Few subjects have generated so many newspaper headlines and such heated controversy as the treatment, or non-treatment, of handicapped newborns. In 1982, the case of Baby Doe, a child born with Down's syndrome, stirred up a national debate in the United States, while in Britain a year earlier, Dr. Leonard Arthur stood trial for his decision to allow a baby with Down's syndrome to die. Government intervention and these recent legal battles accentuate the need for a reassessment of the complex (...) issues involved. This volume--by two authorities on medical ethics--presents a philosophical analysis of the subject based on particular case studies. Addressing the doctrine of the absolute sanctity of life, Singer and Kuhse examine some actual cases where decisions have been reached; consider the criteria for making these decisions; investigate the differences between killing and letting die; compare Western attitudes and practices with those of other cultures; and conclude by proposing a decision-making framework that offers a rational alternative to the polemics and confusion generated by this highly controversial topic. (shrink)

The book challenges the values of much of contemporary bioethics and health care policy by confronting their failure to secure the moral norms they seek to apply.

First published in 1982. Routledge is an imprint of Taylor & Francis, an informa company.

This classic and controversial book examines the roots of the idea of virtue, diagnoses the reasons for its absence in modern life, and proposes a path for its recovery.

It is sometimes suggested that if a moral theory implies that infanticide can sometimes be permissible, that is sufficient to discredit the theory. I argue in this article that the common-sense belief that infanticide is wrong, and perhaps even worse than the killing of an adult, is challenged not so much by theoretical considerations as by common-sense beliefs about abortion, the killing of non-human animals, and so on. Because there are no intrinsic differences between premature infants and viable fetuses, it (...) is difficult to accept that an abortion performed after the point of viability can be permissible while denying that infanticide can be permissible for a comparably important reason. This and other challenges to the consistency of our intuitions exert pressure on us either to accept the occasional permissibility of infanticide or to reject liberal beliefs about abortion. (shrink)

A societal goal to which more and more people in the United States appear to be committed--at least officially--is the assurance of comprehensive health services for every person irrespective of income or geographic location. This paper offers one possible moral justification of the goal. It does so by attempting to apply various standard conceptions of social justice to considerations about health care and to reflect about the reasons why some of the conceptions seem more relevant than others. Several institutional implications (...) are also identified. (shrink)

In this volume of essays John Howard Yoder projects a vision of Christian social ethics rooted in historical community and illuminated by scripture. Drawing upon scriptural accounts of the early church, he demonstrates the Christian community's constant need for reform and change. Yoder first examines the scriptural and theoretical foundations of Christian social ethics. While personally committed to the "radical reformation" tradition, he eschews "denominational" categorization and addresses Christians in general. The status of Christian community, he argues, cannot be separated (...) from the doctrinal content of beliefs and the moral understanding of discipleship. As a result, the Christian's voluntary commitment to a particular community, as distinct from secular society, offers him valuable resources for practical moral reasoning. From a historical perspective, Yoder reviews the efforts of sixteenth-century radical (or Anabaptist) reformers to return to the fundamental ethical standards of the New Testament, and to disengage the community, as a biblically rooted call to faith that does not imply withdrawal from the pluralistic world. Rather, radical commitment to Christianity strengthens and renews the authentic human interests and values of the whole society. His analyses of democracy and of civil religion illustrate how Christianity must challenge and embrace the wider world. (shrink)

This review essay examines H. Tristram Engelhardt, Jr.'s The Foundations of Bioethics, a contemporary nonfeminist text in mainstream biomedical ethics. It focuses upon a central concept, Engelhardt's idea of the moral community and argues that the most serious problem in the book is its failure to take account of the political and social structures of moral communities, structures which deeply affect issues in biomedical ethics.