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Abstract
Ethical issues in
healthcare and
biomedical research
are often a matter of
public debate. This
entry will explore
several prominent
views on how such
debate should be
conducted within
Research Paper Examples pluralistic democratic societies. It begins by considering John
Anthropology Research Paper Rawlss account of public reason. It then examines how this
Examples account applies to the controversial issues of abortion and
Argumentative Research Paper physician assisted suicide, where one can see why some have
Examples objected to this view, especially with regard to the way it requires
Child Abuse Research Paper citizens to bracket their comprehensive moral, religious, and
Examples philosophical doctrines. Next, this entry will consider some
Communication Research Paper alternative approaches that endorse more expansive forms of
Examples public reason that allow greater room for appeals to
comprehensive doctrines. While one might expect that many of the
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Criminal Justice Research Paper controversial issues in bioethics will continue to be a matter of
Examples public debate going forward, it will be seen
+1 312 56 68that
949 a necessary
Chat nowstep
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Domestic Violence Research towards making progress in these debates is to get clear on how
Paper Examples such debate should be conducted.
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Economics Research Paper
Examples
Introduction
Education Research Paper
Examples In contemporary democratic societies, ethical issues in healthcare
Elder Abuse Research Paper and biomedical research are often a matter of public debate
Examples indeed, frequently heated debate over the direction of public
History Research Paper Examples policy. One might think, for instance, about the debates
surrounding abortion, euthanasia, physician-assisted suicide,
Management Research Paper
genetic engineering, research on embryos, assisted reproduction,
Examples
healthcare distribution, public health initiatives, and so on. It is no
Political Science Research Paper
surprise that these issues are a matter of public debate since they
Examples
have widespread implications for how human beings live their
Psychology Research Paper
lives. However, there are important questions that arise about how
Examples
public debate should be conducted given the plurality of moral and
Sociology Research Paper
spiritual perspectives within contemporary democratic societies
Examples
around the world. In other words: how should citizens conduct
public debate when the parties to the debate hold competing
Popular Research Papers conceptions of the good life?
ADHD Research Paper
Alcoholism Research Paper Rawlsian Public Reason
Alzheimers Disease Research
One of the most inuential and widely discussed views on how
Paper
such debate should be conducted within contemporary democratic
Anxiety Research Paper
societies is put forward by John Rawls (Rawls 1993 [2005]). Rawls
Arti cial Intelligence Research starts by afrming what he calls the fact of reasonable pluralism,
Paper
which is the fact that a plurality of conicting reasonable
Autism Research Paper comprehensive doctrines, religious, philosophical and moral, is the
Child Abuse Research Paper result of [a democracys] culture of free institutions (ibid., p. 441).
Communication Research Paper Given this plurality of reasonable comprehensive doctrines with
competing conceptions of the good life, the question arises: how
Criminal Justice Research Paper
can fair terms of social cooperation be established among citizens
Depression Research Paper
who are regarded as free and equal? Rawlss account of public
Domestic Violence Research reason is intended to provide an answer to this question. He
Paper
writes: A citizen engages in public reason [.. .] when he or she
Drug Addiction Research Paper deliberates within a framework of what he or she sincerely regards
Eating Disorders Research Paper as the most reasonable political conception of justice, a conception
Elder Abuse Research Paper that expresses political values that others, as free and equal
Leadership Research Paper citizens might also reasonably be expected to endorse (ibid., p.
450). Democratic citizens, Rawls maintains, should appeal to public
Motivation Research Paper
reason whenever they are debating constitutional essentials and
Music Research Paper
matters of basic justice with an aim to enacting public policies.
Political Science Research Paper
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PTSD Research Paper In seeking to establish his view of justice as fairness, Rawlss own
Psychology Research Paper way of proceeding with respect to
+1 public
312 56reason
68 949 is to Chat
suggest
nowthat
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Schizophrenia Research Paper citizens should think of themselves in the hypothetical scenario of
the original position, where they adopt what he calls the veil of
Sociology Research Paper How it Works Inquiry Prices Orde
ignorance (ibid., pp. 2228). In other words, citizens should reason
Stress Research Paper
about the fair terms of social cooperation for mutual advantage as
Suicide Research Paper if they did not know the details of their particular social position,
their natural abilities and proclivities, and their comprehensive
doctrine with its particular conception of the good life. The function
of the veil of ignorance is to assure that individuals consider their
choice of the principles of justice (the fair terms of social
cooperation) from a general standpoint that is not biased by the
contingencies of their particular social and historical circumstances
and to assure that no one has an unfair bargaining advantage.
Whether one thinks that this is the best way of proceeding, Rawls
believes that public reason will ultimately lead to a liberal political
conception of justice, which will have three main features: rst, it
will identify basic rights, liberties, and opportunities; second, it will
assign a priority to these basic rights, liberties, and opportunities
over claims pertaining to the general good of society and ideals of
the good life; and third, it will ensure all citizens adequate
RESEARCH PAPER
resources for making use of their freedoms in pursuing their
particular conceptions of the good life (ibid., p. 450).
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The foregoing might seem to suggest that citizens should never
appeal to their comprehensive doctrines when debating
WHAT IS A RESEARCH PAPER constitutional
HOW TO WRITE essentials and
A RESEARCH matters of basic
PAPER justicePAPER
RESEARCH with an aim to
TOPICS
enacting public policies. Although Rawls once held this restrictive
RESEARCH PAPER EXAMPLES view, he came
BUY CUSTOM to embrace
RESEARCH a somewhat less restrictive view, which
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allows that citizens may introduce into political discussion at any
time [their] comprehensive doctrine, religious or nonreligious,
provided that, in due course, [they] give properly public reasons to
support the principles and policies [their] comprehensive doctrine
is said to support (ibid., p. 453; see also p. 247). For instance,
appeals to religious reasons were common among the abolitionists
and civil rights leaders in the United States, yet Rawls says that this
can be in accord with public reason insofar as these religious
reasons could ultimately be stated in terms of political values
acceptable to all, such as freedom and equality for all (ibid., pp.
