Public Reason Requirements in Bioethical Discourse.

IF 1.5 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-02-23 DOI:10.1017/S0963180124000094
Søren Holm
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Abstract

This paper analyzes the use of public reason requirements in bioethical discourse and discusses when such requirements are warranted. By a "public reason requirement," I mean a requirement that those involved in a particular discourse or debate only use reasons that can properly be described as public reasons. The first part of the paper outlines the concept of public reasons as developed by John Rawls and others and discusses some of the general criticisms of the concept and its importance. The second part then distinguishes between two types of public reason requirements in bioethics. One type is what I will call the orthodox public reason requirement since it hews closely to the original Rawlsian conception. The second is what I will call the expansive public reason requirement, which departs quite radically from the Rawlsian conception and applies the requirement not to policy discourse or policymaking, but to the actions of individuals. Both types of requirements will be analyzed, and some problems in applying public reason requirements in bioethics will be identified. It will be argued that the expansive public reason requirement is misguided. The concluding part argues that requirements of civic civility and what Rawls terms an "inclusive view" of public reason should be important in bioethical discourse.

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生物伦理论述中的公共理性要求。
本文分析了在生物伦理讨论中使用公共理由要求的情况,并讨论了这种要求在什么情况下是合理的。所谓 "公共理由要求",我指的是要求参与特定讨论或辩论的人只能使用可被恰当描述为公共理由的理由。本文第一部分概述了约翰-罗尔斯等人提出的公共理由概念,并讨论了对这一概念的一些一般性批评及其重要性。然后,第二部分区分了生命伦理学中两类公共理性要求。一种是我称之为正统的公共理性要求,因为它紧扣罗尔斯的原始概念。第二种是我所说的扩展性公共理性要求,它从根本上背离了罗尔斯的概念,不是将这一要求应用于政策论述或政策制定,而是应用于个人行为。我将对这两种要求进行分析,并指出在生命伦理学中应用公共理性要求的一些问题。本文将论证扩展性公共理性要求的误导性。最后一部分将论证,公民文明的要求和罗尔斯所说的公共理性的 "包容性观点 "在生命伦理学的讨论中应该是重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.90
自引率
11.10%
发文量
127
审稿时长
>12 weeks
期刊介绍: The Cambridge Quarterly of Healthcare Ethics is designed to address the challenges of biology, medicine and healthcare and to meet the needs of professionals serving on healthcare ethics committees in hospitals, nursing homes, hospices and rehabilitation centres. The aim of the journal is to serve as the international forum for the wide range of serious and urgent issues faced by members of healthcare ethics committees, physicians, nurses, social workers, clergy, lawyers and community representatives.
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