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The Law and Ethics of Medicine: Essays on the Inviolability of
Human Life explains the principle of the inviolability of human
life and its continuing relevance to English law governing aspects
of medical practice at the beginning and end of life. The book
shows that the principle, though widely recognized as an historic
and foundational principle of the common law, has been
misunderstood in the legal academy, at the Bar and on the Bench.
Part I of the book identifies the confusion and clarifies the
principle, distinguishing it from 'vitalism' on the one hand and a
'qualitative' evaluation of human life on the other. Part II
addresses legal aspects of the beginning of life, including the
history of the law against abortion and its relevance to the
ongoing abortion debate in the US; the law relating to the 'morning
after' pill; and the legal status of the human embryo in vitro.
Part III addresses legal aspects of the end of life, including the
euthanasia debate; the withdrawal of tube-feeding from patients in
a 'persistent vegetative state'; and the duty to provide palliative
treatment. This unique collection of essays offers a much-needed
clarification of a cardinal legal and ethical principle and should
be of interest to lawyers, bioethicists, and healthcare
professionals (whether they subscribe to the principle or not) in
all common law jurisdictions and beyond.
Bioethics and the Human Goods offers students and general readers a
brief introduction to bioethics from a "natural law" philosophical
perspective. This perspective, which traces its origins to
classical antiquity, has profoundly shaped Western ethics and law
and is enjoying an exciting renaissance. While compatible with much
in the ethical thought of the great religions, it is grounded in
reason, not religion. In contrast to the currently dominant
bioethical theories of utilitarianism and principlism, the natural
law approach offers an understanding of human flourishing grounded
in basic human goods, including life, health, friendship, and
knowledge, and in the wrongness of intentionally turning against,
or neglecting, these goods. The book is divided into two sections:
Foundations and Issues. Foundations sketches a natural law
understanding of the important ethical principles of autonomy,
non-maleficence, beneficence, and justice and explores different
understandings of "personhood" and whether human embryos are
persons. Issues applies a natural law perspective to some of the
most controversial debates in contemporary bioethics at the
beginning and end of life: research on human embryos, abortion,
infanticide, euthanasia, the withdrawal of tube-feeding from
patients in a "persistent vegetative state," and the definition of
death. The text is completed by appendices featuring personal
statements by Alfonso Gomez-Lobo on the status of the human embryo
and on the definition and determination of death.
Ranging from the beginning of the nineteenth century to the 1980s, this book focuses on the evolution of the law and medical practice of abortion in England. Little academic attention has hitherto been given to the development and scope of abortion law in England, the formative influence of the medical profession, and the impact of the law on medical practice. Consequently, Dr Keown considers the performance of abortion by doctors, and the influence the medical profession had on the restriction of the law in the nineteenth century and on its relaxation in the twentieth. The book does not deal directly with the legal status of the unborn child, the rights and duties of its parents and of the doctors involved in the provision of abortion or the question of the desirability of reform. Rather, adopting a socio-legal perspective, it considers what the scope of the prohibition of abortion has been and focuses on aspects of professional influence on the evolution of that prohibition, and of professional practice thereunder.
Bioethics and the Human Goods offers students and general readers a
brief introduction to bioethics from a "natural law" philosophical
perspective. This perspective, which traces its origins to
classical antiquity, has profoundly shaped Western ethics and law
and is enjoying an exciting renaissance. While compatible with much
in the ethical thought of the great religions, it is grounded in
reason, not religion. In contrast to the currently dominant
bioethical theories of utilitarianism and principlism, the natural
law approach offers an understanding of human flourishing grounded
in basic human goods, including life, health, friendship, and
knowledge, and in the wrongness of intentionally turning against,
or neglecting, these goods. The book is divided into two sections:
Foundations and Issues. Foundations sketches a natural law
understanding of the important ethical principles of autonomy,
non-maleficence, beneficence, and justice and explores different
understandings of "personhood" and whether human embryos are
persons. Issues applies a natural law perspective to some of the
most controversial debates in contemporary bioethics at the
beginning and end of life: research on human embryos, abortion,
infanticide, euthanasia, the withdrawal of tube-feeding from
patients in a "persistent vegetative state," and the definition of
death. The text is completed by appendices featuring personal
statements by Alfonso Gomez-Lobo on the status of the human embryo
and on the definition and determination of death.
