LEADER 06482nam 2200757Ia 450 001 9910462000003321 005 20200520144314.0 010 $a1-283-60347-0 010 $a9786613915924 010 $a0-262-30553-4 035 $a(CKB)2670000000241665 035 $a(EBL)3339500 035 $a(SSID)ssj0000711895 035 $a(PQKBManifestationID)11383272 035 $a(PQKBTitleCode)TC0000711895 035 $a(PQKBWorkID)10721631 035 $a(PQKB)11749835 035 $a(MiAaPQ)EBC3339500 035 $a(OCoLC)813528848$z(OCoLC)810533858$z(OCoLC)961604337$z(OCoLC)962610895$z(OCoLC)966264990$z(OCoLC)988478333$z(OCoLC)991963337$z(OCoLC)1037940687$z(OCoLC)1038689721$z(OCoLC)1045561240$z(OCoLC)1055401500$z(OCoLC)1066567220$z(OCoLC)1081275940 035 $a(OCoLC-P)813528848 035 $a(MaCbMITP)9079 035 $a(Au-PeEL)EBL3339500 035 $a(CaPaEBR)ebr10601788 035 $a(CaONFJC)MIL391592 035 $a(OCoLC)813528848 035 $a(EXLCZ)992670000000241665 100 $a20120314d2012 uy 0 101 0 $aeng 135 $aur|n||||||||| 181 $ctxt 182 $cc 183 $acr 200 10$aThieves of virtue$b[electronic resource] $ewhen bioethics stole medicine /$fTom Koch 210 $aCambridge, MA $cMIT Press$dc2012 215 $a1 online resource (373 p.) 225 0$aBasic bioethics 300 $aDescription based upon print version of record. 311 $a0-262-52678-6 311 $a0-262-01798-9 320 $aIncludes bibliographical references and index. 327 $a""Contents""; ""Series Foreword""; ""Acknowledgments""; ""Introduction""; ""The Necessity""; ""Organization""; ""Chapter 1. Dead Germans and Other Philosophers: Ethics as a Professional or a Public Occupation""; ""Bioethicists""; ""Foundation Myth""; ""Bioethics: Moral Folk Theory""; ""Evaluation and Standards""; ""Social Evaluations""; ""Chapter 2. Something Old: A Brief Review""; ""Hippocratic Ethics""; ""Medical Symbolism: The Caduceus""; ""Social Medicine""; ""Cholera: Economic and Social""; ""Medicine and the State""; ""The Unworthy Life""; ""Experimental Objects""; ""Nuremberg"" 327 $a""American Medicine""""1950's Polio""; ""Futures""; ""Chapter 3. Something Newer: Supply-Side Ethics""; ""Organ Transplantation""; ""Scarcity as a Medical Condition""; ""Daniel Callahan""; ""Greedy Geezers""; ""The Malthusian Fallacy""; ""Scarcity""; ""Lifeboat Ethics""; ""Chapter 4. Lifeboat Ethics: Scarcity as an Unnatural State""; ""True Lies""; ""Sailings""; ""Lifeboat Choices""; ""Depositions""; ""Alexander William Holmes""; ""The Trial""; ""The Titanic""; ""Bioethics and the Lifeboat""; ""Scarcity Unbound""; ""Rebalanced Equations""; ""Scarcity Redux""; ""A Kantian Perspective"" 327 $a""Chapter 5. Biopolitics, Biophilosophies, and Bioethics""""Biopower""; ""Bioethics: The Eugenic Noun""; ""Bioethical Assessors""; ""Research: Subjects and Objects""; ""The Problem""; ""The Belmont Report""; ""Belmont : Principles""; ""Risk and Consent""; ""The Philosophical Flavor""; ""Managing Medicine""; ""The Physician: Stripped""; ""Paternalism""; ""Chapter 6. Principles of Biomedical Ethics""; ""The First 106 Words""; ""Traditional Ethics Critiqued""; ""The Twentieth Century""; ""Truthfulness, etc.""; ""Professional Ethic?""; ""The Philosophical Detour""; ""Humanness"" 327 $a""Simplicities"" ""The Common Morality""; ""The Common Morality""; ""Chapter 7. Bioethics and Conformal Humans""; ""Disputants""; ""Differences""; ""Lots of Weird""; ""Rationality and Cognition""; ""The Human""; ""The Beautiful""; ""Kant and The Beautiful""; ""Down Syndrome""; ""Ethics, Redux""; ""Chapter 8. Research and Genetics: For the Benefit of Humankind""; ""New Sciences: Prehistory""; ""Genetics and the Knowledge Industry""; ""Docile Bodies""; ""An Excitable Public""; ""The Therapeutic Misconception""; ""Medicine as Research""; ""Eugenics Redux""; ""Intelligence"" 327 $a""Fungible Persons""""For the Betterment of Humankind""; ""Chapter 9. Choice, Freedom, and the Paternalism Thing""; ""Nancy Cruzan""; ""Bioethics and Paternalism""; ""The Economics of Ethics""; ""Choice as Freedom""; ""Another View""; ""Public Health and Ethics""; ""Chapter 10. Complex Ethics: Toward an Ethics of Medicine""; ""The Failure""; ""Alternatives""; ""A Secular Ethics""; ""Notes""; ""Bibliography""; ""Index"" 330 $aBioethics emerged in the 1960's from a conviction that physicians and researchers needed the guidance of philosophers in handling the issues raised by technological advances in medicine. It blossomed as a response to the perceived doctor-knows-best paternalism of the traditional medical ethic and today plays a critical role in health policies and treatment decisions. Bioethics claimed to offer a set of generally applicable, universally accepted guidelines that would simplify complex situations. In Thieves of Virtue, Tom Koch contends that bioethics has failed to deliver on its promises. Instead, he argues, bioethics has promoted a view of medicine as a commodity whose delivery is predicated not on care but on economic efficiency. At the heart of bioethics, Koch writes, is a "lifeboat ethic" that assumes "scarcity" of medical resources is a natural condition rather than the result of prior economic, political, and social choices. The idea of natural scarcity requiring ethical triage signaled a shift in ethical emphasis from patient care and the physician's responsibility for it to neoliberal accountancies and the promotion of research as the preeminent good. The solution to the failure of bioethics is not a new set of simplistic principles. Koch points the way to a transformed medical ethics that is humanist, responsible, and defensible. 606 $aBioethics$xHistory 606 $aBioethics$xPolitical aspects 606 $aBioethics$xPhilosophy 606 $aMedical ethics$xPolitical aspects 606 $aMedical ethics$xPhilosophy 608 $aElectronic books. 615 0$aBioethics$xHistory. 615 0$aBioethics$xPolitical aspects. 615 0$aBioethics$xPhilosophy. 615 0$aMedical ethics$xPolitical aspects. 615 0$aMedical ethics$xPhilosophy. 676 $a174.2 700 $aKoch$b Tom$f1949-$0930768 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910462000003321 996 $aThieves of virtue$92093613 997 $aUNINA