The Foundations of Bioethics

This thoroughly and substantially revised second edition explores the full scope and content of secular bioethics. Abortion, infanticide, euthanasia, genetic engineering, informed consent, advance directives, triage decisions, health care reform, and distributive justice are given new and provocative treatments within a systematic reassessment of bioethics as a whole.

Table of Contents:
n 1Introduction: Bioethics as a Plural Noun 2: The Intellectual Bases of Bioethics 3: The Principles of Bioethics 4: The Context of Health Care: Persons, Possessions, and States 5: The Languages of Medicalization 6: The Endings and Beginnings of Persons: Death, Abortion, and Infanticide 7: Free and Informed Consent, Refusal of Treatment, and the Health Care Team: The Many faces of Freedom 8: Rights to Health Care, Social Justice, and Fariness in Health Care Allocations: Frustrations in the Face of Finitude 9: Reshaping Human Nature: Virtue with Moral Stragers; Responsibility Without Moral Consent

Review :
"Engelhardt has done it again--the second edition of The Foundations of Bioethics presents a powerful and controversial challenge and alternative to major frameworks of bioethics. It is not possible to do bioethics responsibly without close attention to this important book."--James Childress, University of Virginia "One of the most brilliant books to appear in the field of bioethics."--The New England Journal of Medicine "This is a fascinating and intellectually provocative book and an extensive development and clarification of some of the themes of the first edition. Thoroughly recommended to anyone with a real interest in medical ethics. Those who object to the centrality of the principle of autonomy in Engelhardt's philosophy may find it easier to accept in its new guise of the principle of permission."--Raanan Gillon, Imperial College of Science, Technology and Medicine "We need not agree with Engelhardt's major theses nor his conclusions but we must admire the impressive breadth of his scholarship, the vigorous reasoning and original thinking. Anyone concerned with the philosophical substrata of secular bioethics must read this careful revision of Engelhardt's justly acclaimed seminal book."--Edmund Pellegrino, Georgetown University "The second edition of Dr. Engelhardt's The Foundations of Bioethics is much more sharply focused in developing and describing the layout of postmodern secular ethics among moral strangers and moral friends. Kant's Critique of Pure Reason marked the Copernican turn in epistemiological reasoning; the second edition refined the original concept in clarity, rigorosity and vision. Engelhardt's The Foundations of Bioethics surveys the landscape of postmodern moral reasoning; the second edition marks the Copernican turn in postmodern ethical reasoning and will become the classical reader for generations to come."--Hans-Martin Sass, Ruhr-Universitat, Bochum "Do not be deceived--this is not just another revision. This is a religiously powerful and candid reading by the author of his more philosophical arguments in the first edition of The Foundations of Bioethics. In effect he resituates the discourse of the first edition by making candid the theological presuppositions that conformed it. This is the most important book that has been written since the beginning of that strange project called bioethics. It will confound those who have thought of themselves as supporters of Engelhardt's positions in the past and even more confuse those who have thought they were his enemies."--Stanley Hauerwas, Duke University "Engelhardt's postmodern approach to bioethics is one that will speak to those who live on the margins of society as well as what is in its ever-diminishing mainstream. His is a bioethics meant for moral strangers, not for moral friends. Since we do not agree with each other about what is good, we no longer have a moral foundation for determining what is right. Hence, we must settle for the next best thing: a procedural, secular morality, grounded in the 'principle of permissions'. Using the powers of our will and what is left of reason, we can agree to cooperate and to live with the contradiction expressed in the words: 'You have a moral right to do what I and my moral friends regard as evil.' This is the wisdom that we must bring to the increasingly diverse and plural realm of health care. Engelhardt's brillian, beautifully-written and usefully-documented book on bioethics will be discussed for decades to come. It's that good."--Rosemarie Tong, Davidson College From reviews of the first edition: "An impressive and distinguished contribution to this difficult and controversial field. The scope of the book is wide and Englehardt maintains a high standard of argument throughout....The book is certainly challenging, and both radicals and conservatives will find parts of it uncomfortable and dangerous. Bioethics badly needs such danger, for the perils of thinking that the dilemmas of modern medicine can be navigated without risk are much greater."