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Moral reasoning in social context.

Scholarly thinking about morality has been deeply affected by the confrontation with practical moral problems epitomized by bioethics. Attention to social context is increasingly seen as vital to sound moral reasoning. The dominant model in bioethics assumes that moral reasoning proceeds downward, from fundamental principles to specific cases. This top-down model, deductivism, is flawed both as a description of moral reasoning, and as a prescription for how moral reasoning should be done. In recent years, another model known as casuistry and based on case-centered moral reasoning has emerged to challenge deductivism. Casuistry suggests new lines of empirical and conceptual research into the history of moral disputes and the practice of moral reasoning and debate.

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AIDS Serodiagnosis↗

International challenges and opportunities in health.

It is not easy to fit an introductory address to the topics of AIDS, transplantation, women's health, reproductive health, national health insurance and epidemiology and public health. I have been asked to speak on international challenges and opportunities in health care in the hope that the global context might frame your specific discussions in the broadest possible perspective. I will speak primarily about the widening gap in health status between rich and poor people and rich and poor nations -- a gap which poses great risks for the poor but increasing risks for all of us as well.

Bioethical Issues↗

Bioethics and international human rights.

Noting how the spread of medical technology is creating clashes with traditional values and within cultures, the author addresses the clash between Western rights-based incentives, as used by the United Nations to guarantee respect for life and dignity, and communitarian traditions. He proposes a mean between wholesale cultural relativism and international absolutism.

Bioethical Issues↗

Law & bioethics: from values to violence.

The relationship of law of bioethics always complex, has shifted post 9/11. Instead of looking to law as protector of rights and liberties, the new bioethics approach, exemplified by the President's Council on Bioethics, deploys law as aggressor. Thus we see a call to get tough, to prohibit a range of biomedical practices, with the prospect of not only civil but criminal enforcement. Bioethicists face a grave choice, whether to embrace the use of state force to resolve bioethics debates.

Bioethical Issues↗

Passing on the right: conservative bioethics is closer than it appears.

Like automobiles in the passenger side mirror, conservative bioethics is closer than it appears, and it has joined forces with the neo-conservative movement's rejection of moral relativism and moral pluralism. Leon Kass and about half of the current bioethics council appointed by President Bush form an interlocking world of journals, conferences, presidential advisors and, most notably, bioethics commission staff, all working to promote and extend federal regulation of public morals in the name of preserving real and romanticized societal norms in the face of social evolution wrought by technological change.

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