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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