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Autonomy and Communitarianism: The Ethics of Terminal Care in Cross-Cultural Perspective

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Japanese and Western Bioethics

Part of the book series: Philosophy and Medicine ((PHME,volume 54))

Abstract

While it is sometimes said that nothing changes in matters of ethics, anyone who would say that has failed to grasp the dramatic changes in the ethics of the care of dying patients over the past two decades. In North America literally hundreds of cases have been debated in courts, in hospital ethics committees, and in scholarly articles (Keyserlingk, 1979; President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, 1983; Cantor, 1987; The Hastings Center, 1987; Veatch, 1989). In Japan debates over the rights of patients to be informed of a terminal diagnosis have stimulated controversy that has reached the news magazines and scholarly articles of the Western hemisphere (Hiatt, 1989; Kimura, 1994). In Europe one country is still suffering the controversies of unconsenting euthanasia (Lifton, 1986; Koch, 1991). Another prides itself in being the first country of the world to develop a formal public policy condoning intentional mercy killing of the terminally ill upon request (Gomez, 1991; Van Der Mass, 1991; DeWachter; 1989).

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Bibliography

  • Angell, M.: 1991, The case of Helga Wanglie: A new kind of “right to die” case’, The New England Journal of Medicine 325, 511–512.

    Article  Google Scholar 

  • Areen, J.: 1987, The legal status of consent obtained from families of adult patients to withhold or withdraw treatment’, Journal of the American Medical Association 258, 229–235.

    Article  Google Scholar 

  • Bowers, J.Z.: 1970, Western Medical Pioneers in Feudal Japan, The Johns Hopkins University Press, Baltimore.

    Google Scholar 

  • Buchanan, A.E. and Brock, D.W.: 1989, Deciding for Others: The Ethics of Surrogate Decision Making, Cambridge University Press, Cambridge.

    Google Scholar 

  • Callahan, D.: 1990, What Kind of Life: The Limits of Medical Progress, Simon and Schuster, New York.

    Google Scholar 

  • Cantor, N.: 1987, Legal Frontiers of Death and Dying, Indiana University Press, Bloomington.

    Google Scholar 

  • Choice in Dying, Inc.: Right to Die Law Digest Statutes,Choice in Dying, Inc., New York.

    Google Scholar 

  • Cruzan v. Director, Missouri Dept. of Health, 110 S.Ct. 2841 (1990).

    Google Scholar 

  • Davis, P.K.: 1978, Constitutional law-right of privacy-qualified right to refuse medical treatment may be asserted for incompetent under doctrine of substituted judgment, Emory Law Journal 27, 425–460.

    Google Scholar 

  • De Wachter, M.A.M.: 1989, Active euthanasia in the Netherlands’, Journal of the American Medical Association 262, 3316–3319.

    Article  Google Scholar 

  • Doi, T.: 1981, The Anatomy of Dependence, Kodansha International Ltd., Tokyo.

    Google Scholar 

  • Dresser, R.S. and Robertson, J.A.: 1989, Quality of life and non-treatment decisions for incompetent patients: A critique of the orthodox approach, Law, Medicine, and Health Care 17, 234–244.

    Google Scholar 

  • Emanuel, E.J.: 1991, The Ends of Human Life: Medical Ethics in a Liberal Polity, Harvard University Press, Cambridge.

    Google Scholar 

  • Gomez, C.F.: 1991, Euthanasia: Consider the Dutch, Commonweal 118, 469–472.

    Google Scholar 

  • Hattori, H., Salzberg, S. M., King, W. P. et al.: 1993, The patient’s right to information in Japan: Legal rules and doctors opinions, Social Science and Medicine 32, 1007–1016.

    Google Scholar 

  • Hiatt, F.: 1989, Japan court ruling backs doctors: Judge says that patients may be kept ignorant of their illnesses, Washington Post, May 30, 9–16.

    Google Scholar 

  • In re Quinlan, 70 N.J. 10, 355 A. 2d 647 (1976), cert. denied sub nom., Garger v. New Jersey, 429 U.S. 922 (1976), overruled in part, In re Conroy, 98 NJ 321, 486 A.2d 1209 (1985). In the Matter of Baby K, 1993 WL 343557 ( E.D. Va. ).

