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Lessons from li: a confucian-inspired approach to global bioethics.
Nancy S Jecker1,2,3, Roger Yat-Nork Chung3
1Department of Bioethics & Humanities, University of Washington School of Medicine, Seattle, Washington, USA nsjecker@uw.edu.
Journal of Medical Ethics
|March 4, 2025
Summary
Bioethics must embrace global value diversity by incorporating East Asian Confucian ethics alongside Western approaches. This promotes epistemic justice and cultural humility in international bioethics practice.
Area of Science:
- Global Bioethics
- Cross-cultural Ethics
- Philosophy of Medicine
Background:
- Bioethics operates in increasingly globalized contexts, facing challenges in navigating diverse values.
- Current bioethics approaches are often characterized as WEIRD (Western, Educated, Industrialized, Rich, Democratic), potentially overlooking non-Western perspectives.
Purpose of the Study:
- To explore how bioethics navigates value pluralism in global settings.
- To juxtapose East Asian (Confucian) and Western ethical approaches.
- To advocate for a pluriversal alternative that respects diverse global values.
Main Methods:
- Comparative ethical analysis of Western and East Asian bioethical perspectives.
- Drawing on the Confucian virtue of 'li' (ritual propriety and decorum).
- Application of proposed pluriversal approach to international bioethics policies (abortion, AI governance, climate change).
Main Results:
- Western-centric bioethics (WEIRD) can violate epistemic justice by undervaluing Eastern perspectives.
- The Confucian virtue of 'li' offers a framework for greater tolerance, respect, epistemic justice, cultural humility, and civility.
- A pluriversal approach is proposed as an alternative to WEIRD bioethics.
Conclusions:
- Bioethicists should move beyond WEIRD approaches to embrace a pluriversal model.
- Integrating diverse ethical traditions, like Confucianism, is crucial for equitable global bioethics.
- Adopting a pluriversal approach fosters better navigation of value pluralism in international bioethics.
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