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Killing and letting die

In Lawrence C. Becker & Charlotte Becker (eds.), Encyclopedia of Ethics, 2nd edition. Routledge (2001)

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  1. Chasing Certainty After Cardiac Arrest: Can a Technological Innovation Solve a Moral Dilemma?Mayli Mertens, Janine van Til, Eline Bouwers-Beens & Marianne Boenink - 2021 - Neuroethics 14 (3):541-559.
    When information on a coma patient’s expected outcome is uncertain, a moral dilemma arises in clinical practice: if life-sustaining treatment is continued, the patient may survive with unacceptably poor neurological prospects, but if withdrawn a patient who could have recovered may die. Continuous electroencephalogram-monitoring is expected to substantially improve neuroprognostication for patients in coma after cardiac arrest. This raises expectations that decisions whether or not to withdraw will become easier. This paper investigates that expectation, exploring cEEG’s impacts when it becomes (...)
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  • How do people use ‘killing’, ‘letting die’ and related bioethical concepts? Contrasting descriptive and normative hypotheses.David Rodríguez-Arias, Blanca Rodríguez López, Anibal Monasterio-Astobiza & Ivar R. Hannikainen - 2020 - Bioethics 34 (5):509-518.
    Bioethicists involved in end‐of‐life debates routinely distinguish between ‘killing’ and ‘letting die’. Meanwhile, previous work in cognitive science has revealed that when people characterize behaviour as either actively ‘doing’ or passively ‘allowing’, they do so not purely on descriptive grounds, but also as a function of the behaviour’s perceived morality. In the present report, we extend this line of research by examining how medical students and professionals (N = 184) and laypeople (N = 122) describe physicians’ behaviour in end‐of‐life scenarios. (...)
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  • The Intend/Foresee Distinction and the Problem of “Closeness”.William J. Fitzpatrick - 2006 - Philosophical Studies 128 (3):585-617.
    The distinction between harm that is intended as a means or end, and harm that is merely a foreseen side-effect of one’s action, is widely cited as a significant factor in a variety of ethical contexts. Many use it, for example, to distinguish terrorist acts from certain acts of war that may have similar results as side-effects. Yet Bennett and others have argued that its application is so arbitrary that if it can be used to cast certain harmful actions in (...)
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  • Mitochondrial Replacement Techniques, the Non-Identity Problem, and Genetic Parenthood.William Simkulet - 2021 - Asian Bioethics Review 13 (3):317-334.
    Mitochondrial replacement techniques are designed to allow couples to have children without passing on mitochondrial diseases. Recently, Giulia Cavaliere and César Palacios-González argued that prospective parents have the right to use MRTs to pursue genetic relatedness, such that some same-sex couples and/or polygamous triads could use the process to impart genetic relatedness between a child and more of its caregivers. Although MRTs carry medical risks, Cavaliere and Palacios-González contend that because MRTs are identity-affecting, they do not cause harm to an (...)
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  • Forgetting your scruples.Adam Bugeja - 2016 - Philosophical Studies 173 (11):2889-2911.
    It can sound absurd to report that you have forgotten a moral truth. Described cases in which people who have lost moral beliefs exhibit the behavioural and phenomenological symptoms of forgetting can seem similarly absurd. I examine these phenomena, and evaluate a range of hypotheses that might be offered to explain them. These include the following proposals: that it is hard to forget moral truths because they are believed on the basis of intuition; that moral forgetting seems puzzling for the (...)
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  • Palliative sedation, foregoing life-sustaining treatment, and aid-in-dying: what is the difference?Patrick Daly - 2015 - Theoretical Medicine and Bioethics 36 (3):197-213.
    After a review of terminology, I identify—in addition to Margaret Battin’s list of five primary arguments for and against aid-in-dying—the argument from functional equivalence as another primary argument. I introduce a novel way to approach this argument based on Bernard Lonergan’s generalized empirical method. Then I proceed on the basis of GEM to distinguish palliative sedation, palliative sedation to unconsciousness when prognosis is less than two weeks, and foregoing life-sustaining treatment from aid-in-dying. I conclude that aid-in-dying must be justified on (...)
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  • The Doctrine of Double Effect: Intention and Permissibility.William J. FitzPatrick - 2012 - Philosophy Compass 7 (3):183-196.
