Bioethics in a Liberal Society: The Political Framework of Bioethics Decision Making

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JHU Press, Jan 16, 2002 - Medical - 135 pages
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Issues concerning patients' rights are at the center of bioethics, but the political basis for these rights has rarely been examined. In Bioethics in a Liberal Society: The Political Framework of Bioethics Decision Making, Thomas May offers a compelling analysis of how the political context of liberal constitutional democracy shapes the rights and obligations of both patients and health care professionals. May focuses on how a key feature of liberal society—namely, an individual's right to make independent decisions—has an impact on the most important relational facets of health care, such as patients' autonomy and professionals' rights of conscience.

Although a liberal political framework protects individual judgments, May asserts that this right is based on the assumption of an individual's competency to make sound decisions. May uses case studies to examine society's approach to medical decision making when, for reasons ranging from age to severe mental disorder, a person lacks sufficient competency to make independent and fully informed choices. To protect the autonomy of these vulnerable patients, May emphasizes the need for health care ethics committees and ethics consultants to help guide the decision-making process in clinical settings. Bioethics in a Liberal Society is essential reading for all those interested in understanding how bioethics is practiced within our society.

 

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Contents

The Liberal Framework
1
Patient Autonomy
13
Patient Responsibility for Decision Making
32
Extending Autonomy for Patients
54
Beneficence Abandonment and the Duty to Treat
81
Rights of Conscience in the PhysicianPatient
98
Health Care Ethics Committees
115
References
127
Index
133
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About the author (2002)

Thomas May is an associate professor and director of Graduate Studies in Bioethics at the Center for the Study of Bioethics, Medical College of Wisconsin, Milwaukee.

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