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Thieves of Virtue ― When Bioethics Stole Medicine
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Thieves of Virtue ― When Bioethics Stole Medicine

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Bioethics emerged in the 1960s from a conviction that physicians and researchersneeded the guidance of philosophers in handling the issues raised by technological advances inmedicine. It blossomed as a response to the perceived doctor-knows-best paternalism of thetraditional medical ethic and today plays a critical role in health policies and treatmentdecisions. Bioethics claimed to offer a set of generally applicable, universally accepted guidelinesthat would simplify complex situations. In Thieves of Virtue, Tom Koch contendsthat bioethics has failed to deliver on its promises. Instead, he argues, bioethics has promoted aview of medicine as a commodity whose delivery is predicated not on care but on economicefficiency.

At the heart of bioethics, Koch writes, is a "lifeboatethic" that assumes "scarcity" of medical resources is a natural condition ratherthan the result of prior economic, political, and social choices. The idea of natural scarcityrequiring ethical triage signaled a shift in ethical emphasis from patient care and the physician'sresponsibility for it to neoliberal accountancies and the promotion of research as the preeminentgood.

The solution to the failure of bioethics is not a new set of simplisticprinciples. Koch points the way to a transformed medical ethics that is humanist, responsible, anddefensible.

作者簡介

Tom Koch, an international lecturer and consultant on bioethics, gerontology, and public health, is the author of fifteen books, including Mirrored Lives: Aging Children and Elderly Parents; Cartographies of Disease: Maps, Mapping, and Medicine; Disease Maps: Epidemics on the Ground

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