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Bioethical decision-making: a reply to Ackerman.

M D Basson

    The Journal of Medicine and Philosophy
    |May 1, 1983
    PubMed
    Summary
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    Bioethical principles are generalizations of past decisions, not strict rules. This approach, while practical, lacks a standard for resolving conflicting ethical intuitions in complex cases.

    Area of Science:

    • Bioethics
    • Moral Philosophy

    Background:

    • Terrence Ackerman proposes viewing bioethical principles as generalizations of past decisions.
    • This contrasts with traditional views of bioethical principles as fixed moral rules.

    Purpose of the Study:

    • To analyze Ackerman's proposal for deriving ethical views from case facts and intuitions.
    • To evaluate the strengths and weaknesses of this case-based approach to bioethics.

    Main Methods:

    • Philosophical analysis of Ackerman's bioethical framework.
    • Comparison of Ackerman's proposal with traditional moral philosophy and medical decision-making.

    Main Results:

    • Ackerman's proposal aligns with practical medical decision-making.
    • The proposal fails to provide a higher-order standard for adjudicating conflicting ethical intuitions.
    Keywords:
    Analytical ApproachBioethics and Professional EthicsPhilosophical Approach

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    Conclusions:

    • While appealing for its practical nature, Ackerman's case-based bioethical approach is insufficient.
    • A robust ethical framework requires a standard for resolving moral disagreements beyond individual intuitions.