"The Elimination of Morality" strikes at the root of the dominant
conception of what medical ethics involves. It addresses the
fundamental and timely question of the "kind" of contribution
philosophers can make to the discussion of medico-moral issues and
the work of health care professionals. It has two main objectives.
The first is to establish the futility of bioethics. Anne Maclean
challenges the conception of reason in ethics which is integral to
the utilitarian tradition and which underlies the whole bioethical
enterprise. She argues that the enterprise is philosophically
misguided - philosophers do not possess moral expertise and have no
special authority to pronounce upon moral issues. In particular,
she shows that judgments about the morality of killing cannot be
founded on a prior philosophical theory of "the value of life". The
final chapter demolishes the "medical model" of illness and health
which give exaggerated powers to the doctor, and proposes a role
for the philosopher in medical education which deprofessionalizes
life and death decisions. The second objective is to expose the
inadequacy of a utilitarian account of moral reasoning and moral
life.
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