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Applying Nonideal Theory to Bioethics - Living and Dying in a Nonideal World (Hardcover, 1st ed. 2021)
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Applying Nonideal Theory to Bioethics - Living and Dying in a Nonideal World (Hardcover, 1st ed. 2021)
Series: Philosophy and Medicine, 139
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This book offers new essays exploring concepts and applications of
nonideal theory in bioethics. Nonideal theory refers to an analytic
approach to moral and political philosophy (especially in relation
to justice), according to which we should not assume that there
will be perfect compliance with principles, that there will be
favorable circumstances for just institutions and right action, or
that reasoners are capable of being impartial. Nonideal theory
takes the world as it actually is, in all of its imperfections.
Bioethicists have called for greater attention to how nonideal
theory can serve as a guide in the messy realities they face daily.
Although many bioethicists implicitly assume nonideal theory in
their work, there is the need for more explicit engagement with
this theoretical outlook. A nonideal approach to bioethics would
start by examining the sociopolitical realities of healthcare and
the embeddedness of moral actors in those realities. How are
bioethicists to navigate systemic injustices when completing
research, giving guidance for patient care, and contributing to
medical and public health policies? When there are no good options
and when moral agents are enmeshed in their sociopolitical
viewpoints, how should moral theorizing proceed? What do bioethical
issues and principles look like from the perspective of
historically marginalized persons? These are just a few of the
questions that motivate nonideal theory within bioethics. This book
begins in Part I with an overview of the foundational tenets of
nonideal theory, what nonideal theory can offer bioethics, and why
it may be preferable to ideal theory in addressing moral dilemmas
in the clinic and beyond. In Part II, authors discuss applications
of nonideal theory in many areas of bioethics, including
reflections on environmental harms, racism and minority health,
healthcare injustices during incarceration and detention, and other
vulnerabilities experienced by patients from clinical and public
health perspectives. The chapters within each section demonstrate
the breadth in scope that nonideal theory encompasses, bringing
together diverse theorists and approaches into one collection.
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