the significance of what has heretofore been their most common link--shared natality and birth. If not, Homo sapiens will enter a deep dive into the unknown--that of not being of woman born.

Ethics Lost in Modernity: Reflections on Wittgenstein and Bioethics turns to the philosopher Ludwig Wittgenstein as a guide to understand the immense success--yet great danger--of bioethics. Matthew Vest traces the story of bioethics since its inception in the late 1960s as a way to uncover a number of hidden assumptions within modern ethics that relies upon scientific theorizing as the fundamental way of thinking. Autonomy and utilitarianism, in particular, are two nearly unquestioned goals of scientific theorizing that are easily accessible, but at what cost? Vest argues that such an ethics enacts a thin moral calculation that runs the risk of enslaving ethics to scientism. Far from the depth of religious ethos and practices of virtue, modern ethics is lost amidst thin ethical theories, enacting a language game that instrumentalizes ethics in service of technological, bureaucratic, and professional end goals. He proposes that true moral living is far from anti-science, but rather is envisioned best when ethics and science are balanced with keen insights from ancient sacred cosmology.

This interdisciplinary volume explores how posthumanist approaches can illuminate current issues in bioethics and considers the relevance of these issues for the humanities, including questions of autonomy and authorship, and notions of ethical and juridical responsibility in the context of a changing understanding of subjectivity. With contributions from a variety of areas, including literature, philosophy, media, and policy-making, the book outlines the historical and philosophical development of posthumanism, and current key questions in bioethics. It generates a dialogue between bioethical approaches and the posthumanities, identifying ways in which posthumanist scholarship might be used to inform bioethical policy. The book also looks more speculatively at the future, and the potential implications of technological developments which are only beginning to emerge. It uses posthumanism to look critically at the humanism underpinning de-extinction science, considers the ways in which technology is re-framing our social and political imaginaries, and asks about the identification of future posthumans.

Harmonizing Bioethics is about relationships of peoples and cultures, our civilizations and living environments. Following the original concept of bioethics by Fritz Jahr, we search for harmonizing discourses in the process of industrialization and globalization. Confucius'compassion'and Jesus'love your neighbor'are the global backbones of our actual and future deliberations.'Do not hurt, be compassionate, be respectful, be responsible'. Issues such as caring for the poor, euthanasia, organ transplantation and physician-lay collaboration and teamwork are discussed in transcultural evaluation. A special aspect of urban bioethics and culture discusses also the influence of artificial intelligence. Building upon these pluriperspective grounds will direct us and the world in future collaboration as a bridge in global ways in integrating peoples and values advancing to a new age for all.

This book is a critical examination of the philosophical and moral issues in relation to human enhancement and the various related medical developments that are now rapidly moving from the laboratory into the clinical realm. In the book, the author critically examines technologies such as genetic engineering, neural implants, pharmacologic enhancement, and cryonic suspension from transhumanist and bioconservative positions, focusing primarily on moral issues and what it means to be a human in a setting where technological interventions sometimes impact strongly on our humanity. The author also introduces the notion that death is a process rather than an event, as well as identifies philosophical and clinical limitations in the contemporary determination of brain death as a precursor to organ procurement for transplantation. The discussion on what exactly it means to be dead is later applied to explore philosophical and clinical issues germane to the cryonics movement. Written by a physician/ scientist and heavily referenced to the peer-reviewed medical and scientific literature, the book is aimed at advanced students and academics but should be readable by any intelligent reader willing to carry out some side-reading. No prior knowledge of moral philosophy is assumed, as the various key approaches to moral philosophy are outlined early in the book.

Bioethics is a field of inquiry and as such is fundamentally an epistemic discipline. Knowing how we make moral judgments can bring into relief why certain arguments on various bioethical issues appear plausible to one side and obviously false to the other. Uncertain Bioethics makes a significant and distinctive contribution to the bioethics literature by culling the insights from contemporary moral psychology to highlight the epistemic pitfalls and distorting influences on our apprehension of value. Stephen Napier also incorporates research from epistemology addressing pragmatic encroachment and the significance of peer disagreement to justify what he refers to as epistemic diffidence when one is considering harming or killing human beings. Napier extends these developments to the traditional bioethical notion of dignity and argues that beliefs subject to epistemic diffidence should not be acted upon. He proceeds to apply this framework to traditional and developing issues in bioethics including abortion, stem cell research, euthanasia, decision-making for patients in a minimally conscious state, and risky research on competent human subjects.

