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Risk and Luck in Medical Ethics

ISBN-10: 0745621465

ISBN-13: 9780745621463

Edition: 2nd 2002

Authors: Donna L. Dickenson

List price: $34.95
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Description:

Ethics is commonly assumed to be the one realm in which luck and risk do not intrude. Yet although we do not normally hold people responsible for outcomes beyond their control, a serious examination of the role of luck and risk may lead us to conclude that very few outcomes are really within people's control. This is the paradox of "moral luck." Risk and Luck in Medical Ethics examines the "moral luck" paradox in greater detail, relating it to Kantian, consequentialist, and virtue-based approaches to ethics. The book then applies these paradoxes to medical ethics, including timely discussion of risk and luck in the allocation of scarce health care resources, informed consent to treatment, decisions about withholding life-sustaining treatment, psychiatry, reproductive ethics, genetic testing, and medical research and evidence-based medicine.
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Book details

List price: $34.95
Edition: 2nd
Copyright year: 2002
Publisher: Polity Press
Publication date: 1/2/2003
Binding: Paperback
Pages: 280
Size: 6.00" wide x 9.00" long x 1.00" tall
Weight: 0.946
Language: English

Preface
Ethics versus Luck?
The myriad forms of luck
A preliminary typology of luck
Outcome luck: further considerations
Moral luck: how serious and genuine is the paradox?
Judgement from hindsight: Gauguin and Anna Karenina
Escaping from the paradox
The Fragility of Virtue and the Robust Health of Kantianism
Moral luck and virtue
The fragility of goodness
Kantianism and moral luck
Utilitarianism and Luck in Outcomes
Actual consequences
Potential consequences
Remorse and regret
Risk and Consent
The law of consent: prudent patient versus reasonable doctor
Remorse, responsibility and consent
Rationality and risk
How much is the doctor responsible for?
Death and Dying
Withdrawal of life-sustaining treatment and assisted suicide
Advance directives
Moral Luck and the Allocation of Health Care Resources
The 'micro' level
Knowing our limits: the 'macro' level
Reproductive Ethics: What Risks Can Women be Asked to Bear?
Risk, contract and 'surrogacy'
Therapeutic and human cloning
Psychiatry and Risk
Risk and dangerousness: luck in outcomes
Luck in character
Luck, Genetics and Moral Character
Are genes us?
Genetics and luck in decisions to be faced
Genetics and luck in antecedent circumstances
Gauguin revisited: character, genetics and moral luck
Moral Luck and Global Ethics
Towards justice and virtue: O'Neill's account
Nussbaum and the capabilities approach
The final synthesis: feminism, global ethics and moral luck
Notes
Bibliography
Index