Seeking Medicine’s Moral Centre: Ethics, Bioethics, and Assisted Dying

Front Cover
Ethics International Press, Jan 16, 2025 - Medical - 367 pages
For the first time in two millennia, the Hippocratic ethic of medical care has been supplanted by a new bioethics. The bottom-up set of injunctions to care, of the patient and for society, ha been replaced by a top-down, commercial ethic focused on patient autonomy in a limited system of medical care.

To understand this transformation, and its the effect, Seeking Medicine’s Moral Centre focuses on the issue of “medical aid in dying,” (MAiD) in Canada. Uniquely, it introduces ethnography as a tool to parse a set of academic and public articles reflecting the changing face of medical ethics from 1996 to the present. In doing so it joins the professional and the popular as a single dataset.

It is the first book to seriously critique bioethics as a medical ethic through its focus on medical aid in dying as a still contested program in care of the chronically ill and fragile.

Key audiences include journalists, medical anthropologists and sociologists; ethicists and bioethicists; medical and scientific researchers and policy makers.

 

Contents

The Constructed Tale of Jean and Cecil Brush
1
A New Perspective on the Euthanasia Debate
19
A Retrospective Analysis
37
Lessons for Bioethics Time to Redefine the Ethical Principles of Care for Restricted People
46
The Carter Case
54
Chapter 6 End of Life Often Means Ending Life
58
Chapter 7 Living Versus Dying with Dignity
62
Chapter 8 Old Age Alone Shouldnt Be Considered a Justification for PhysicianAssisted Death
66
Chapter 16 Were Polio to Return Today
131
Chapter 17 Disabling Disability Amid Competing Ideologies
134
Medical Ethics
148
Chapter 18 Does the Sanctity of Human Life Doctrine Sanctify Humanness or Life?
149
The Poacher Becomes Gamekeeper
155
Chapter 20 Bioethics? A Grand Idea
172
Blog Notes on DoctorPatient Relationships
175
Redefining the Basis of Treatment in Ethics and Law
188

Chapter 9 The Right to a Compassionately Assisted Life not Death
70
Chapter 10 Although its Legal Assisted Dying Must Still Involve Ethical Consideration
74
Canadas Five Years Experience with MAiD Medical Termination
77
What Difference does Difference Make?
94
Whats So Great About Intelligence?
95
Chapter 13 Disabled are not Dogs
101
Chapter 14 Disability or End of Life? Competing Narratives in Bioethics
107
The Ethics of Difference
116
Euthanasia and the Religious View
207
Cults Sects and Strangeness
220
A Genealogy
235
Discussion
250
Chapter 26 Toward an Anthropology of Medical Ethics
251
Bibliography
291
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About the author (2025)

Dr. Tom Koch is a medical geographer, historian, and ethicist. The author of 15 books and over 250 journal articles, he is an Adjunct Professor of medical geography at the University of British Columbia.

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