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Society, Religion, and Bioethics

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Abstract

Bioethical issues often arise in the most intimate and private moments of an individual’s life. Many patients may turn to their faiths and their religious authorities in an effort to find meaning in both the question and the answer. Healthcare providers seek guidance within their own faith traditions while recognizing that in any given situation, they must act in the patient’s best interests and consider the patient’s wishes and preferences. However, because religion is also a public matter, the interplay of religion and bioethics is often reflected in societal debates as well as personal decisionmaking. This chapter lays the foundation for an exploration of the relationship between religion, bioethics, policy, and law.

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Notes

  1. 1.

    For an example of reliance on specific biblical passages as the basis for ethical arguments, see Payne, 2014.

  2. 2.

    The “narrative of emancipation” alleges that the development of secular bioethics represents a freeing of bioethics from the worn, outdated, regimented approach offered by religiously premised approaches (Kahn, 2016). For other analyses that examine this characterization, albeit without using this term, see Carter (1993) and Hunter (1991). Hollinger (1989) has noted that evangelicalism has often led to efforts to apply moral principles in an absolutist, regimented fashion, an approach that fails to address morally ambiguous situations and acknowledge social pluralism. Gudolf (2013) similarly notes that the ethical system of many religions has been rule-based and exceptionless.

  3. 3.

    One author has caustically asserted that when people “claim to be taking a neutral and impartial view, it is far more likely that they just don’t know where they are” (Stempsey, 2012, p. 18).

  4. 4.

    In contrast to the narrative of emancipation, which claims that secular bioethics freed the field from the intransigence of religious dogma, the “narrative of lamentation” argues that “religious voices were marginalized” and “muted” (Lammers, 1996, p. 19) and that secular theorists attempted to hijack bioethical inquiry in the guise of neutrality. Narratives and counternarratives have been developed in an effort to solidify and proselytize each group’s position (Kahn, 2016).

  5. 5.

    Englehardt’s assessment of Christian bioethics seems to suggest that no compromise is possible between secular and Christian bioethics. He has observed:

    A community’s morality depends on the moral premises, rules of evidence, and rules of inference it acknowledges, as well as on the social structure of those in authority to rule knowledge claims in or out of a community’s set of commitments. For Christians, who is an authority and who is in authority are determined by the Holy tradition, through which in Mysteries one experiences the Holy Spirit. Because of the requirement of repentance and conversion to the message of Christ preserved in the tradition, the authority of the community must not only exclude heretical teaching but heretical communities from communion … Christian bioethics should be non-ecumenical by recognizing that true moral knowledge has particular moral content, is communal, and is not fully available outside of the community of right worship. (Englehardt, 1995, p. 182)

    He has also asserted that:

    [f]or Christians, resolution of bioethical controversies will not be found through appeals to foundational rational arguments or isolated scriptural quotations, but only in a Christian community united in authentic faith. (Englehardt, 1995, p. 29)

References

  • American Academy of Pediatrics, Committee on Bioethics. (2013). Conflicts between religious or spiritual beliefs and pediatric care: Informed refusal, exemptions, and public funding. Pediatrics, 132(5), 962–965.

    Google Scholar 

  • Bailey, M., & Redden, G. (2011). Introduction: Religion as living culture. In M. Bailey & G. Redden (Eds.), Mediating faiths: Religion and socio-cultural change in the twenty-first century (pp. 1–24). Surrey: Ashgate Publishing Limited.

    Google Scholar 

  • Beauchamp, T. L., & Childress, J. F. (1994). Principles of biomedical ethics (4th ed.). Oxford: Oxford University Press.

    Google Scholar 

  • Beauchamp, T. L., & Walters, L. R. (2003). Contemporary issues in bioethics. Belmont: Wadsworth Publishing.

    Google Scholar 

  • Becker, C. B. (1990). Buddhist views of suicide and euthanasia. Philosophy East and West, 40(4), 543–555.

    Google Scholar 

  • Borry, P., Schotsmans, P., & Dierickx, K. (2005). The birth of the empirical turn in bioethics. Bioethics, 19(1), 49–71.

    PubMed  Google Scholar 

  • Brody, H., & Macdonald, A. (2013). Religion and bioethics: Toward an expanded understanding. Theoretical Medicine and Bioethics, 34, 133–145.

