Bioethics in Cultural Contexts Reflections on Methods and Finitu

Bioethics, if it is to have adequate discriminatory power, should include sensitivity to the cultural contexts of biomedicine, and also to the cultural contexts of bioethics itself. Biomedical developments carry with them social and cultural meanings that

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Bioethics in Cultural Contexts Reflections on Methods and Finitude Christoph Rehmann-Sutter, Marcus Düwell and Dietmar Mieth (Eds.)

BIOETHICS IN CULTURAL CONTEXTS

INTERNATIONAL LIBRARY OF ETHICS, LAW, AND THE NEW MEDICINE Founding Editors DAVID C. THOMASMA† DAVID N. WEISSTUB, Université de Montréal, Canada THOMASINE KIMBROUGH KUSHNER, University of California, Berkeley, U.S.A.

Editor DAVID N. WEISSTUB, Université de Montréal, Canada

Editorial Board TERRY CARNEY, University of Sydney, Australia MARCUS DÜWELL, Utrecht University, Utrecht, the Netherlands SØREN HOLM, University of Cardiff, Wales,United Kingdom GERRIT K. KIMSMA, Vrije Universiteit, Amsterdam, the Netherlands DAVID NOVAK, University of Toronto, Canada EDMUND D. PELLEGRINO, Georgetown University, Washington D.C., U.S.A. DOM RENZO PEGORARO, Fondazione Lanza and University of Padua, Italy DANIEL P. SULMASY, Saint Vincent Catholic Medical Centers, New York, U.S.A. LAWRENCE TANCREDI, New York University, New York, U.S.A.

VOLUME 28 The titles published in this series are listed at the end of this volume.

Bioethics in Cultural Contexts Reflections on Methods and Finitude

Edited by

CHRISTOPH REHMANN-SUTTER University of Basel, Switzerland

MARCUS DÜWELL University of Utrecht, The Netherlands and

DIETMAR MIETH University of Tübingen, Germany

A C.I.P. Catalogue record for this book is available from the Library of Congress.

ISBN-10 1-4020-4240-X (HB) ISBN-13 978-1-4020-4240-9 (HB ISBN-10 1-4020-4241-8 (e-book) ISBN-13 978-1-4020-4241-6 (e-book)

Published by Springer, P.O. Box 17, 3300 AA Dordrecht, The Netherlands. www.springeronline.com

Printed on acid-free paper

All Rights Reserved © 2006 Springer No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Printed in the Netherlands.

Contents

Introduction Christoph Rehmann-Sutter, Switzerland; Marcus Düwell, the Netherlands and Dietmar Mieth; Germany

1

I. Fundamental Aspects

11

1. History and Future of Bioethics Albert R. Jonsen, USA

13

2. The Need for Ethical Evaluation in Biomedicine and Biopolitics Dietmar Mieth, Germany

21

3. Finitude – a Neglected Perspective in Bioethics Beat Sitter-Liver, Switzerland

45

4. Limits of Bioethics Christoph Rehmann-Sutter, Switzerland

59

5. The Problem of Limits of Law in Bioethical Issues Silvana Castignone, Italy

81

v

vi

II. Classical Approaches

91

6. One Moral Principle or Many? Marcus Düwell, the Netherlands

93

7. Danger and Merits of Principlism: Meta-Theoretical Reflections on the Beauchamp/Childress–Approach to Biomedical Ethics Bettina Schöne-Seifert, Germany 109 8. The Journey from Ethics to Law: The Case of Euthanasia Brigitte Feuillet le Mintier, France

121

9. Recognition and Re