principles. A second solution to this problem is to develop a scale
for weighing the significance of the conflicting principles in a
given case and for concluding which action should be adopted
because it is supported by the weightier considerations in that
case. Such a solution seems more realistic than the lexical
ordering approach, but the development of such a scale is a
problematic task. Still other, more complex solutions are possible.
Which is the best solution to this problem of conflicting
principles of bioethics? We need a moral theory to answer that
question. This is the first reason for concluding that the
principles of bioethics are not the true foundations of justified
judgment in bioethics. What is the problem of the unclear scope and
implications of the principles of bioethics and how can an appeal
to moral theory help deal with that problem? The scope of a
bioethical principle is the range of cases in which it applies. The
implications of a bioethical principle are the conclusions to be
derived from that principle in those cases in which it applies. It
is clear from a review of the discussions in bioethics that there
are major unclarities about the scope and implications of each of
the principles. Consider, for example, the principle of autonomy.
General
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