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260 Pages·2007·4.551 MB·English
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PLURALISTIC CASUISTRY Philosophy and Medicine VOLUME 94 Founding Co-Editor Stuart F. Spicker Senior Editor H. Tristram Engelhardt, Jr., Department of Philosophy, Rice University, and Baylor College of Medicine, Houston, Texas Associate Editor Lisa M. Rasmussen, Department of Philosophy, University of North Carolina at Charlotte, Charlotte Editorial Board George J. Agich, Department of Philosophy, Bowling Green State University, Bowling Green, Ohio Nicholas Capaldi, College of Business Administration, Loyola University New Orleans, New Orleans, Louisiana Edmund Erde, University of Medicine and Dentistry of New Jersey, Stratford, New Jersey Christopher Tollefsen, Department of Philosophy, University of South Carolina, Columbia, South Carolina Kevin Wm. Wildes, S.J., President Loyola University, New Orleans, New Orleans, Louisiana PLURALISTIC CASUISTRY MORAL ARGUMENTS, ECONOMIC REALITIES, AND POLITICAL THEORY Editedby MARK J. CHERRY DepartmentofPhilosophy,St.Edward’sUniversity,Austin,Texas and ANA SMITH ILTIS CenterforHealthCareEthics,SaintLouisUniversity,St.Louis,Missouri AC.I.P.CataloguerecordforthisbookisavailablefromtheLibraryofCongress. ISBN978-1-4020-6259-9(HB) ISBN978-1-4020-6260-5(e-book) PublishedbySpringer, P.O.Box17,3300AADordrecht,TheNetherlands. www.springer.com Printedonacid-freepaper AllRightsReserved ©2007Springer Nopartofthisworkmaybereproduced,storedinaretrievalsystem,ortransmitted inanyformorbyanymeans,electronic,mechanical,photocopying,microfilming,recording orotherwise,withoutwrittenpermissionfromthePublisher,withtheexception ofanymaterialsuppliedspecificallyforthepurposeofbeingentered andexecutedonacomputersystem,forexclusiveusebythepurchaserofthework. Baruch Alter Brody, Ph.D. Mesivta Theological Seminary, 1959-1963 B.A., Brooklyn College, 1962 M.A., Princeton University, 1965 Fulbright Fellow, Oxford University, 1965-1966 Ph.D., Princeton University, 1967 Leon Jaworski Professor of Biomedical Ethics Director, Center for Medical Ethics and Health Policy and Distinguished Service Professor Baylor College of Medicine Houston, Texas Andrew Mellow Professor of Humanities Department of Philosophy Rice University Houston, Texas TABLE OF CONTENTS 1. MORAL CASUISTRY, MEDICAL RESEARCH AND INNOVATION, AND RABBINICAL DECISION-MAKING 1 MARK J. CHERRY AND ANA SMITH ILTIS SECTION I PLURALISTIC MORAL CASUISTRY 21 2. NOTES TOWARD A PLURALISTIC PROFESSIONAL MEDICAL ETHICS 23 LAURENCE B. MCCULLOUGH 3. ETHICS AND DEEP MORAL AMBIGUITY 37 KEVIN WM. WILDES, S.J. 4. MORAL JUDGMENT AND THE IDEAL INTUITOR: DEALING WITH MORAL CONFUSION AND MORAL DISAGREEMENT 49 JANET MALEK 5. CASUISTRY NATURALIZED 65 MAUREEN KELLEY SECTION II JEWISH MEDICAL ETHICS 83 6. INTUITIONISM, DIVINE COMMANDS, AND NATURAL LAW 85 B. ANDREW LUSTIG vii viii TABLE OF CONTENTS 7. IN CASE: CONTINGENCY AND PARTICULARITY IN BIOETHICS: DISCURSIVE METHOD AND CLINICAL MIDRASH BRIEF NOTES ON A LESSON FROM MY TEACHER BARUCH BRODY 99 LAURIE ZOLOTH 8. THE EUTHYPHRO’S DILEMMA RECONSIDERED: A VARIATION ON A THEME FROM BRODY ON HALAKHIC METHOD 109 H. TRISTRAM ENGELHARDT, JR. SECTION III BIOMEDICAL PUBLIC POLICY 131 9. THE GOOD (PHILOSOPHY), THE BAD (PUBLIC POLICY) AND THE UGLINESS OF BLAMING FAMILIES FOR INEFFECTUAL TREATMENTS 133 ROBERT M. ARNOLD 10. A MATTER OF OBLIGATION: PHYSICIANS VERSUS CLINICAL INVESTIGATORS 149 E. HAAVI MORREIM 11. IS WITHHOLDING ARTIFICIAL NUTRITION AND HYDRATION FROM PVS PATIENTS ACTIVE EUTHANASIA? 167 LORETTA M. KOPELMAN SECTION IV CRITICAL APPLICATION AND ANALYSIS 179 12. THE VIRTUE OF INTEGRITY IN BARUCH BRODY’S MORAL FRAMEWORK 181 J. CLINT PARKER TABLE OF CONTENTS ix 13. PARADIGMS, PRACTICES AND POLITICS: ETHICS AND THE LANGUAGE OF HUMAN EMBRYO TRANSFER/DONATION/RESCUE/ADOPTION 191 SARAH-VAUGHAN BRAKMAN 14. BRODY ON PASSIVE AND ACTIVE EUTHANASIA 211 F.M. KAMM SECTION V RESPONSE TO FRIENDS AND CRITICISMS 219 15. COMMENTS ON THE ESSAYS 221 BARUCH A. BRODY APPENDIX: SELECTED BIBLIOGRAPHY OF THE WORKS OF BARUCH A. BRODY 233 INDEX 243 NOTES ON CONTRIBUTORS 253 ACKNOWLEDGEMENTS The development of this volume benefited from the kind efforts of many. We are deeply thankful to the contributors, many of whom recast their essays several times over the course of the project, to craft the final versions contained herein. A particular debt is owed to H. Tristram Engelhardt Jr., Lisa Rasmussen, and Jeremy Garrett, who are excellent colleagues and the best of friends, as well as to the anonymous reviewers, who helped us to see the challenges raised by the contributions anew. Mark J. Cherry wishes to recognize the on-going generosity of St. Edward’s University,theSchoolofHumanities,andtheDepartmentofPhilosophy,especially Donna Jurick, SND, Louis T. Brusatti, William J. Zanardi, Peter Wake, and Jack Green-Musselman.Eachhasbeeninstrumental,thoughindiversecapacities,tothe success of this project. Thanks are also due to my research assistant, Adrienne Carpenter. As with all of my projects, this volume would not exist without the support, kindness, and love of Mollie E. Cherry. AnaIltiswishestorecognizethegeneroussupportoftheSaintLouisUniversity Center for Health Care Ethics, especially its director James DuBois, as well as the ongoing support of the Graduate School through Dean Donald Brennan. Finally, it would not be possible to pursue a career without the generosity and love of my husband, Steven Iltis. The volume is dedicated to the life and work of our teacher: Professor Baruch A.Brody,atruescholaramongscholars,whomwethankforgrantinguspermission to prepare this festschrift in his honor. xi

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