Pluralistic Casuistry: Moral Arguments, Economic Realities, and Political Theory

260 Pages·2007·4.55 MB·English

by  Mark J. Cherry

PLURALISTIC CASUISTRY
Philosophy and Medicine
VOLUME 94
Founding Co-Editor
Stuart F. Spicker
Senior Editor
H. Tristram Engelhardt, Jr., Department of Philosophy, Rice University,
and Baylor College of Medicine, Houston, Texas
Associate Editor
Lisa M. Rasmussen, Department of Philosophy, University of North Carolina
at Charlotte, Charlotte
Editorial Board
George J. Agich, Department of Philosophy, Bowling Green State University,
Bowling Green, Ohio
Nicholas Capaldi, College of Business Administration, Loyola University
New Orleans, New Orleans, Louisiana
Edmund Erde, University of Medicine and Dentistry of New Jersey, Stratford,
New Jersey
Christopher Tollefsen, Department of Philosophy, University of South Carolina,
Columbia, South Carolina
Kevin Wm. Wildes, S.J., President Loyola University, New Orleans,
New Orleans, Louisiana
PLURALISTIC
CASUISTRY
MORAL ARGUMENTS,
ECONOMIC REALITIES,
AND POLITICAL THEORY
Editedby
MARK J. CHERRY
DepartmentofPhilosophy,St.Edward’sUniversity,Austin,Texas
and
ANA SMITH ILTIS
CenterforHealthCareEthics,SaintLouisUniversity,St.Louis,Missouri
AC.I.P.CataloguerecordforthisbookisavailablefromtheLibraryofCongress.
ISBN978-1-4020-6259-9(HB)
ISBN978-1-4020-6260-5(e-book)
PublishedbySpringer,
P.O.Box17,3300AADordrecht,TheNetherlands.
www.springer.com
Printedonacid-freepaper
AllRightsReserved
©2007Springer
Nopartofthisworkmaybereproduced,storedinaretrievalsystem,ortransmitted
inanyformorbyanymeans,electronic,mechanical,photocopying,microfilming,recording
orotherwise,withoutwrittenpermissionfromthePublisher,withtheexception
ofanymaterialsuppliedspecificallyforthepurposeofbeingentered
andexecutedonacomputersystem,forexclusiveusebythepurchaserofthework.
Baruch Alter Brody, Ph.D.
Mesivta Theological Seminary, 1959-1963
B.A., Brooklyn College, 1962
M.A., Princeton University, 1965
Fulbright Fellow, Oxford University, 1965-1966
Ph.D., Princeton University, 1967
Leon Jaworski Professor of Biomedical Ethics
Director, Center for Medical Ethics and Health Policy
and
Distinguished Service Professor
Baylor College of Medicine
Houston, Texas
Andrew Mellow Professor of Humanities
Department of Philosophy
Rice University
Houston, Texas
TABLE OF CONTENTS
1. MORAL CASUISTRY, MEDICAL RESEARCH
AND INNOVATION, AND RABBINICAL
DECISION-MAKING 1
MARK J. CHERRY AND ANA SMITH ILTIS
SECTION I PLURALISTIC MORAL CASUISTRY 21
2. NOTES TOWARD A PLURALISTIC PROFESSIONAL
MEDICAL ETHICS 23
LAURENCE B. MCCULLOUGH
3. ETHICS AND DEEP MORAL AMBIGUITY 37
KEVIN WM. WILDES, S.J.
4. MORAL JUDGMENT AND THE IDEAL
INTUITOR: DEALING WITH MORAL CONFUSION
AND MORAL DISAGREEMENT 49
JANET MALEK
5. CASUISTRY NATURALIZED 65
MAUREEN KELLEY
SECTION II JEWISH MEDICAL ETHICS 83
6. INTUITIONISM, DIVINE COMMANDS, AND NATURAL LAW 85
B. ANDREW LUSTIG
vii
viii TABLE OF CONTENTS
7. IN CASE: CONTINGENCY AND PARTICULARITY IN
BIOETHICS: DISCURSIVE METHOD AND CLINICAL
MIDRASH BRIEF NOTES ON A LESSON FROM MY
TEACHER BARUCH BRODY 99
LAURIE ZOLOTH
8. THE EUTHYPHRO’S DILEMMA RECONSIDERED:
A VARIATION ON A THEME FROM BRODY
ON HALAKHIC METHOD 109
H. TRISTRAM ENGELHARDT, JR.
SECTION III BIOMEDICAL PUBLIC POLICY 131
9. THE GOOD (PHILOSOPHY), THE BAD (PUBLIC POLICY)
AND THE UGLINESS OF BLAMING FAMILIES FOR
INEFFECTUAL TREATMENTS 133
ROBERT M. ARNOLD
10. A MATTER OF OBLIGATION: PHYSICIANS VERSUS
CLINICAL INVESTIGATORS 149
E. HAAVI MORREIM
11. IS WITHHOLDING ARTIFICIAL NUTRITION
AND HYDRATION FROM PVS PATIENTS
ACTIVE EUTHANASIA? 167
LORETTA M. KOPELMAN
SECTION IV CRITICAL APPLICATION AND ANALYSIS 179
12. THE VIRTUE OF INTEGRITY IN BARUCH BRODY’S
MORAL FRAMEWORK 181
J. CLINT PARKER
TABLE OF CONTENTS ix
13. PARADIGMS, PRACTICES AND POLITICS: ETHICS
AND THE LANGUAGE OF HUMAN EMBRYO
TRANSFER/DONATION/RESCUE/ADOPTION 191
SARAH-VAUGHAN BRAKMAN
14. BRODY ON PASSIVE AND ACTIVE EUTHANASIA 211
F.M. KAMM
SECTION V RESPONSE TO FRIENDS AND CRITICISMS 219
15. COMMENTS ON THE ESSAYS 221
BARUCH A. BRODY
APPENDIX: SELECTED BIBLIOGRAPHY
OF THE WORKS OF BARUCH A. BRODY 233
INDEX 243
NOTES ON CONTRIBUTORS 253
ACKNOWLEDGEMENTS
The development of this volume benefited from the kind efforts of many. We
are deeply thankful to the contributors, many of whom recast their essays several
times over the course of the project, to craft the final versions contained herein.
A particular debt is owed to H. Tristram Engelhardt Jr., Lisa Rasmussen, and
Jeremy Garrett, who are excellent colleagues and the best of friends, as well as
to the anonymous reviewers, who helped us to see the challenges raised by the
contributions anew.
Mark J. Cherry wishes to recognize the on-going generosity of St. Edward’s
University,theSchoolofHumanities,andtheDepartmentofPhilosophy,especially
Donna Jurick, SND, Louis T. Brusatti, William J. Zanardi, Peter Wake, and Jack
Green-Musselman.Eachhasbeeninstrumental,thoughindiversecapacities,tothe
success of this project. Thanks are also due to my research assistant, Adrienne
Carpenter. As with all of my projects, this volume would not exist without the
support, kindness, and love of Mollie E. Cherry.
AnaIltiswishestorecognizethegeneroussupportoftheSaintLouisUniversity
Center for Health Care Ethics, especially its director James DuBois, as well as the
ongoing support of the Graduate School through Dean Donald Brennan. Finally, it
would not be possible to pursue a career without the generosity and love of my
husband, Steven Iltis.
The volume is dedicated to the life and work of our teacher: Professor Baruch
A.Brody,atruescholaramongscholars,whomwethankforgrantinguspermission
to prepare this festschrift in his honor.
xi