This title was first published in 2002: This volume discusses the subject of biomedical ethics. Various views, historical and contemporary, are discussed, with the editors using the contrasting concepts in the shift from paternalism to autonomy in 20th-century medicine as a heuristic tool for the critical study of ethics in medicine.As far as the evidence in this volume goes, paternalistic medical practices and patient autonomy had an uneasy relationship by the beginning of the 20th century. A hundred years later, full autonomy in decisions on medical treatment is still subject to numerous caveats. The text pays close attention to the interplay between various players, noting how factors such as social contexts, governmental organizations and the biotechnological industry influence and shape responses to the principle of bioethics.

Der moralische Status menschlicher Embryonen ist und bleibt umstritten. Zugleich gibt es immer neue und tiefergehende biotechnologische Möglichkeiten, Embryonen zu manipulieren. Das betrifft insbesondere ihr Entwicklungspotential und die klare Zuordnung zur menschlichen Spezies. Dieses Buch untersucht, welche Auswirkungen diese neuen Manipulationsmöglichkeiten auf die Tragfähigkeit der Argumente haben, mit denen ein herausgehobener moralischer Status des Embryos begründet werden soll: die Potentialitäts- und Speziesargumente. In den Beiträgen werden aktuelle Entwicklungen in der Forschung mit Embryonen zusammengetragen und insbesondere folgende Fragen diskutiert: Was bedeuten diese Entwicklungen für die Potentialitäts- und Speziesargumente – und damit letztendlich auch für den moralischen Status der so manipulierten Embryonen? Können die zentralen embryoethischen Argumente angesichts der neuen biotechnologischen Eingriffsmöglichkeiten überhaupt aufrechterhalten werden? Sind alle Varianten der Argumente betroffen oder nur einige? Können und müssen sie möglicherweise reformuliert oder neu gedacht werden?

This book discusses the philosophical foundations of bioethics, with a particular focus on the tensions and potential dilemmas generated by the intuitionist meta-ethical commitments of the predominant normative theory, namely “the four principles approach.” This view is based on the prima facie norms of respect for autonomy (one ought to respect the autonomous choices of subjects of scientific research/patients), non-maleficence (one ought to refrain from inflicting harm), beneficence (one ought to do good and prevent, or remove, harm) and justice (one ought to treat people fairly). The tensions in applying these basic principles may lead to inaction in scientific experiments involving human subjects or to arbitrary applications of the norms in the art of caring. The problem can be made explicit in these terms: on the one hand, caring without respecting seems blind, degenerating into forms of paternalism when, for instance, the carer imposes her conception of the good life or a particular procedure on the cared-for; on the other hand, respecting without caring amounts to indifference or individualism when, for example, a person does not look after a vulnerable being properly. The initial hypothesis of this book, then, is that the concept of respectful care can be built up, working from an ethico-philosophical perspective, to be a leading notion capable of guiding our daily actions and bioethical practices.

The author critically examines what role the notion of perfection should play in the debate regarding the ethics of human enhancement. He argues that the concept of «human perfection» needs to be central when morally assessing human enhancements. This anthropological ideal provides an additional norm to evaluate enhancing interventions, extending the well-established bioethical principles of autonomy, justice, and safety.

This interdisciplinary collection of essays demonstrates how the ethical and political problems we are confronted with today have come to focus largely on life. The contributors to this volume define and assess the specific meaning of life itself. It is only by doing so that we can understand why life has become an all-encompassing problem, why all questions, especially ethical and political, have become vital questions. We have reached a moment in history where every distinction and opposition is no longer in relation to life, but within it, and where life is at once a theoretical and practical problem.This book throws light on this nexus of problems at the heart of contemporary debates in bioethics and biopolitics. It helps us understand why and how life is understood, valued, cared for and framed today. Taking a genuinely transdisciplinary approach, these essays demonstrate how life is a multifaceted problem and how diverse the origins, foundations and also consequences of bioethics and biopolitics therefore are.

