How should modern medicine's dramatic new powers to sustain life be employed? How should limited resources be used to extend and improve the quality of life? In this collection, Dan Brock, a distinguished philosopher and bioethicist and co-author of Deciding for Others (Cambridge, 1989), explores the moral issues raised by new ideals of shared decision making between physicians and patients. The book develops an ethical framework for decisions about life-sustaining treatment and euthanasia, and examines how these life and death decisions (...) are transformed in health policy when the focus shifts from what is best for a patient to what is just for all patients. Professor Brock combines acute philosophical analysis with a deep understanding of the realities of clinical health policy. This is a volume for philosophers concerned with medical ethics, health policy professionals, physicians interested in bioethics, and undergraduate courses in biomedical ethics. (shrink)

The Principle of Agency says that if it would be good for a state of affairs to occur “naturally”, then it is permissible to take action to bring it about. This contradicts the views of some bioethicists, who object to euthanasia, in vitro fertilization, and cloning, even though they acknowledge that the states of affairs produced are good. But the principle, or some form of it, seems inescapable. The opposite view — that we may not, by our action, reproduce “natural” (...) goods — may owe its appeal to an implicitly religious view of nature. (shrink)