--The Philosophical Review From reviews of the first edition: "Current difficulties with access to health care and the beginning of "rationed" care make it important for all physicians to review the philosophical underpinnings of their ethical stance. . . . [Englehardt's] discussion of how to approach ethical thinking is flawless" --News for Women in Psychiatry "Superb basic text...Excellent discussion of personhood and analysis of problems."--Miriam Piven Cotler, PhD, California State University "One of the most brilliant books to appear in the field of bioethics."--The New England Journal of Medicine "The first edition...was an excellent and influential text of nearly 400 pages. The second edition is almost 50 pages longer...; it, too, is an excellent book and promises to be as influential as its predecessor....Engelhardt's text is thoughtful, provocative, stimulating, well argued, and well written. It contains a wealth of information and is encyclopedic in its scope. It should be required reading for anyone who has any interest at all in bioethics."--Journal of the American Medical Association "Will appeal to those who seek, not advice per se, but analysis of the intellectual justificationof clinical and policy recommendations in bioethics.... Clinicians interested in the role of ethics in health care and health care policy will find The Foundations of Bioethics worth careful study."--Annals of Internal Medicine "Do not be deceived--this is not just another revision. This is a religiously powerful and candid reading by the author of his more philosophical arguments in the first edition of The Foundations of Bioethics. In effect he resituates the discourse of the first edition by making candid the theological presuppositions that conformed it. This is the most important book that has been written since the beginning of that strange project called bioethics."--Stanley Hauerwas, Duke University "Engelhardt has done it again--the second edition of The Foundations of Bioethics presents a powerful and controversial challenge and alternative to major frameworks of bioethics. It is not possible to do bioethics responsibly without close attention to this important book."--James Childress, University of Virginia "We need not agree with Engelhardt's major theses nor his conclusions but we must admire the impressive breadth of his scholarship, the vigorous reasoning and original thinking. Anyone concerned with the philosophical substrata of secular bioethics must read this careful revision of Engelhardt's justly acclaimed seminal book."--Edmund Pellegrino, Georgetown University "An impressive and distinguished contribution to this difficult and controversial field. The scope of the book is wide and Englehardt maintains a high standard of argument throughout....The book is certainly challenging, and both radicals and conservatives will find parts of it uncomfortable and dangerous. Bioethics badly needs such danger, for the perils of thinking that the dilemmas of modern medicine can be navigated without risk are much greater."--The Philosophical Review (on the first edition) "Being as it is a comprehensive treatment of the foundations of bioethics by one of the originators and seminal thinkers in the field, those who specialize in bioethics, particularly in academe, are surely obliged to read the Foundations in detail....We strongly recommend Professor Engelhardt's Foundations to all those who sit on HECs and are called upon to provide advice and counsel to those who daily confront a myriad of ethical quandries."--HEC Forum "As a general rule, a second edition is not very different from the first. This book is an exception. It reveals a marked progression in the thinking of well-known US bioethisist H. Tristram Engelhardt Jr.....This is a valuable and informative book."--Canadian Medical Association Journal "Insightful and well written...This new edition contains new material on the allocation of scarce resources and health care reform...Includes extensive notes and references at the end of each chapter."--Doody's Journal "Solid and thoughtful consideration of bioethics....Important reference text for physicians and students interested in the study and teaching of bioethics."--Annals of the Royal College of Physicians and Surgeons of Canada Since the publication of the first edition in 1986, H. Tristram Englehardt's ''The Foundations of bioethics has become a core textbook for the new and rapidly expanding field of bioethics....Engelhardt goes on to apply his approach to major issues in bioethics,including abortion,euthinasia, research involving human subjects, and health care allocation.I harmacy in Historyr