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Autonomy, Responsibility, And HeAltH CARe Autonomy, Responsibility, And HeAltH CARe Critical Reflections edited by bogdan olaru ¤ ¤ www.zetabooks.com bucharest, 2008 Cover design : paul balogh dtp : paul balogh Copyright belongs to the authors. First published in printed and electronic format 2008. This book was funded by CnCsis, under the research project “biopolitics” (193/2006-07). to read more about this project please visit the webpage: http://www.romanian-philosophy.ro/person/bogdan.olaru or write to: [email protected] isbn: 978-973-1997-16-2 (paperback) isbn: 978-973-1997-17-9 (ebook) tAble oF Contents notes on ContRibutoRs ......................vii FoRewoRd ................................ ......1 1. Autonomy And embodiment. tHe wAy bACk to tHe unAvAilAbility oF tHe body Autonomy: as Self-determination against, or as Self-transcendence to Others? Anthropological Reflections on the Background of Bioethics Regine kather, Freiburg university (Germany) ..........15 Why the Way we Consider the Body Matters: Reflections on four Bioethical Perspectives on the Human Body silke schicktanz, university medical Center Göttingen (Germany) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 2. Autonomy And CARe FRom tHe peRspeCtive oF end-oF-liFe deCision-mAkinG Autonomie als Selbstbestimmung und Fürsorge: aufgezeigt am Beispiel der Sterbehilfe karl-wilhelm merks, tilburg university (netherlands) . . . .79 Autonomie und Fürsorge . Die Perspektive des Rechts volker lipp, Göttingen university (Germany) . . . . . . . . . .95 3. peCuliAR FoRms oF Responsibility? The Limits of Discourse Ethics Concerning the Responsibility toward Nature, Nonhuman Animals, and Future Generations nicolae morar, purdue university (usA) . . . . . . . . . . . . .129 Toward an Ethics of Species . Is there a Responsibility to Preserve the Integrity of (Human) Species? bogdan olaru, Jassy institute for economic and social Research (Romania) . . . . . . . . . . . . . . . . . . . . .159 The Principle of Responsibility for Illness and its Application in the Allocation of Health Care: A Critical Analysis eugen Huzum, Jassy institute for economic and social Research (Romania) . . . . . . . . . . . . . . . . . . . . .191 index of Concepts .................................221 index of names ...................................227 notes on ContRibutoRs eugen Huzum lives in Jassy, Romania, where he studied philosophy and political science. He now works as a researcher at the Jassy institute for economic and social Research. His interest fields include foundationalism, metaethics, theory of social justice, and multicultur- alism. His last research project dealt with the politics of recognition and distributive justice. Regine kather is professor at the university of Freiburg (Germany). she was associate professor at the university of bucharest and visiting professor at the university of Cluj-napoca (Romania). Regine kather’s work is mainly in philosophy of nature and in philosophical anthro- pology. she is author of Was ist ‘Leben’? Philosophische Positionen und Perspektiven (darmstadt, 2003) and Person . Die Begründung menschli- cher Identität (darmstadt, 2007). volker lipp is professor of civil law, law of civil procedure, and comparative law at the university of Göttingen (Germany), and was, inter alia, visiting fellow at the institute of Advanced legal studies, university of london. He has written on subjects in bioethics, with spe- cific interests in the legal and policy issues. His more recent books are Patientenautonomie und Lebensschutz . Zur Diskussion um eine gesetzli- che Regelung der ‘Sterbehilfe’ (Göttingen, 2005) and Familienrechtlicher Status und Solidarität (co-authored with Anne Röthel and peter A. windel, tübingen, 2008) karl-wilhelm merks is member of the scientific Advice Council of the Centre for intercultural ethics at the university of tilbug (netherlands). He is author of Verantwortung – Ende oder Wandlungen einer Vorstellung?: Orte und Funktionen der Ethik in unserer Gesellschaft (münster, 2001), Gott und die Moral: Theologische Ethik heute (münster, viii notes on ContRibutoRs 1998), and co-editor, with Frans vosman, of Aiming at Happiness: The Moral Teaching in the Catechism of the Catholic Church (kampen, 1996). nicolae morar is a phd student at purdue university, usA. He received his master degree in 2005 from lyon iii “Jean moulin” university with a thesis entitled “les enjeux de la médicine reproductive aux etats-unis: entre ethique et politique.” He is interested in Continental philosophy, especially Foucault, deleuze, Agamben, and sloterdijk and its connections with applied ethics (genetic testing/ bio- power). He is also the founder and the co-organizer of the bioethics seminar lectures at purdue university. bogdan olaru has studied philosophy at Alexandru ioan Cuza university of Jassy (Romania) and Humboldt university of berlin. He worked for nine years as a researcher at the Jassy institute for economic and social Research. His primary areas of interest currently include bioethics, ethical theory, and phenomenology. He has edited Current Ethical Controversies in Biotechnology: Individual Autonomy and Social Responsibility (Jassy, 2008), and his most recent publications address assisted reproductive technologies and stem-cell research. silke schicktanz is professor at the university of Göttingen (Germany), where she teaches in the department of medical ethics and History of medicine. Her research and teaching interests include organ transplantation, xenotransplantation, and ethical and socio-cultural aspects of human reproduction and sexuality. she took part in the eu-Research project “Challenges of biomedicine—socio-Cultural Contexts, european Governance and bioethics” which focused on the socio-cultural background of modern biomedicine in different european countries. she has published numerous articles and co-edited several books on ethical and social issues in health care.