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Preventive Medicine between Obligation and Aspiration : International Library of Ethics, Law, and the New Medicine - Marcel Verweij

Preventive Medicine between Obligation and Aspiration

International Library of Ethics, Law, and the New Medicine

Hardcover Published: 31st January 2001
ISBN: 9780792366911
Number Of Pages: 192

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Preventive Medicine between Obligation and Aspiration is a study of ethical questions regarding mass screening, vaccination, and health policy programmes. These interventions aim to enhance public health but may also constrain personal autonomy and cause harm, and influence our moral views. So far, these issues have hardly been subject to systematic ethical analysis. This study aims to fill this gap by providing an overview of moral problems in preventive medicine and by explicating norms for good practice. Throughout the book it is argued that some moral concerns about prevention - namely concerns about medicalization - cannot be adequately grasped in terms of strict and binding moral norms. Various moral concepts and types of norms beyond obligation' are explored and developed in order to give practical meaning to these rather vague concerns. In this way the book contributes to applied ethics as well as to ethical theory. It is of interest to professionals in public health and preventive medicine and to scholars in applied ethics and moral philosophy.

`...the book makes a valuable contribution to this increasingly important area of philosophy of medicine and health care, and may be generally of interest to scholars in applied ethics' Medicine, Health Care and Philosophy, 5:1 (2002)

Preface and acknowledgmentsp. vii
Introductionp. 1
The moral dimensions of preventive medicinep. 1
Aims of this studyp. 2
Demarcation of the field of applicationp. 5
Overview of the chaptersp. 5
Method: ethical theory and moral practicep. 7
Preventive Medicine: Moral Problems and Moral Normsp. 11
What is preventive medicine?p. 13
The goals of preventive medicinep. 13
The range of possibilities for preventive medicine and health promotionp. 14
Preventive medicine is directed at healthy populationsp. 17
Population and high-risk strategiesp. 19
The prevention paradoxp. 20
Preventive medicine as a worthwhile practicep. 21
Conclusionp. 22
Medical-ethical dimensions of preventive medicinep. 25
Introductionp. 25
The principles of biomedical ethics: dispute and appraisalp. 27
Beneficencep. 30
Non-maleficencep. 35
Respect for autonomyp. 40
Justicep. 45
Conclusionp. 48
The prevention paradox and tensions between private and public interestsp. 51
Introduction: the prevention paradox as a moral problemp. 51
The concept of interestp. 54
Is the preservation of health necessarily in one's net interest?p. 56
Common interests in preventive medicinep. 57
Group interests in mass screeningp. 58
Public interests in vaccination programmesp. 60
A public good in population-oriented life-style interventionsp. 63
Conclusionp. 66
Medicalization as a moral problem for preventive Medicinep. 69
Introductionp. 69
The concept of medicalizationp. 71
Iatrogenic risks of preventionp. 77
The accumulation of uncertaintyp. 78
Responsibility for health and victim blamingp. 81
The loss of autonomy and independencep. 84
The importance of the value of health in the lives of personsp. 87
The obligation to participate in preventionp. 91
Conclusionp. 95
Obligation and Beyondp. 101
The concept of duty and obligationp. 103
Introductionp. 103
Mill's concept of moral dutyp. 104
Duties bind persons to actsp. 106
The nature of requirement of dutyp. 109
The priority of obligations in moral deliberationp. 116
Conclusion: the concept of moral obligationp. 120
Medicalization, moral obligations and beyondp. 123
Introductionp. 123
Moral norms and moral obligationsp. 124
Health promotion at the worksite: A case of medicalization?p. 128
The special nature of the non-medicalization normp. 131
The non-medicalization norm as an obligation not to medicalizep. 134
The non-medicalization norm as invoking an obligation to refrain from programmes which cause medicalization effectsp. 135
The obligation to minimise medicalizationp. 138
A general obligation to avoid medicalizationp. 140
The clear core of norms thesis revisitedp. 144
Beyond obligationp. 147
Introductionp. 147
Only a matter of weight?p. 148
From acts to persons?p. 153
Beyond obligationp. 155
The character of the non-medicalization normp. 165
Responsibility and the principles of bioethicsp. 168
Conclusionsp. 171
Bibliographyp. 177
Indexp. 187
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9780792366911
ISBN-10: 0792366913
Series: International Library of Ethics, Law, and the New Medicine
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 192
Published: 31st January 2001
Publisher: SPRINGER VERLAG GMBH
Country of Publication: NL
Dimensions (cm): 23.39 x 15.6  x 1.27
Weight (kg): 0.46