    The Doctrine of Double Effect (DDE) is an influential non-consequentialist principle positing a role for intention in affecting the moral permissibility of some actions. In particular, the DDE focuses on the intend/foresee distinction, the core claim being that it is sometimes permissible to bring about as a foreseen but unintended side-effect of one’s action some harm it would have been impermissible to aim at as a means or as an end, all else being equal. This article explores the meaning and (...)
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  • Doing, allowing, and the problem of evil.Daniel Lim - 2017 - International Journal for Philosophy of Religion 81 (3):273-289.
    Many assume that the best, and perhaps only, way to address the so-called Problem of Evil is to claim that God does not do evil, but that God merely allows evil. This assumption depends on two claims: the doing-allowing distinction exists and the doing-allowing distinction is morally significant. In this paper I try to undermine both of these claims. Against I argue that some of the most influential analyses of the doing-allowing distinction face grave difficulties and that these difficulties are (...)
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  • A Costly Separation Between Withdrawing and Withholding Treatment in Intensive Care.Dominic Wilkinson & Julian Savulescu - 2012 - Bioethics 28 (3):127-137.
    Ethical analyses, professional guidelines and legal decisions support the equivalence thesis for life-sustaining treatment: if it is ethical to withhold treatment, it would be ethical to withdraw the same treatment. In this paper we explore reasons why the majority of medical professionals disagree with the conclusions of ethical analysis. Resource allocation is considered by clinicians to be a legitimate reason to withhold but not to withdraw intensive care treatment. We analyse five arguments in favour of non-equivalence, and find only relatively (...)
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  • Frowe's Machine Cases.Simkulet William - 2015 - Filosofiska Notiser 2 (2): 93-104.
    Helen Frowe (2006/2010) contends that there is a substantial moral difference between killing and letting die, arguing that in Michael Tooley's infamous machine case it is morally wrong to flip a coin to determine who lives or dies. Here I argue that Frowe fails to show that killing and letting die are morally inequivalent. However, I believe that she has succeeded in showing that it is wrong to press the button in Tooley's case, where pressing the button will change who (...)
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  • Conceptual Clarity in Clinical Bioethical Analysis.J. Clint Parker - 2020 - Journal of Medicine and Philosophy 45 (1):1-15.
    Conceptual clarity is essential when engaging in dialogue to avoid unnecessary disagreement and to promote mutual understanding. In this issue devoted to clinical bioethics, the authors exemplify the virtue of careful conceptual analysis as they explore complex clinical questions regarding the essential nature of medicine, the boundaries of killing and letting die, the meaning of irreversibility in definitions of death, the argument for a right to try experimental medications, the ethical borders in complex medical billing, and the definition and modeling (...)
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  • Has God Indeed Said? Skeptical Theism and Scriptural Hermeneutics.Michelle Panchuk - 2021 - Journal of Analytic Theology 9:45-66.
    This paper demonstrates that the skeptical theist’s response to the problem of evil deprives the analytic theologian of theoretical resources necessary to avoid accepting as veridical merely apparent divine commands that endorse cruelty. In particular, I argue that the same skeptical considerations that lead analytic theologians to endorse skeptical theism also lead to what I call “divine command skepticism”—an inability to make certain kinds of judgements about what a good God would or would not command. The danger of divine command (...)
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  • Beyond the Equivalence Thesis: how to think about the ethics of withdrawing and withholding life-saving medical treatment.Nathan Emmerich & Bert Gordijn - 2019 - Theoretical Medicine and Bioethics 40 (1):21-41.
    With few exceptions, the literature on withdrawing and withholding life-saving treatment considers the bare fact of withdrawing or withholding to lack any ethical significance. If anything, the professional guidelines on this matter are even more uniform. However, while no small degree of progress has been made toward persuading healthcare professionals to withhold treatments that are unlikely to provide significant benefit, it is clear that a certain level of ambivalence remains with regard to withdrawing treatment. Given that the absence of clinical (...)
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  • Saving or Creating: Expertise and Subjectivity.Patrick Tissington - 2017 - American Journal of Bioethics 17 (8):25-26.
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  • The Concept of “Continuing Creation” Will Not Save Us From Difficult Decisions.Trisha Prentice, Peter G. Davis & Lynn Gillam - 2017 - American Journal of Bioethics 17 (8):23-25.
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