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This book explores our ethical responsibilities regarding health in general and disabilities in particular. Disability studies and human enhancement stand out as two emerging areas of research in medical ethics, prompting debates into ethical questions of identity, embodiment, discrimination, and accommodation, as well as questions concerning distributive justice and limitations on people's medical rights. Edited by two ethicist philosophers, this book combines their mastery of the theoretical debates surrounding disability and human enhancement with attention to real world questions that health workers and patients may face. By including a wide range of high-quality voices and perspectives, the book provides an invaluable resource for scholars who are working on this important and emerging area of leadership and health care ethics.
Prostitution is often referred to as "oldest profession." Critics of this expression redescribe it as "the oldest oppression." Debates about how best to understand and regulate prostitution are bound up with difficult moral, legal, and political questions. Indeed, it can be approached from numerous angles-is buying and selling sex fundamentally wrong? How can it possibly be regulated? How can sex workers be protected, if they are allowed to work at all? In this concise, for-and-against volume, ethicists Lori Watson and Jessica Flanigan engage with each other on the nature and consequences of sex work, revealing new and profound ways in which to understand it. The volume opens with a joint introduction, before Lori Watson first argues for a sex equality approach to prostitution in which buyers are criminalized and sellers are decriminalized, also known as the Nordic model. Watson defends the Nordic Model on the grounds that prostitution is an exploitative and unequal practice that only entrenches existing patterns of gendered injustice. Full decriminalization of prostitution only stymies existing occupational health and safety standards and securing worker autonomy and equality. Further, to Watson, drawing a distinction between sex trafficking and prostitution is irrelevant for public policy; what underpins them is demand, which fuels the inequalities of both. That is what needs to be addressed. In a rebuttal, Jessica Flanigan contends that sex work should be fully decriminalized because restrictions on the sale and purchase of sex violate the rights of sex workers and their clients. She argues that decriminalization is preferable to policies that could expose sex workers and their clients to criminal penalties, and leave them at the mercy of public officials. Putting these two views on sex work into conversation with one another, and opening up space for readers to weigh both approaches, the book provides a thorough, accessible exploration of the issues surrounding sex work, written with both sympathy and philosophical rigor.
If a competent adult refuses medical treatment, physicians and public officials must respect her decision. Coercive medical paternalism is a clear violation of the doctrine of informed consent, which protects patients' rights to make medical decisions even if a patient's choice endangers her health. The same reasons for rejecting medical paternalism in the doctor's office are also reasons to reject medical paternalism at the pharmacy, yet coercive medical paternalism persists in the form of premarket approval policies and prescription requirements for pharmaceuticals. In Pharmaceutical Freedom Jessica Flanigan defends patients' rights of self-medication. Flanigan argues that public officials should certify drugs instead of enforcing prohibitive pharmaceutical policies that disrespect people's rights to make intimate medical decisions and prevent patients from accessing potentially beneficial new therapies. This argument has revisionary implications for important and timely debates about medical paternalism, recreational drug legalization, human enhancement, prescription drug prices, physician assisted suicide, and pharmaceutical marketing. The need for reform is especially urgent as medical treatment becomes increasingly personalized and patients advocate for the right to try. The doctrine of informed consent revolutionized medicine in the twentieth century by empowering patients to make treatment decisions. Rights of self-medication are the next step.
This book explores our ethical responsibilities regarding health in general and disabilities in particular. Disability studies and human enhancement stand out as two emerging areas of research in medical ethics, prompting debates into ethical questions of identity, embodiment, discrimination, and accommodation, as well as questions concerning distributive justice and limitations on people's medical rights. Edited by two ethicist philosophers, this book combines their mastery of the theoretical debates surrounding disability and human enhancement with attention to real world questions that health workers and patients may face. By including a wide range of high-quality voices and perspectives, the book provides an invaluable resource for scholars who are working on this important and emerging area of leadership and health care ethics.
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