    Google Scholar 

  • Kai, I. et al.: 1993, Communication between patients and physicians about terminal care: A survey in Japan, Social Science and Medicine 37, 295–304.

    Google Scholar 

  • Keyserlingk, E.W.: 1979, Sanctity of Life or Quality of Life in the Context of Ethics, Medicine and Law, Law Reform Commission of Canada, Ottawa.

    Google Scholar 

  • Kimura, R.: 1994, Bioethics and Japanese health care, Washington-Japan Journal 2, 1–7.

    Google Scholar 

  • Koch, H.: 1991, Bundesrepublik Deutschland’, in A. Eser and H.-G. Koch (eds.), Materialien zur Sterbehilfe: Eine internationale Dokumentation, Max-Planck-Institut fur auslandisches und internationales Strafrecht, Freiburg im Breisgau, pp. 31–193.

    Google Scholar 

  • Lifton, R.J.: 1986, Nazi Doctors, Basic Books, New York.

    Google Scholar 

  • Maclntyre, A.: 1981, After Virtue, University of Notre Dame Press, Notre Dame.

    Google Scholar 

  • McGinley, T.: 1980, The right of privacy and the terminally-ill patient: Establishing the “right-to-die”, Mercer Law Review 31, 603–615.

    Google Scholar 

  • Meisel, A.: 1992, The legal consensus about forgoing life-sustaining treatment: Its status and its prospects, Kennedy Institute of Ethics Journal 2, 309–345.

    Article  Google Scholar 

  • Ninomiya, R.: 1978, Contemporary Japan: Medical ethics and legal medicine’, in W.T. Reich, (ed.), Encyclopedia of Bioethics, The Free Press, vol. 3, New York, pp. 926–929.

    Google Scholar 

  • President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research: 1983, Deciding to Forego Life-Sustaining Treatment: Ethical, Medical, and Legal Issues in Treatment Decisions, U.S. Government Printing Office, Washington, D.C.

    Google Scholar 

  • Raleigh Fitkin-Paul Morgan Memorial Hospital v. Anderson, 42 N.J. 421, 201 A. 2d 537 (1964) cert. denied, 337 U.S. 985 (1964).

    Google Scholar 

  • The Hastings Center: 1987, Guidelines on the Termination of Life-Sustaining Treatment and the Care of the Dying, The Hastings Center, Briarcliff Manor, New York.

    Google Scholar 

  • Tsuchida, T.: 1992, From ethos to ethics: Japanese views on life and death’, in Institute of Medical Humanities, (eds.), Toward a New Replenishment of Medical Education and Hospital Service, Kitasato University, Tokyo, pp. 319–325.

    Google Scholar 

  • Van Der Mass, P.J., Van Delden, J.J.M., Pijnenborg, L. and Looman, C.W.N.: 1991, Euthanasia and other medical decisions concerning the end of life’, The Lancet 338, 669–674.

    Article  Google Scholar 

  • Veatch, R.M.: 1989, Death, Dying, and the Biological Revolution, revised edition, Yale University Press, New Haven.

    Google Scholar 

  • Veatch, R.M. and Spicer, C.: 1992, Limits of guardian treatment refusal: A reasonableness standard’, American Journal of Law and Medicine 9, 427–468.

    Google Scholar 

  • Veatch, R.M.: 1981, A Theory of Medical Ethics, Basic Books, New York.

    Google Scholar 

  • Veatch, R.M. and Spicer, C.M.: 1984, Medically futile care: The role of the physician in setting limits’, American Journal of Law and Medicine 18, 15–36.

    Google Scholar 

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© 1997 Springer Science+Business Media New York or Springer Science+Business Media Dordrecht

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Veatch, R.M. (1997). Autonomy and Communitarianism: The Ethics of Terminal Care in Cross-Cultural Perspective. In: Hoshino, K. (eds) Japanese and Western Bioethics. Philosophy and Medicine, vol 54. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-8895-9_9

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  • DOI: https://doi.org/10.1007/978-94-015-8895-9_9

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-481-4719-9

  • Online ISBN: 978-94-015-8895-9

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