After considering two of Pellegrino’s papers that address the relation between philosophy of medicine and medical ethics, I identify several overarching problems in his account that revolve around his self-described essentialism and the lack of a systematic attempt to relate clinical medicine to biomedicine and public health. I address these from the critical realist position of Bernard Lonergan, who grounds both metaphysics and ethics on the normative structure of human inquiry and seeks to understand historical development, such as we are (...) witnessing in health science and health care, in terms of the dynamic structure of the human good. I conclude that Lonergan’s generalized empirical method and hierarchical account of world order provide a potentially dynamic framework on which to build a more comprehensive philosophy of medicine than one whose foundations rest primarily on a phenomenology of the clinical encounter and the telos of medicine. (shrink)

For both G. E. Moore and Bernard Lonergan, the question of the good provides a fundamental heuristic indicating its irreducible and thus transcending nature. In Lonergan’s later work, the focus is primarily on the good as manifest in intentional responses to values. But the fundamental metaphysics of the good is never absent from this perspective, and it re-appears explicitly in some later writing. Moore’s anti-reductionist metaethics played a central role in the debates to follow in analytical philosophy in the decades (...) after the appearance of Principia Ethica. In this article, I explore possible convergences between these two avenues of speculation, which in their way both witness to the abiding significance of the scholastic notion of the good as a transcendental. It is argued that the wider purview offered by Lonergan’s analysis of the good, sought in questions as implying metaphysical and theological dimensions, assists in rendering cogent the objectives to which Moore’s question of the good points. (shrink)