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Thieves of Virtue - When Bioethics Stole Medicine (Paperback)
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Thieves of Virtue - When Bioethics Stole Medicine (Paperback)
Series: Basic Bioethics
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An argument against the "lifeboat ethic" of contemporary bioethics
that views medicine as a commodity rather than a tradition of care
and caring. Bioethics emerged in the 1960s from a conviction that
physicians and researchers needed the guidance of philosophers in
handling the issues raised by technological advances in medicine.
It blossomed as a response to the perceived doctor-knows-best
paternalism of the traditional medical ethic and today plays a
critical role in health policies and treatment decisions. Bioethics
claimed to offer a set of generally applicable, universally
accepted guidelines that would simplify complex situations. In
Thieves of Virtue, Tom Koch contends that bioethics has failed to
deliver on its promises. Instead, he argues, bioethics has promoted
a view of medicine as a commodity whose delivery is predicated not
on care but on economic efficiency. At the heart of bioethics, Koch
writes, is a "lifeboat ethic" that assumes "scarcity" of medical
resources is a natural condition rather than the result of prior
economic, political, and social choices. The idea of natural
scarcity requiring ethical triage signaled a shift in ethical
emphasis from patient care and the physician's responsibility for
it to neoliberal accountancies and the promotion of research as the
preeminent good. The solution to the failure of bioethics is not a
new set of simplistic principles. Koch points the way to a
transformed medical ethics that is humanist, responsible, and
defensible.
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