    PubMed  Google Scholar 

  • Cahill, L. (2003). Bioethics, theology, and social change. Journal of Religious Ethics, 21(3), 363–398.

    Google Scholar 

  • Callahan, D. (1990). Religion and the secularization of bioethics. Hastings Center Report, 20(4), 2–4.

    Google Scholar 

  • Callahan, D. (2000). Universalism & particularism: Fighting to a draw. Hastings Center Report, 30(1), 37–44.

    CAS  PubMed  Google Scholar 

  • Campbell, A. T. (2012). Bioethics in the public square: Reflections on the how. Journal of Medical Ethics, 38, 439–441.

    PubMed  Google Scholar 

  • Campbell, C. S. (1990). The moral meaning of religion for bioethics. Bulletin of the Pan American Health Organization, 24(4), 386–393.

    CAS  PubMed  Google Scholar 

  • Carter, S. L. (1993). The culure of disbelief: How American law and politics trivialize religious devotion. New York: Basic Books.

    Google Scholar 

  • Clark-Grill, M. (2010). When listening to the people: Lessons from complementary and alternative medicine (CAM) for bioethics. Bioethical Inquiry, 7, 71–81.

    Google Scholar 

  • Clarke, M., Eich, T., & Schreiber, J. (2015). The social politics of Islamic bioethics. Die Welt des Islams, 55, 265–277.

    Google Scholar 

  • Cohen, C. B., Wheeler, S. E., Scott, D. A., Edwards, B. S., Lusk, P., & The Anglican Working Group in Bioethics. (2000). Prayer as therapy: A challenge to both religious belief and professional ethics. Hastings Center Report, 30(3), 40–47.

    CAS  PubMed  Google Scholar 

  • Council for International Organizations of Medical Sciences. (2016). International ethical guidelines for health-related research involving humans. Geneva, Switzerland: Author.

    Google Scholar 

  • Coward, H., & Sidhu, T. (2000). Bioethics for clinicians: 19. Hinduism and Skkism. Canadian Medical Association Journal, 163(9), 1167–1170.

    CAS  PubMed  Google Scholar 

  • Dickenson, D. L. (1999). Cross-cultural issues in European bioethics. Bioethics, 13, 249–255.

    PubMed  Google Scholar 

  • Dorff, E. N. (1996). The Jewish tradition: Religious beliefs and health care decisions. Chicago, IL: Park Ridge Center.

    Google Scholar 

  • Driver, J. (2014). The history of utilitarianism. In Stanford encyclopedia of philosophy. Stanford, CA: Center for the Study of Language and Information, Stanford University. Available at https://plato.stanford.edu/entries/utilitarianism-history/. Accessed 08 December 2019.

  • Durante, C. (2009). Bioethics in a pluralistic society: Bioethical methodology in lieu of moral diversity. Medicine, Health Care, and Philosophy, 12, 35–47.

    PubMed  Google Scholar 

  • Englehardt Jr., H. T. (1995). Christian bioethics as non-ecumenical. Christian Bioethics, 1(2), 182–199.

    Google Scholar 

  • Englehardt, H. T. (1995). Moral content, tradition, and grace: Rethinking the possibility of Christian bioethics. Christian Bioethics, 1(1), 29–47.

    Google Scholar 

  • Florida, R. E. (1993). Buddhist approaches to euthanasia. Studies in Religion/Sciences Religieuses, 22(1), 35–47.

    Google Scholar 

  • Fox, R., & Swazey, J. P. (2008). Observing bioethics. New York: Oxford University Press.

    Google Scholar 

  • Freeman, S. J., & Francis, P. C. (2006). Casuistry: A complement to principle ethics and a foundation for ethical decisions. Counseling and Values, 50, 142–153.

    Google Scholar 

  • Griniezakis, M., & Symeonides, N. (2005). Bioethics and Christian theology. Journal of Religion and Health, 44(1), 7–11.

    PubMed  Google Scholar 

  • Gudorf, C. E. (2013). Comparative religious ethics: Everyday decisions for our everyday lives. Minneapolis, MN: Augsburg Fortress, Publishers.

    Google Scholar 

  • Guinn, D. E. (2006). Introduction: Laying some of the groundwork. In D. E. Guinn (Ed.), Handbook of bioethics and religion (pp. 3–19). Oxford: Oxford University Press.