249251, 464). The goal is that ultimately there will be an
overlapping consensus around political values that di erent
comprehensive doctrines can support for their own particular
reasons. Rawls thinks that appealing to how ones comprehensive
doctrine supports such political values can in fact help to
strengthen the commitment to these values among citizens.
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Two Cases
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There are some who also reject the dualist view but claim that
human beings only become bearers of rights at a later point when
they have developed their human capacities to a sufcient degree.
However, Lee and George argue that any view that regards
personhood as a property that one comes to acquire sometime
after conception, rather than something one has simply in virtue of
being human, su ers from a line drawing problem. First, it is at
least several months after birth until human beings perform
mental acts that nonhuman animals do not perform and thus if
full moral respect were due only to those who possess a nearly
immediately exercisable capacity for characteristically human
mental functions, it would follow that 6-week old infants do not
deserve full moral respect (ibid., p. 18). Second, the di erence
between an immediately exercisable capacity for characteristically
human mental functions and the basic natural capacity for
developing the ability to perform such functions must be
understood in terms of a developmental continuum. Thus, any line
one draws for personhood that is not at conception say, at brain
functioning or sentience or viability or birth is going to be
arbitrary: Between the ovum and the approaching thousands of
sperm, on the one hand, and the embryonic human being, on the
other hand, there is a clear di erence in kind. But between the
embryonic human being and that same human being at any later
stage of its maturation, there is only a di erence of degree (ibid.).
Finally, if human beings were worthy of full moral respect (as
subjects of rights) only because of [certain acquired] qualities, and
not in virtue of the kind of being they are, then, since such qualities
come in varying degrees, no account could be given of why basic
rights are not possessed by human beings in varying degrees. The
proposition that all human beings are created equal would be
relegated to the status of a superstition (ibid., p. 19).
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It is not possible here to pursue all of the issues that arise in this
debate in full detail, but from the foregoing, one can see how
public debate might proceed on the issue of abortion. In his
revised view, Rawls acknowledges that the abortion debate, even
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Alternative Approaches
So what alternatives are there to the Rawlsian account of public
reason? One is the natural law view of ethics, which is endorsed by
several of the aforementioned philosophers, namely, Finnis,
George, and Lee. Natural law ethics is a comprehensive doctrine
that in fact claims to engage in public reason, that is, it claims to
appeal to reasons (or values) that can be accepted by any citizen as
free and equal. If this is so, then it can be said to fulll what Rawls
calls the duty of civility.
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8693; George 2001, pp. 5355). The problem with Rawlss critique
of the rationalist believer, for Finnis, is that
+1 312 he949
56 68 seeks toChat
declare
nowthat
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the rationalist believer is mistaken without examining the merits of
his or her arguments, and this is due to Rawlss understanding of
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political legitimacy, which does not allow for ultimate justication
of constitutional essentials and matters of basic justice to be based
on any specic comprehensive moral, religious, or philosophical
doctrine (Finnis 2000, pp. 7980; see also George 2001, pp. 5253).
Because Rawls preemptively censors or short-circuits precisely the
kind of reasoned public debates that citizens need to be having on
matters of great importance, Finnis says that his view of political
legitimacy is itself illegitimate, unreasonable, and uncivil (Finnis
2000, p. 81).
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concern for human beings and also enables them to see more
clearly what such human dignity +1
morally
312 56requires
68 949 (seeChat
Taylor
now1989,
Sign
pp. 311, 9197, 515521; Taylor 2003, pp. 316320). But even if
citizens disagree on the deeper reasons that inform their
How it Works Inquiry Prices Orde
conceptions of human dignity, for political purposes they might still
try to form an overlapping consensus around some such
conception. Provided they go in for the concept, citizens could then
try to establish via ad hominem practical reasoning a consensus
around what seems to be the most coherent view (see Taylor 2011,
Chaps. 6, 1314).
Conclusion
This entry has considered a dominant model of how to conduct
public debate: namely, John Rawlss account of public reason. It
then examined how this account applies to the controversial issues
of abortion and physician-assisted suicide, where one can see why
some have objected to this view, especially with regard to the way
it requires citizens to bracket their comprehensive moral, religious,
and philosophical doctrines. Next, this entry considered some
alternative approaches that endorse more expansive forms of
public reason that allow greater room for appeals to
comprehensive doctrines. While one might expect that many of the
controversial issues in bioethics will continue to be a matter of
public debate going forward, this entry has shown that a necessary
step towards making progress in these debates is to get clear on
how such debate should be conducted within pluralistic
democratic societies.
Bibliography :
1. Dworkin, R., Nagel, T., Nozick, R., Rawls, J., Scanlon, T., &
Thomson, J. J. (1997). Assisted suicide: The Philosophers brief.
The New York review of books. March 27, 1997 issue. Accessed
online at:
http://www.nybooks.com/articles/archives/1997/mar/27/
assisted-suicide-the-philosophers-brief/. Last accessed: 15 Dec
2014.
2. Finnis, J. (1980). Natural law and natural rights. Oxford:
Clarendon.
3. Finnis, J. (2000). Abortion, natural law, and public reason. In R.
P. George & C. Wolfe (Eds.), Natural law and public reason (pp.
75105). Washington, DC: Georgetown University Press.
4. George, R. P. (2001). The clash of orthodoxies: Law, religion,
and morality in crisis. Wilmington: ISI Books.
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