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Does clinical ethics need a Land Ethic?

Alistair Wardrope1,2

  • 1University of Sheffield, 30 Regent Street, Sheffield, S1 4DA, UK. ajwardrope1@sheffield.ac.uk.

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|April 25, 2019
PubMed
Summary

Clinical ethics must integrate environmental ethics for the Anthropocene. Aldo Leopold's "The Land Ethic" offers a framework to preserve biotic community integrity, addressing complex issues like antimicrobial resistance.

Keywords:
Antimicrobial resistanceClimate changeEnvironmental ethicsEnvironmental healthHolismLand ethic

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Area of Science:

  • Environmental Ethics
  • Clinical Ethics
  • Philosophy of Science

Background:

  • The Anthropocene necessitates integrating environmental ethics into clinical practice.
  • Aldo Leopold's "The Land Ethic" provides a foundational environmental philosophy.
  • Current clinical ethics frameworks inadequately address environmental considerations.

Purpose of the Study:

  • To demonstrate how "The Land Ethic" can enhance clinical ethics.
  • To re-frame clinical ethical problems using the perspective of biotic community integrity.
  • To explore the incorporation of environmental ethics into clinical practice without compromising ethical standards.

Main Methods:

  • Conceptual analysis of Aldo Leopold's "The Land Ethic".
  • Application of "The Land Ethic" to clinical ethics dilemmas.
  • Case study analysis of antimicrobial resistance in nosocomial infections.

Main Results:

  • "The Land Ethic" offers a valuable perspective for clinical ethics, particularly for issues like antimicrobial resistance.
  • This approach helps re-frame problems that challenge consequentialist and Kantian theories.
  • It provides a way to avoid utilitarian paradoxes like the 'repugnant conclusion' and 'utility monster'.

Conclusions:

  • Clinical ethics requires an environmental dimension for the Anthropocene.
  • "The Land Ethic" provides a robust framework for this integration.
  • Viewing human values within a social-ecological context enriches ethical decision-making.