Worst Case Bioethics: Death, Disaster, and Public Health

Worst Case Bioethics: Death, Disaster, and Public Health

by George J. Annas
     
 

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ISBN-10: 0199840717

ISBN-13: 9780199840717

Pub. Date: 06/29/2011

Publisher: Oxford University Press

Bioethics, still in its infancy, is routinely called on by the government to provide political cover for controversial public health decisions involving the life and death of Americans. Doomsday or worst-case scenarios are often at the heart of these biopolitical decisions. A central feature of science fiction, these scenarios can impart useful insights. But

Overview

Bioethics, still in its infancy, is routinely called on by the government to provide political cover for controversial public health decisions involving the life and death of Americans. Doomsday or worst-case scenarios are often at the heart of these biopolitical decisions. A central feature of science fiction, these scenarios can impart useful insights. But worst-case scenarios, like Frankenstein's monster, can also be unpredictably destructive, undermining both preparedness and the very values bioethics seeks to promote. Discovering a new flu strain, for example, leads immediately to visions of the 1918 flu pandemic, the worst in human history. Likewise, a "ticking time bomb" scenario leads to the use of the "saving lives" rationale that permits lawyers to justify it and physicians to carry it out.

The worst case charge of "death panels" continues to threaten meaningful healthcare reform in the US. Fundamental change in American healthcare, Annas argues, will require fundamental change in American, including confronting our obsession with technology and our denial of death, and replacing our over-reliance on the military and market metaphors in medicine. "A combination of the ecological and rights metaphors could help us successfully navigate the waters of change."

In Worst Case Bioethics, George Annas employs contemporary disputes involving death and disaster to explore the radical changes underway in public health practice, the application of constitutional law to medicine, and human rights discourse to promote human health and wellbeing. Worst-case scenarios, especially worst-case bioethics scenarios, distort debate, limit options, rationalize human rights abuses, and undermine equality and social justice. It is, nonetheless, possible to temper worst-case scenarios in ways that promote both the development of a meaningful American bioethics, and a life and liberty affirming global health and human rights movement.

Written at the intersection of law, bioethics, public health, and human rights, Worst Case Bioethics will interest not only bioethicists but scholars in public health, public policy, and human rights law, as well as members of the public who want to participate in these policy debates.

Product Details

ISBN-13:
9780199840717
Publisher:
Oxford University Press
Publication date:
06/29/2011
Edition description:
Reprint
Pages:
360
Product dimensions:
6.20(w) x 9.10(h) x 0.80(d)

Table of Contents

Introduction: Scared to Death by Worst Case Scenarios

Death and Disaster

1. American Healthcare

2. Bioterror and Bioart

3. State of Emergency

4. Licensed to Torture

5. Hunger Strikes

6. War

Death and the Constitution

7. Cancer

8. Drug Dealing Doctors

9. Toxic Tinkering

10. Abortion

11. Culture of Death

12. Patient Safety

Disaster and Human Rights

13. Global Health

14. The Statue of Security

15. Pandemic Fear

16. Bioidentifiers

17. Genetic Genocide

Index

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