Classic articles and newly commissioned chapters analyze the nature of potentiality in bioethics.What is the moral status of humans lacking the potential for consciousness? The concept of potentiality often tips the scales in life-and-death medical decisions. Some argue that all human embryos have the potential to develop characteristics—such as consciousness, intellect, and will—that we normally associate with personhood. Individuals with total brain failure or in a persistent vegetative state are thought to lack the potential for consciousness or any other mental function. Or do they?In Potentiality John Lizza gathers classic articles alongside newly commissioned chapters from leading thinkers who analyze the nature of potentiality in bioethics, a concept central to a number of important debates. The contributors illustrate how considerations of potentiality and potential persons complicate the analysis of the moral consideration of persons at the beginning and end of life. A number of works explicitly uncover the Aristotelian background of the concept, while others explore philosophical issues about persons, dispositions, and possibility. The common assumption that potentiality is intrinsic to whatever has the potentiality is challenged by a relational view of persons, an extrinsic account of dispositions, and attention to how extrinsic factors affect realistic possibilities. Although potentiality has figured prominently in bioethical literature, it has not received a great deal of logical, semantic, and metaphysical analysis in contemporary philosophical literature. This collection will bring these thorny philosophical issues to the fore. Incorporating cutting-edge research on the topic of potentiality, this thought-provoking collection will interest bioethicists, philosophers, health care professionals, attorneys engaged in medical and health issues, and hospital and governmental committees who advise on policy and law concerning issues at the beginning and end of life.

New biotechnologies have propelled the question of what it means to be human – or posthuman – to the forefront of societal and scientific consideration. This volume provides an accessible, critical overview of the main approaches in the debate on posthumanism, and argues that they do not adequately address the question of what it means to be human in an age of biotechnology. Not because they belong to rival political camps, but because they are grounded in a humanist ontology that presupposes a radical separation between human subjects and technological objects.The volume offers a comprehensive mapping of posthumanist discourse divided into four broad approaches—two humanist-based approaches: dystopic and liberal posthumanism, and two non-humanist approaches: radical and methodological posthumanism. The author compares and contrasts these models via an exploration of key issues, from human enhancement, to eugenics, to new configurations of biopower, questioning what role technology plays in defining the boundaries of the human, the subject and nature for each. Building on the contributions and limitations of radical and methodological posthumanism, the author develops a novel perspective, mediated posthumanism, that brings together insights in the philosophy of technology, the sociology of biomedicine, and Michel Foucault's work on ethical subject constitution. In this framework, technology is neither a neutral tool nor a force that alienates humanity from itself, but something that is always already part of the experience of being human, and subjectivity is viewed as an emergent property that is constantly being shaped and transformed by its engagements with biotechnologies. Mediated posthumanism becomes a tool for identifying novel ethical modes of human experience that are richer and more multifaceted than current posthumanist perspectives allow for.The book will be essential reading for students and scholars working onethics and technology, philosophy of technology, poststructuralism, technology and the body, and medical ethics.

Biotechnological advancements during the last half-century have forced humanity to come to grips with the possibility of a post-human future. The ever-evolving opinions about how society should anticipate this biotechnological frontier demand a language that will describe our new future and discuss its ethics. After the Genome brings together expert voices from the realms of ethics, rhetoric, religion, and science to help lead complex conversations about end-of-life care, the relationship between sin and medicine, and the protection of human rights in a post-human world. With chapters on the past and future of the science-warfare narrative, the rhetoric of care and its effect on those suffering, black rhetoric and biotechnology, planning for the end of life, regenerative medicine, and more, After the Genome yields great insight into the human condition and moves us forward toward a genuinely humane approach to who we are and who we are becoming.

Enhancement – Behinderung – gutes Leben. Der Band verknüpft diese drei Themen und entwickelt einen breiten Zugang zur Debatte um die biotechnologischen Möglichkeiten zur Verbesserung des menschlichen Körpers. Die Beiträge gehen von der Arbeitshypothese aus, dass die Erfahrungen von Menschen mit Behinderungen wichtig sind, um ethische Fragen, die sich bei Enhancement-Projekten stellen, konkreter – und so besser – zu verstehen. Eine zweite Hypothese ist, dass die Sprache der Rechte, Pflichten und Verbote nicht ausreicht, um zu erfassen, worum es im Kern der Fragen zum Enhancement in ethischer Hinsicht geht. Stattdessen muss geklärt werden, inwieweit mit einer möglichen Verbesserung auch eine Steigerung des menschlichen Wohls verbunden ist und welche Veränderungen im Kontext eines guten Lebens wünschenswert sind.

