The Ends of Human Life

by Emanuel, Ezekiel J., Ph.D.

• ISBN13: 9780674253261
• ISBN10: 0674253264
• Edition: Revised
• Format: Paperback
• Copyright: 1994-10-01
• Publisher: Harvard Univ Pr

Table of Contents

Acknowledgments	ix
Introduction: The Questions of Medical Ethics	1	(8)
1 The Political Conception of Medical Ethics	9	(26)
Technology and Medical Ethics	9	(5)
The Ethical Dimension of Professions	14	(2)
The Ethical Dimension of Medicine	16	(6)
Medical Ethics and Political Philosophy	22	(4)
Implications of the Political Conception	26	(6)
The Irresolution of Medical Ethical Questions	32	(3)
2 The Nature of Liberal Political Philosophy	35	(7)
Two Forms of Liberalism	35	(2)
The Tenets of Political Liberalism	37	(5)
3 Terminating Medical Care for Incompetent Patients	42	(55)
The Right to Refuse Medical Care	50	(6)
The Insignificance of Who Decides	56	(4)
The Relativity of Extraordinary Care	60	(4)
The Impossibility of Substituted Judgments	64	(6)
The Indeterminacy of Best Interests	70	(17)
Illiberal Resolutions to the Problem of Terminating Care	87	(3)
The Ill Effects of Irresolution	90	(7)
4 The Just Distribution of Medical Resources	97	(58)
Justice and Health Care Policy	98	(9)
The Inadequacy of the Right to Equal Access	107	(7)
Unjustified Lists of Basic Medical Services	114	(6)
The Weakness of the Liberal Opportunity Criterion	120	(4)
Hypothetical Choice Procedures and Conceptions of the Good Life	124	(21)
The Last Hope: Democratic Political Procedures	145	(7)
The Cost of Not Specifying Basic Medical Services	152	(3)
5 The Liberal Communitarian Vision	155	(23)
Background Tenets for Political Philosophy	155	(1)
The Ideal of Liberal Communitarianism	156	(6)
The Conception of Deliberation	162	(5)
The Conception of a Person	167	(2)
Political Rights and Goods	169	(1)
A Federated System	170	(5)
Liberal and Communitarian Facets	175	(3)
6 A Liberal Communitarian Vision of Health Care	178	(67)
The Basic Structure of Community Health Programs	178	(19)
Justification of CHPs	197	(15)
Philosophical Plausibility of CHPs	212	(10)
Political Practicality of CHPs	222	(11)
Objections Considered	233	(12)
Conclusion: Medical Ethics for the Physician	245	(6)
Notes	251	(48)
Index	299