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  1. Care, Compassion, or Cost: Redefining the Basis of Treatment in Ethics and Law.Tom Koch - 2011 - Journal of Law, Medicine and Ethics 39 (2):130-139.
    Early announcements of this special journal issue solicited authors interested in contributing articles on the subject of “costs at the end of life.” Those who replied were then informed the title was being changed, on the basis of early subscriber interest, in “rational end-of-life treatment.” Because that seemed a still inadequate reflection of the authorial concerns of responding potential contributors, the editors again changed the title, two months later, to “Making Treatments More Rational and Compassionate for the Chronically Critically Ill.” (...)
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  • (1 other version)Consensus in medical decision making: Analyzing the environment of discourse ethics.Tom Koch & Mark Ridgley - 1999 - Philosophy and Geography 2 (2):201 – 217.
    In recent years geographic interest has focused increasingly on the moral and ethical dimensions of social constructions. Much of this work has followed the direction taken by moral philosophers whose principled approach has been applied to a range of ethically or morally problematic contexts. The challenge has been to apply a geographic perspective to an ethical dilemma that seems intractable at the level of ethical principle. This paper uses a geographic perspective to consider in a concrete fashion a current bioethical (...)
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  • (1 other version)Consensus in Medical Decision Making: Analyzing the Environment of Discourse Ethics.Tom Koch & Mark Ridgley - 1999 - Ethics, Place and Environment 2 (2):201-217.
    In recent years geographic interest has focused increasingly on the moral and ethical dimensions of social constructions. Much of this work has followed the direction taken by moral philosophers whose principled approach has been applied to a range of ethically or morally problematic contexts. The challenge has been to apply a geographic perspective to an ethical dilemma that seems intractable at the level of ethical principle. This paper uses a geographic perspective to consider in a concrete fashion a current bioethical (...)
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  • A Sceptics Report: Canada’s Five Years Experience with Medical Termination (MAiD). [REVIEW]Tom Koch - 2023 - HEC Forum 35 (4):357-369.
    This article seeks to assess the results of legislation legalizing medical termination, known in Canada as "medical aide in dying" in 2016. Its focus, like that of previous authors, is to ask if the concerns of skeptics opposed to legalization have been realized or were they unfounded. These include the likelihood of a “slippery slope” with an expanding definition of eligibility and of MAiD deaths. Of similar concern at least since 1995 was the likelihood that, in the absence of the (...)
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  • The Ethicist as Language Czar, or Cop: “End of Life” v. “Ending Life”. [REVIEW]Tom Koch - 2013 - HEC Forum 25 (4):345-359.
    Bioethics promises a considered, unprejudicial approach to areas of medical decision-making. It does this, in theory, from the perspective of moral philosophy. But the promise of fairly considered, insightful commentary fails when word choices used in ethical arguments are prejudicial, foreclosing rather than opening an area of moral discourse. The problem is illustrated through an analysis of the language of The Royal Society Expert Panel Report: End of Life Decision Making advocating medical termination.
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