Bioethics, Public Moral Argument, and Social Responsibility explores the role of democratically oriented argument in promoting public understanding and discussion of the benefits and burdens of biotechnological progress.The contributors examine moral and policy controversies surrounding biomedical technologies and their place in American society, beginning with an examination of discourse and moral authority in democracy, and addressing a set of issues that include: dignity in health care; the social responsibilities of scientists, journalists, and scholars; and the language of genetics and moral responsibility.

An argument against the “lifeboat ethic” of contemporary bioethics that views medicine as a commodity rather than a tradition of care and caring.Bioethics emerged in the 1960s from a conviction that physicians and researchers needed the guidance of philosophers in handling the issues raised by technological advances in medicine. It blossomed as a response to the perceived doctor-knows-best paternalism of the traditional medical ethic and today plays a critical role in health policies and treatment decisions. Bioethics claimed to offer a set of generally applicable, universally accepted guidelines that would simplify complex situations. In Thieves of Virtue, Tom Koch contends that bioethics has failed to deliver on its promises. Instead, he argues, bioethics has promoted a view of medicine as a commodity whose delivery is predicated not on care but on economic efficiency.At the heart of bioethics, Koch writes, is a “lifeboat ethic” that assumes “scarcity” of medical resources is a natural condition rather than the result of prior economic, political, and social choices. The idea of natural scarcity requiring ethical triage signaled a shift in ethical emphasis from patient care and the physician's responsibility for it to neoliberal accountancies and the promotion of research as the preeminent good. The solution to the failure of bioethics is not a new set of simplistic principles. Koch points the way to a transformed medical ethics that is humanist, responsible, and defensible.

Autonomy is often said to be the dominant ethical principle in modern bioethics, and it is also important in law. Respect for autonomy is said to underpin the law of consent, which is theoretically designed to protect the right of patients to make decisions based on their own values and for their own reasons. The notion that consent underpins beneficent and lawful medical intervention is deeply rooted in the jurisprudence of countries throughout the world. However, Autonomy, Consent and the Law challenges the relationship between consent rules and autonomy, arguing that the very nature of the legal process inhibits its ability to respect autonomy, specifically in cases where patients argue that their ability to act autonomously has been reduced or denied as a result of the withholding of information which they would have wanted to receive. Sheila McLean further argues that the bioethical debate about the true nature of autonomy – while rich and challenging – has had little if any impact on the law. Using the alleged distinction between the individualistic and the relational models of autonomy as a template, the author proposes that, while it might be assumed that the version ostensibly preferred by law – roughly equivalent to the individualistic model – would be transparently and consistently applied, in fact courts have vacillated between the two to achieve policy-based objectives. This is highlighted by examination of four specific areas of the law which most readily lend themselves to consideration of the application of the autonomy principle: namely refusal of life-sustaining treatment and assisted dying, maternal/foetal issues, genetics and transplantation.This book will be of great interest to scholars of medical law and bioethics.

This book examines the role of philosophy and philosophers in bioethics. Academics often see bioethical studies as too practical while decision makers tend to see them as too theoretical. The purpose of this collection of new essays by an international group of distinguished scholars is to explore the troubled relationship between theory and practice in the ethical assessment of medicine, health care, and new medical and genetic technologies. The book is divided into six parts. In the first part, philosophers consider the definition of bioethics, the nature of applied ethics more generally, and the possibility of combining utilitarian and liberal strands of thinking in moral and political studies. In the second part, authors discuss the place and justification of principles in bioethics and the significance of medical and nursing experience in moral decision making. The third part addresses the complementary (or contradictory, as the case may be) principles of dignity, autonomy, precaution, and solidarity, and their use in theoretical and practical settings. In the fourth part, public health measures and experimental research are defended against traditional moral concerns. Part five scrutinizes parental responsibilities in bearing and rearing children, especially the reasons for and against human reproduction in individual cases. In part six, enhancements to human nature by various means are analyzed. Following in the footsteps of four previous collections in the Values in Bioethics special series by the same editorial team—Scratching the Surface of Bioethics, Bioethics and Social Reality, Ethics in Biomedical Research, and Arguments and Analysis in Bioethics—this book, compiled in honor of Professor Matti Häyry's 50th birthday, drills into the core of the discipline to show the philosophical depths that lie under the polished surface of policy-driven everyday bioethics.