    Google Scholar 

  • Gustafson, J. M. (1975). The contributions of theology to medical ethics. Milwaukee, WI: Marquette University Press.

    Google Scholar 

  • Hollinger, D. (1989). Can bioethics be evangelical? Journal of Religious Ethics, 17(2), 161–179.

    PubMed  Google Scholar 

  • Hunter, J. D. (1991). Culture wars: The struggle to define America. New York: Basic Books.

    Google Scholar 

  • Indian Council of Medical Research. (2017). National ethical guidelines for biomedical and health research involving human participants. Available at https://www.iitm.ac.in/downloads/ICMR_Ethical_Guidelines_2017.pdf. Accessed 25 July 2018.

  • Iltis, A. S. (2011). Bioethics and the culture wars. Christian Bioethics, 17(1), 9–24.

    Google Scholar 

  • Iltis, A. S. (2009). The failed search for the neutral in the secular: Public bioethics in the face of the culture wars. Christian Bioethics, 15, 220–233.

    Google Scholar 

  • Iltis, A. S. (2006). Look who’s talking: The interdisciplinarity of bioethics and the implications for bioethics education. Journal of Medicine and Philosophy, 31(6), 629–641.

    Google Scholar 

  • Jonsen, A. R. (2006). A history of religion and bioethics. In D. E. Guinn (Ed.), Handbook of bioethics and religion (pp. 23–36). Oxford: Oxford University Press.

    Google Scholar 

  • Jonsen, A. R. (1991). Casuistry as methodology in clinical ethics. Theoretical Medicine, 12, 295–301.

    CAS  PubMed  Google Scholar 

  • Jonsen, A. R., & Toulmin, S. E. (1988). The abuse of casuistry. Berkeley, CSA: Universty of California Press.

    Google Scholar 

  • Kahn, P. A. (2016). Bioethics, religion, and public policy: Intersections, interactions, and solutions. Journal of Religion and Health, 55, 1546–1560.

    PubMed  Google Scholar 

  • Kant, I. (1959). Foundations of the metaphysics of morals (trans. L.W. Beck). Indianapolis: Bobbs-Merrill company.

    Google Scholar 

  • Kant, I. (1996). Groundwork of the metaphysics of morals. Practical philosophy (trans. M.J. Gregor). Cambridge: Cambridge university press.

    Google Scholar 

  • Lammers, S. E. (1996). The marginalization of religious voices in bioethics. In A. Verhey (Ed.), Religion and medical ethics: Looking backward, looking forward (pp. 19–26). Grand Rapids, MI: William B. Erdmans.

    Google Scholar 

  • Lo, B., Kates, L. W., Ruston, D., Arnold, R. M., Cohen, C. B., Puchalski, C. M., et al. (2003). Responding to requests regarding prayer and religious ceremonies by patients near the end of life and their families. Journal of Palliative Medicine, 6(3), 409–415.

    PubMed  Google Scholar 

  • Marshall, P., Thomasma, D. C., & Bergsma, J. (1994). Intercultural reasoning: The challenge for international bioethics. Cambridge Quarterly of Healthcare Ethics, 3, 321–328.

    CAS  PubMed  Google Scholar 

  • Messikomer, C. M., Fox, R. C., & Swazey, J. P. (2001). The presence and influence of religion in American bioethics. Perspectives in Biology and Medicine, 44(4), 485–508.

    CAS  PubMed  Google Scholar 

  • Muir Grey, J. A. (1999). Postmodern medicine. Lancet, 354, 1550–1553.

    Google Scholar 

  • Murphy, T. F. (2012). In defense of irreligious bioethics. American Journal of Bioethics, 12(12), 3–10.

    PubMed  Google Scholar 

  • Pauls, M., & Hutchinson, R. C. (2002). Bioethics for clinicians: 28. Protestant bioethics. Canadian Medical Association Journal, 166(3), 339–343.

    PubMed  Google Scholar 

  • Pew Research Center. (2015). America’s changing religious landscape. https://www.pewforum.org/2015/05/12/americas-changing-religious-landscape/. Accessed 03 November 2019.

  • Pew Research Center. (2012a). The global religious landscape. https://www.pewforum.org/2012/12/18/global-religious-landscape-exec/. Accessed 03 November 2019.

