Abstract

The first fundamental English-language study in bioethics, this book gives a lucid analysis of, and powerfully argued resolutions to, conflicts of values that arise in medicine. It also provides salutary emphasis upon the obligations of health-care professionals to respect the moral autonomy of patients or their guardians. It is fundamental, however, because it does more: it is concerned with rationally choosing among competing orderings of goods and harms which are involved not only in the proper practice of medicine but in any diversity of views about the good life. Engelhardt frames his concern in terms of universal grounds for ethically obligating rational agents within a peaceable community. In what follows, I largely prescind from issues of bioethics to attend to issues more congenial to the interests of this journal's readers.