Whether euthanasia or assisted suicide should be legalized is one of the most pressing and profound questions facing legislators, health care professionals, their patients, and all members of society. Regrettably, the debate is too often characterized by rhetoric rather than reason. This book aims to inform the debate by acquainting anyone interested in this vital question with some of the major ethical, legal, clinical and theological issues involved. The essays it contains are authoritative in that they have been commissioned from some of the world's leading experts, balanced in that they reflect divergent viewpoints (including a vigorous debate between two eminent philosophers), and readable in that they should be readily understood by the general reader.
This book argues against the legalisation of voluntary euthanasia
and/or physician-assisted suicide on the ground that, even if they
were ethically defensible in certain 'hard cases', neither could be
effectively controlled by law. It maintains that the experience of
legalisation in the Netherlands, Belgium and Oregon lends support
to the two 'slippery slope' arguments against legalisation, the
'empirical' and the 'logical'. The empirical argument challenges
the feasibility of drafting and enforcing adequate safeguards
against abuse and mistake; the logical argument shows that
acceptance of the case for euthanasia in the case of suffering
patients who request it logically involves acceptance of euthanasia
for suffering patients who are unable to request it, such as
infants and those with advanced dementia.
John Finnis is a pioneer in the development of a new yet
classically-grounded theory of natural law. His work offers a
systematic philosophy of practical reasoning and moral choosing
that addresses the great questions of the rational foundations of
ethical judgments, the identification of moral norms, human agency,
and the freedom of the will, personal identity, the common good,
the role and functions of law, the meaning of justice, and the
relationship of morality and politics to religion and the life of
faith. The core of Finnis' theory, articulated in his seminal work
Natural Law and Natural Rights, has profoundly influenced later
work in the philosophy of law and moral and political philosophy,
while his contributions to the ethical debates surrounding nuclear
deterrence, abortion, euthanasia, sexual morality, and religious
freedom have powerfully demonstrated the practical implications of
his natural law theory. This volume, which gathers eminent moral,
legal, and political philosophers, and theologians to engage with
John Finnis' work, offers the first sustained, critical study of
Finnis' contribution across the range of disciplines in which
rational and morally upright choosing is a central concern. It
includes a substantial response from Finnis himself, in which he
comments on each of their 27 essays and defends and develops his
ideas and arguments.
In this new addition to the Debating Law series, Emily Jackson and
John Keown re-examine the legal and ethical parameters of the
debate about euthanasia and assistance-in-death. Emily Jackson
argues that we owe it to everyone in society to do all that we can
to ensure that terminally-ill patients experience a 'good death.'
For a small minority of patients who experience intolerable and
unrelievable suffering, this may mean helping them to have an
assisted death. In a liberal society, where people's moral views
differ, we should not force individuals to experience death in an
unbearable manner. This is not an argument in favor of dying. On
the contrary, Jackson argues that legalization could extend and
enhance the lives of people whose present fear-of-the-dying process
causes them overwhelming distress. In contrast, John Keown argues
that voluntary euthanasia and physician-assisted suicide are
gravely unethical, and he defends their continued prohibition by
law. Keown analyzes the main arguments for relaxation of the law -
including those which invoke the experience in jurisdictions that
permit these practices - and finds them wanting. Relaxing the law,
he concludes, would be both wrong in principle and dangerous in
practice, not least for the dying, the disabled, and the
disadvantaged. Debating Euthanasia will be an excellent resource
for provoking classroom discussion and is a useful introduction to
the subject. It covers a highly topical subject and will be of
interest to a wide readership, including medical lawyers, legal
philosophers, and criminal lawyers. The clear and accessible style
also makes it suitable for the lay reader who is interested in the
debate surrounding euthanasia. (Series: Debating Law - Vol. 3)
This book argues against the legalisation of voluntary euthanasia
and/or physician-assisted suicide on the ground that, even if they
were ethically defensible in certain 'hard cases', neither could be
effectively controlled by law. It maintains that the experience of
legalisation in the Netherlands, Belgium and Oregon lends support
to the two 'slippery slope' arguments against legalisation, the
'empirical' and the 'logical'. The empirical argument challenges
the feasibility of drafting and enforcing adequate safeguards
against abuse and mistake; the logical argument shows that
acceptance of the case for euthanasia in the case of suffering
patients who request it logically involves acceptance of euthanasia
for suffering patients who are unable to request it, such as
infants and those with advanced dementia.
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