  • Pew Research Center. (2012b). “Nones” on the rise. https://www.pewforum.org/2012/10/09/nones-on-the-rise/. Accessed 03 November 2019.

  • Ramsey, P. (1970). Fabricated man: The ethics of genetic control. New Haven, CT: Yale Universty Press.

    Google Scholar 

  • Reichley, A. J. (2003). Faith in politics. In H. Heclo & W. M. McClay (Eds.), Religion returns to the public square: Faith and policy in America (pp. 163–194). Washington, DC/Baltimore, MD: Woodrow Wilson Center Press/Johns Hopkins University Press.

    Google Scholar 

  • Rosner, F., & Bleich, J. D. (Eds.). (2000). Jewish bioethics. Hoboken, NJ: KTAV Publishing House.

    Google Scholar 

  • Saifudden, S. M., Rahman, N. N. A., Isa, N. M., & Baharuddin, A. (2014). Maqasid al-Shariah as a complementary framework to conventional bioethics. Science and Engineering Ethics, 20, 317–327.

    Google Scholar 

  • Secker, B. (1999). The appearance of Kant’s deontology in contemporary Kantianism: Concepts of patient autonomy in bioethics. Journal of Medicine and Philosophy, 24(1), 43–66.

    CAS  PubMed  Google Scholar 

  • Shweder, R. A. (1991). Thinking through cultures: Expeditions in cultural psychology. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Sinnott-Armstrong, W. (2019). Consequentialism. In Stanford encyclopedia of philosophy. Stanford, CA: Center for the Study of Language and Information, Stanford University. Available at https://plato.stanford.edu/entries/consequentialism/. Accessed 09 December 2019.

  • Stempsey, W. E. (2012). Bioethics needs religion. American Journal of Bioethics, 12(12), 17–18.

    PubMed  Google Scholar 

  • Stempsey, W. E. (2011). Religion and bioethics: Can we talk? Bioethical Inquiry, 8, 339–350.

    Google Scholar 

  • Tham, S. J. (2008). The secularization of bioethics. National Catholic Bioethics Quarterly, 8(3), 443–453.

    Google Scholar 

  • Thohaben, J. R. (2015). Bioethics after Christendom is gone: A Methodist evangelical perspective. Christian Bioethics, 21(3), 282–302.

    Google Scholar 

  • Thohaben, J. R. (2016). Natural law: A good idea that does not work very well (at least not in the current secular society). Christian Bioethics, 22(2), 213–237.

    Google Scholar 

  • Turner, L. (2004). Bioethics in pluralistic societies. Medicine, Health Care, and Philosophy, 7, 201–208.

    PubMed  Google Scholar 

  • Turner, L. (2005). From the local to the global: Bioethics and the concept of culture. Journal of Medicine and Philosophy, 30, 305–320.

    PubMed  Google Scholar 

  • Uganda National Council of Science and Technology. (2014, July). National guidelines for research involving humans as research participants. Available at https://uncst.go.ug/guidelines-and-forms/. Accessed 22 July 2018.

  • United States National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. (1979). The Belmont report: Ethical principles and guidelines for the protection of human subjects of research. Washington, DC: Department of Health, Education, and Welfare.

    Google Scholar 

  • Veatch, R. M. (1999). Theories of bioethics. Journal of Asian and International Bioethics, 9, 35–38.

    Google Scholar 

  • Vincent, J. L. (1998). Information in the ICU: Are we being honest with our patients? The results of a European questionnaire. Intensive Care Medicine, 24, 1251–1256.

    CAS  PubMed  Google Scholar 

  • Wildes, K. W. (2002). Religion in bioethics: A rebirth. Christian Bioethics, 8(2), 163–174.

    PubMed  Google Scholar 

  • Wind, J. P. (1990). What can religion offer bioethics? Hastings Center Report, 20(4), 18–20.

    Google Scholar 

Legal References

    Constitution

    Cases

    • Everson v. Board of Education, 330 U.S. 1 (1947).

      Google Scholar 

    • Rosenberger v. Rector of the University of Virginia, 515 U.S. 753 (1995).

      Google Scholar 

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    Loue, S. (2020). Society, Religion, and Bioethics. In: Case Studies in Society, Religion, and Bioethics. Springer, Cham. https://doi.org/10.1007/978-3-030-44150-0_1

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