Why bioethics needs the philosophy of medicine: Some implications of reflection on concepts of health and disease

Theoretical Medicine and Bioethics 18 (1-2):145-163 (1997)
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Abstract

Germund Hesslow has argued that concepts of health and disease serve no important scientific, clinical, or ethical function. However, this conclusion depends upon the particular concept of disease he espouses; namely, on Boorse's functional notion. The fact/value split embodied in the functional notion of disease leads to a sharp split between the science of medicine and bioethics, making the philosophy of medicine irrelevant for both. By placing this disease concept in the broader context of medical history, I shall show that it does capture an essential part of modern medical ideology. However, it is also a self-contradictory notion. By making explicit the value desiderata of medical nosologies, a reconfiguration of the relation between medicine, bioethics, and the philosophy of medicine is initiated. This, in turn, will involve a recovery of the caring dimensions of medicine, and thus a more humane practice.

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George Khushf
University of South Carolina

References found in this work

Just Health Care.Norman Daniels - 1985 - New York: Cambridge University Press.
The nature of disease.Lawrie Reznek - 1987 - New York: Routledge & Kegan Paul.
Ideology and etiology.H. Tristram Engelhardt Jr - 1976 - Journal of Medicine and Philosophy 1 (3):256-268.
Medicine and the Reign of Technology.Stanley Joel Reiser - 1980 - Journal of the History of Biology 13 (1):160-161.

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