Critical Choices and Critical Care Catholic Perspectives on Allocati
Critical Choices and Critical Care brings together the traditional reflections on ordinary and extraordinary means with Catholic social thought. It examines the difficult questions on the allocation of high technology resources used in intensive care medi
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Philosophy and Medicine 51 Editors
H. T. Engei~1lIfdt, Jr., Baylor College of Medicine, Houston, Texas S. F. Spieker, Baylor College of Medicine, Houston, Texas CATHOLIC STUDIES IN BIOETHICS 2 Founding Editors Francese Abel, SJ., Institut Borja de Bioethica, Barcelona, Spain
John C. Harvey, Center for Clinical Bioethics, Georgetown University, Washington, D.C. Series Editor Kevin Wm. Wildes, SJ., Department of Philosophy and The Kennedy Institute of Ethics, Georgetown University Advisory Board Paolo Cattorini, Istituto Scientifico, Milan, Italy
Bernard Hoose, Heythrop College, University ofLandon, London, UK Johannes Huber, University of Vienna, Vienna, Austria James F. Keenan, SJ., Weston School of Theology, Cambridge, Massachusetts James 1. McCartney, O.S.A., Villanova University, Villanova, Pennsylvania Jean Porter, University ofNotre Dame, Notre Dame, Indiana Paul J.M. van Tongeren, Catholic University, Nijmegen, The Netherlands
CRITICAL CHOICES AND CRITICAL CARE Catholic Perspectives on Allocating Resources in Intensive Care M edicine
Edited by
KEVIN Wrn. WILDES, SJ. Assistant Professor of Philosophy, Senior Research Scholar of the Kennedy Institute of Ethics and Center for Clinical Bioethics, Georgetown University, Washington D.C., U.S.A.
SPRINGER SCIENCE+BUSINESS MEDIA, B.V.
Library of Congress Cataloging in PubUcation Data Critical cholces and crltical care : Catholic perspectives on allocatlng resources 1n 1ntens1ve care medlclne / edlted by Kevln Wm. Wi ldes. p. cm. -- (Phl1osophy and medlcine ; v. 51. Cathol1c studles in bioeth1cs ; v. 2) Includes index. ISBN 978-0-7923-3701-0 ISBN 978-94-011-0259-9 (eBook) DOI 10.1007/978-94-011-0259-9 1. Cr1t1cal ca re med1c1ne--Rel1g1ous aspects--Cathol1c Church. I. W1ldes. Kevin Wm. (Kevln Wl111am). 195411. Serles: Phl1osophy and medlclne ; v. 51. !Ir. Serles: Phl1osophy and medlclne. Cathol1c studles In bloethlcs ; v. 2. RC86.95.C75 1995 241· .6424·08822--dc20 95-1907
ISBN 978-0-7923-3701-0
Printed on acid-free paper
All Rights Reserved @1995 Springer Science+Business Media Dordrecht Originally published by Kluwer Academic Publishers in 1995 Softcover reprint ofthe hardcover 1st edition 1995 No part of the material protected by this copyright notice may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording or by any information storage and retrieval system, without written permission from the copyright owner.
TABLE OF CONTENTS
Preface
vii
K. Wm. WILDES, S.J. / The Moral Paradox of Critical Care Medicine
1
PART ONE: CLINICAL QUESTIONS B.A. BRODY / Ethical Issues Raised by Intensive Care M.A. RIB / Ethical Issues in Intensive Care: Criteria for Treatment Within the Creation of a Health Insurance Morality M.A. SANCHEZ-GONZALEZ / Commentary on: Brody & Rie A. SERANI-MERLO and P. ROSSO / Intensive Care: Its Nature and Problems H.H. DELOOZ / Ethical Issues in Critical Care: Criteria for Treatment
7 23 57 63 79
PART TWO: MORAL REFLECTIONS ON THE CLINIC K.Wm. WILDES, S.J. / Conserving Life a
