Moral Theory and Moral Judgments in Medical Ethics
principles. A second solution to this problem is to develop a scale for weighing the significance of the conflicting principles in a given case and for concluding which action should be adopted because it is supported by the weightier considerations in th
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PHILOSOPHY AND MEDIClNE
Edi/ors:
H. TRIS1RAM ENGELHARDT, JR. Cenler for E/hics, Medicine, and Public lssues, Baylor College of Medicine, Hous/on, Texas, U.SA.
STUART F. SPICKER School of Medicine, Universi/y ofConnec/icu/ Heallh Cenler, Farming/on, Connec/icu/, U.SA.
VOLUME 32
MORAL THEORY AND MORAL JUDGMENTS IN MEDICAL ETHICS Edited by
BARUCH A. BRODY Center for Ethics, Medicine, and Public Issues, Houston, Texas, V.S.A.
KLUWER ACADEMIC PUBLISHERS DORDRECHT / BOSTON / LONDON
Library of Congress Cataloging·in·Publication Data Moral theory and moral judgments in medical ethics. (Philosophy and medicine ; 32) Includes index. 1. Medical ethics. 2. Bioethics. 3. Judgment (Ethics) 1. Brody, Baruch A. II. Baylor Col lege of Medicine. III. Institute of Religion (Houston, Tex.) IV. Rice University. V. Series: Philosophy and medicine ; v. 32. [DNLM: 1. Ethics, Medical. 2. Judgment. 3. Morals. W3 PH609 v.32 / WSO M8277] R724.M824 1988 174'.2 88-4684 iSBN-13: 978-94-010-7723-1 e-ISBN-13: 978-94-009-2715-5 DOI: 10.1007/978-94-009-2715-5
Published by Kluwer Academic Publishers, P.O. Box 17,3300 AA Dordrecht, The Nether1ands Kluwer Academic Publishers incorporates the pubIishing programmes of D. Reidel, Maninus Nijhoff, Dr. W. Iunk, and MTP Press. Sold and distributed in the U.S.A. and Canada by Kluwer Academic Publishers, 101 Philip Drive, Norwe1l, MA 02061, U.S.A.
In alI other countries, sold and distributed by Kluwer Academic Publishers, P.O. Box 322, 3300 AH Dordrecht, The Netherlands
AlI Rights Reserved @ 1988 by Kluwer Academic PubIishers
Softcover reprint of the hardcover 1st edition 1988 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, inc1uding photocopying, recording or by any information storage and retrieval system, without written permission from the copyright owner.
TABLE OF CONTENTS
BARUCH A. BRODY / Introduction - Moral Theory and Moral Judgments in Biomedical Ethics
1
SECTION I / DERIVING UTILITARIAN CONSEQUENCES L. W. SUMNER/Utilitarian Goals and Kantian Constraints (or: Always True 10 You, Darling, in my Fashion) WILLIAM RUDDICK / Utilitarians Among the Optimists JEFFREY REIMAN / Utilitarianism and the Informed Consent Requirement (or: Should Utilitarians be Allowed on Medical Research Ethical Review Boards?) L. W. SUMNER / Reply to Ruddick and Reiman
15 33
41 53
SECTION In NATURAL RIGHT CASUISTRY ERIC MACK / Moral Rights and Causal Casuistry BART K. GRUZALSKI / Death by Omission MICHAEL P. LEVINE / Coffee and Casuistry: It Doesn't Matter Who Caused What
57 75 87
SECTION III / MARX'S THEORY: DERIVING MORAL IMPLICATIONS ALLEN BUCHANAN / Marxism and Moral Judgment MARY B. MAHOWALD / Marx:, Moral Judgment, and Medical Ethics: Commentary on Buchanan
101 119
vi
TABLE OF CONTENTS
SECTION IV / CHRISTIAN CASUISTRY STANLEY HAUERWAS / Reconciling the Practice of Reason: Casuistry in a Christian Context LAURENCE THOMAS / Christianity in a Social Context: Practical Reasoning and Forgiveness
135 157
