The Patient Who Changes His Mind
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Bioethics should adopt the more nuanced view of rationality from behavioral economics. Most of us are conscious and capable of making decisions, but we are not consistently rational about all the issues all the time in all phases of life. And it is not to be taken for granted that we like to make decisions, whatever they are and whatever their consequences are. In this chapter, I make a case for bringing behavioral economics to bear on bioethics, so we have a bioethics that recognizes bounded rationality. I believe that such a “behavioral bioethics” will benefit both physicians and patients by bringing them together.
KeywordsBehavioral bioethics Patient Time inconsistency Bounded rationality
- Akerlof, George A., and Robert J. Shiller. Animal Spirits. Princeton: Princeton University Press, 2009.Google Scholar
- American Society for Bioethics and Humanities. Addressing Patient-Centered Ethical Issues in Health Care: A Case-Based Study Guide. Chicago, 2017. https://www.asbh.org.
- Buchanan, Allen E., and Dan W. Brock. Deciding for Others: The Ethics of Surrogate Decision Making. Cambridge: Cambridge University Press, 1989.Google Scholar
- Daniels, Norman. Am I My Parents’ Keeper? An Essay on Justice between the Young and the Old. New York: Oxford University Press, 1988.Google Scholar
- Frederick, Shane, George Loewenstein, and Ted O’Donaghue. “Time Discounting and Time Preference: A Critical Review.” In Colin F. Camerer, George Loewenstein, and Matthew Rabin, eds. Advances in Behavioral Economics. New York: Russell Sage Foundation; Princeton and Oxford: Princeton University Press, 2004.Google Scholar
- Heron, Melonie, et al. “Deaths: Final Data for 2006.” National Vital Statistics Reports, 57 (14), April 2009.Google Scholar
- Lynn, Joanne, and David M. Adamson. “Living Well at the End of Life: Adapting Health Care to Serious Chronic Illness in Old Age.” RAND Health White Papers, Santa Monica, California, 2003.Google Scholar
- Nesse, Randolph M. “Evolutionary Psychology and Mental Health.” Chapter 23 in David M. Buss, ed. The Handbook of Evolutionary Psychology. Hoboken, NJ: Wiley, 2005.Google Scholar
- Parfit, Derek. Reasons and Persons. Oxford: Clarendon Press, 1984.Google Scholar
- Posner, Richard A. Aging and Old Age. Chicago and London: The University of Chicago Press, 1995.Google Scholar
- President’s Council on Bioethics. Taking Care: Ethical Caregiving in Our Aging Society. Washington, DC, September 2005. Available at http://www.bioethics.gov/reports/taking_care/index.html.
- Schelling, Thomas C. Choice and Consequence. Cambridge: Harvard University Press, 1984.Google Scholar
- Veatch, Robert M. The Basics of Bioethics, 2nd ed. Upper Saddle River, NJ: Pearson Education, 2003.Google Scholar
- Veatch, Robert M., Amy M. Haddad, and Dan C. English. Case Studies in Biomedical Ethics. New York: Oxford University Press, 2010.Google Scholar