Precision Medicine and Distributive Justice : Wicked Problems for Democratic Deliberation

Language: English

Published by Oxford University Press Sep 2022, 2022

0197647723 / 9780197647721

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Neuware - Metastatic cancer and costly precision medicines generate extremely complex problems of health care justice. Targeted cancer therapies yield only very marginal gains in life expectancy for most patients at very great cost, thereby threatening the just allocation of limited health care resources. Philosophers have high hopes for the utility of their theories of justice in addressing the challenges of resource allocation; however, none of these theories can address adequately the 'wicked' ethical problems that have resulted from these targeted therapies.What we need instead, bioethicist Leonard M. Fleck argues, is a political conception of health care justice, following Rawls, and a fair and inclusive process of rational democratic deliberation governed by public reason. His account makes the basic assumption that we have only limited health care resources to meet unlimited health care needs generated by emerging medical technologies. The primary ethical and political virtue of rational democratic deliberation is that it allows citizens to fashion autonomously shared understandings of how to fairly address the complex problems of health care justice generated by precision medicine. While ideally just outcomes are a moral and political impossibility, 'wicked' problems can metastasize if rationing decisions are made invisibly--in ways effectively hidden from those affected by those decisions. As Fleck demonstrates, a fair and inclusive process of democratic deliberation could make these 'wicked' problems visible, and subject, to public reason.

Seller Inventory # 9780197647721

Title
Precision Medicine and Distributive Justice : Wicked Problems for Democratic Deliberation
Author
Leonard M Fleck
Publisher
Oxford University Press Sep 2022
Publication year
2022
Condition
Neu
Binding
Buch
Language
English
ISBN 10
0197647723
ISBN 13
9780197647721
Item weight
762 grams
Dimensions
240x158x34 mm

AHA-BUCH GmbH

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