How to avoid disease, how to breed successfully and how to live to a reasonable age, are questions that have perplexed mankind throughout history. This 2005 book explores our progress in understanding these challenges, and the risks and rewards of our attempts to find solutions. From the moment of conception, nutrition and exposure to microbes or alien chemicals have consequences that are etched into our cells and genomes. Such events have a crucial impact on development in utero and in childhood, and later, on the way we age, respond to infection, or the likelihood of developing chronic diseases, including cancer. The issues covered include the powerful influence of infectious disease on human society, the burden of our genetic legacy and the lottery of procreation. The author discusses how prospects for human life might continually improve as biomedicine addresses these problems and also debates the ethical checkpoints encountered.

In general, the history of virtue theory is well-documented (Sherman, 1997; O'Neill, 1996). Its relationship to medicine is also recorded in our work and in that of others (Pellegrino and Thomasma, 1993b; 1996; Drane, 1994; Ellos, 1990). General publications stress the importance of training the young in virtuous practices. Still, the popularity of education in virtue is widely viewed as part of a conservative backlash to modern liberal society. Given the authorship of some of these works by professional conservatives like William Bennett (1993; 1995), this concern is authentic. One might correspondingly fear that greater adoption of virtue theory in medicine will be accompanied by a corresponding backward-looking social agenda. Worse yet, does reaffirmation of virtue theory lacquer over the many challenges of the postmodern world view as if these were not serious concerns? After all, recreating the past is the “retro” temptation of our times. Searching for greater certitude than we can now obtain preoccupies most thinkers today. One wishes for the old clarity and certitudes (Engelhardt, 1991). On the other hand, the same thinkers who yearn for the past, like Engelhardt sometimes seems to do, might stress the unyielding gulf between past and present that creates the postmodern reaction to all systems of Enlightenment thought (1996).

Why has autonomy been a leading idea in philosophical writing on bioethics, and why has trust been marginal? In this important book, Onora O'Neill suggests that the conceptions of individual autonomy so widely relied on in bioethics are philosophically and ethically inadequate, and that they undermine rather than support relations of trust. She shows how Kant's non-individualistic view of autonomy provides a stronger basis for an approach to medicine, science and biotechnology, and does not marginalize untrustworthiness, while also explaining why trustworthy individuals and institutions are often undeservingly mistrusted. Her arguments are illustrated with issues raised by practices such as the use of genetic information by the police or insurers, research using human tissues, uses of new reproductive technologies, and media practices for reporting on medicine, science and technology. Autonomy and Trust in Bioethics will appeal to a wide range of readers in ethics, bioethics and related disciplines.

Slow Cures and Bad Philosophers uses insights from the philosophy of Ludwig Wittgenstein to rethink bioethics. Although Wittgenstein produced little formal writing on ethics, this volume shows that, in fact, ethical issues permeate the entirety of his work. The scholars whom Carl Elliott has assembled in this volume pay particular attention to Wittgenstein's concern with the thick context of moral problems, his suspicion of theory, and his belief in description as the real aim of philosophy. Their aim is not to examine Wittgenstein's personal moral convictions but rather to explore how a deep engagement with his work can illuminate some of the problems that medicine and biological science present.As Elliott explains in his introduction, Wittgenstein's philosophy runs against the grain of most contemporary bioethics scholarship, which all too often ignores the context in which moral problems are situated and pays little attention to narrative, ethnography, and clinical case studies in rendering bioethical judgments. Such anonymous, impersonal, rule-writing directives in which health care workers are advised how to behave is what this volume intends to counteract. Instead, contributors stress the value of focusing on the concrete particulars of moral problems and write in the spirit of Wittgenstein's belief that philosophy should be useful. Specific topics include the concept of “good dying,” the nature of clinical decision making, the treatment of neurologically damaged patients, the moral treatment of animals, and the challenges of moral particularism.Inspired by a philosopher who deplored “professional philosophy,” this work brings some startling insights and clarifications to contemporary ethical problems posed by the realities of modern medicine.Contributors. Larry Churchill, David DeGrazia, Cora Diamond, James Edwards, Carl Elliott, Grant Gillett, Paul Johnston, Margaret Olivia Little, James Lindemann Nelson, Knut Erik Tranoy