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Understanding Autonomy: An Urgent Intervention.

Samuel Reis-Dennis1

  • 1Alden March Bioethics Institute Albany Medical College 47 New Scotland Ave, MC 153, Albany, NY 12208.

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Summary
This summary is machine-generated.

This paper argues that respect for autonomy can justify public health laws like quarantine. It critiques the common bioethical view that autonomy must be limited in crises, proposing a richer, Kantian-based concept of autonomy.

Keywords:
AutonomyIsolationPandemicPrinciplismPublic healthQuarantine

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Area of Science:

  • Bioethics
  • Philosophy of Law
  • Public Health Ethics

Background:

  • Contemporary bioethics often curtails respect for autonomy during crises.
  • This consensus relies on a limited, 'thin' conception of autonomy.
  • This thin view is insufficient for robust ethical and legal reasoning.

Purpose of the Study:

  • To argue that respect for autonomy can be the foundation for laws limiting conduct, such as quarantine mandates.
  • To critique the dominant 'thin' notion of autonomy in bioethics.
  • To propose a 'thick', historically grounded conception of autonomy.

Main Methods:

  • Philosophical argumentation
  • Critique of contemporary bioethical theories
  • Historical analysis of autonomy (Kantian ethics)

Main Results:

  • The principle of respect for autonomy can justify significant limitations on conduct in public health emergencies.
  • The dominant 'thin' conception of autonomy in bioethics is inadequate.
  • A 'thick' conception of autonomy offers a stronger foundation for rights, justice, and law.

Conclusions:

  • Respect for autonomy, when properly understood, supports, rather than undermines, public health interventions.
  • Revisiting the foundations of autonomy is crucial for bioethical and legal analysis.
  • A robust understanding of autonomy enhances our capacity to address complex societal challenges.