Bonnie Steinbock
Biographic Data
| ID | 3927587 |
|---|---|
| NAME | Bonnie Steinbock |
| GIVEN NAMES | Bonnie |
| FAMILY NAME | Steinbock |
| SIGNATURE | STEINBOCK B |
| AFFILIATIONS | University at Albany, State University of New York |
| VERIFIED | No |
| TOTAL WORKS | 63 |
| TOTAL CITATIONS | 1 |
| AUTHOR COUNT | 32 |
| EDITOR COUNT | 31 |
| FIRST PUBLICATION YEAR | 1978 |
| LATEST PUBLICATION YEAR | 2018 |
| H-INDEX | 1 |
Advance Directives for Refusing Life‐Sustaining Treatment in Dementia
Aid‐in‐dying laws in the United States have two important restrictions. First, only patients who are terminally ill, defined as having a prognosis of six months or less to live, qualify. Second, at the time the patients take the lethal medication, they must be competent to make medical decisions. This means that an advance directive requesting aid in dying for a later time when the patient lacks decision‐making capacity would be invalid. However,…
Physician‐Assisted Death and Severe, Treatment‐Resistant Depression
Should people suffering from untreatable psychiatric conditions be eligible for physician-assisted death? This is possible in Belgium and the Netherlands, where PAD for psychiatric conditions is permitted, though rare, so long as the criteria of due care are met. Those opposed to all instances of PAD point to Belgium and the Netherlands as a dark warning that once PAD is legalized, restricting it will prove impossible because safeguards, such as …
Life Before Birth
Previous edition, 1st, published in 1992.
Fetal Sentience and Women's Rights
Global Health
This article focuses on the access of people in developing countries to medications and medical services that are readily available to inhabitants of industrialized countries. There are, of course, other critical dimensions of public health that require action on a global scale. These include relief for large numbers of people who are starving or living at nearly subsistence levels; provision of a supply of clean, potable water for populations de…
Bioethics and Bioterrorism
The term ‘bioterrorism’ seems to have become a kind of shorthand for sowing terror through the use of other ‘unconventional’ weapons, especially chemical, nuclear, and radiological weapons, or ‘dirty bombs’. The ethical problems associated with these other threats are closely associated with those raised by biological agents. Therefore, this article necessarily refers to these related potential terrorist technologies, all of them made more availa…
Policy‐Making in Pluralistic Societies
Bioethics is not only concerned with analyzing the actions of individual moral agents; it also analyses policy decisions and thereby has an interface with political philosophy. Bioethicists often give unsolicited policy advice, but many also have more official roles on various kinds of ethics committees advising political decision-makers. This article aims to discuss the issues that arise when a state or other lower public authority has to make p…
The Aging Society and the Expansion of Senility
Of the many topics worthy of discussion regarding older adults and bioethics, two seem to provide an especially pointed opportunity for reflection on our aging society. First, is aging itself something that biomedical researchers should focus on as a deficit to be overcome through eventual anti-aging treatments? While aging may not fall neatly into the disease category, it is clearly the primary susceptibility factor for the innumerable diseases …
Enhancement
Understanding the ethics of enhancement begins with getting clear about the concept, as well as the factors likely to move people to pursue biomedical enhancement. This article first considers the usefulness of the distinction between therapy and enhancement for understanding the ethics of enhancement. Once the conceptual underbrush has been cleared away, we can move on to ethics. The next section examines critically a number of arguments that ha…
The Definition of Death
Two factors, medical science's growing control over the timing of death and the increasingly desperate need for organs, have led to a reopening of the debate about the definition of death and have forced a consideration of aspects of the determination of death that had never been addressed before. Without the pressing need for organs, the definition of death would have remained on the back shelf, the conversation of a few interested philosophers …
Death is a Punch in the Jaw
This article deals both with greatly extended finite life and with immortality and uses the term ‘greatly extended life’ to cover both. Except where indicated, it proceeds from some assumptions adapted from Christine Overall. First, people would know the life expectancy in their society or would know (or at least have good reason to believe) that they were immortal. Second, everyone would have the opportunity to choose greatly extended life. Thir…
Genetic Interventions and The Ethics of Enhancement of Human Beings
There has been considerable recent debate on the ethics of human enhancement. A number of prominent authors have been concerned about or critical of the use of technology to alter or enhance human beings, citing threats to human nature and dignity as one basis for these concerns. Frances Kamm has given a detailed rebuttal of Sandel's arguments, arguing that human enhancement is permissible. Nicholas Agar, in his book Liberal Eugenics , argues tha…
Therapeutic Cloning
Much of the literature on therapeutic somatic cell nuclear transfer (SCNT) covers the moral arguments for and against proceeding and the policy stall occasioned by conflicts over the moral status of embryos. Yet it is also worthwhile to view policy from the standpoint of the resources available as well as of deficiencies in those resources. This article uses the idea of a policy community to examine policy making from a starting point that focuse…
Research in Developing Countries
This article examines the problems that research ethics confronts in developing countries and the impact that research in developing countries has had on research ethics. In order to show this it analyzes the first paradigmatic cases that gave rise to the ‘classic’ analysis of research ethics. Hence, in this article, many of the ethical concerns apply wherever research is conducted and are not particular to developing countries. Secondly, the art…
Clinical Equipoise
Any view of equipoise faces perhaps the most radical and far-reaching objections from moral foundations . These objections hold that the equipoise requirement conflates the ethics of medical research and the ethics of clinical medicine. Once this conflation is recognized, this position holds, research can be given a new foundation on the imperative to avoid exploiting research participants. This article argues that what is novel in this critique …
Mental Disorder, Moral Agency, and the Self
A person suffering a mental illness or disorder may differ dramatically from his or her previous well self. Family and close friends who knew the person before the onset of illness tend to regard the illness as obscuring their loved one's true self and see the goal of treatment as the restoration of that self. ‘He is not really like this,’ they will say with increasing desperation. Treatment teams and others, who have no acquaintance with the per…
Autonomy
No single concept has been more important in the contemporary development of bioethics, and the revival of medical ethics, than the concept of autonomy, and none better reflects both the philosophical and the political currents shaping the field. This article proposes to consider autonomy in three of its facets and functions: first, as a concept in ethical theory; second, as a concept in applied ethics; and finally, as what might be called an ide…
Population Genetic Research and Screening
Like all community-based public health campaigns, proposals to use genetic information to improve the health and welfare of communities, whether the old eugenic sterilization campaigns or the routinized population screening programs of today's ‘public health genetics’, can involve asking affected individuals to make special sacrifices or assume special responsibilities on behalf of the community's welfare. Moreover, unlike public health intervent…
Research on Cognitively Impaired Adults
The preeminence of informed consent in human subjects protections reflects Western democratic societies' ethical and political commitments to secure each citizen against both coercive and paternalistic influences of other people. Society permits adults extensive personal discretion in choices such as where to live, what to eat, how to dress, and whether to be in research. In short, individuals are afforded extensive discretion in choosing what to…
Precedent Autonomy, Advance Directives, and End‐of‐Life Care
Bioethicists are widely agreed that patients have a right of self-determination over how they are treated. Our duty to respect this is said to be based on the principle of respect for autonomy. In end-of-life care the patient may be incompetent and unable to exercise that right. One solution is to exercise it in advance. Advance directives, which include living wills and powers of attorney for health care, enable people to decide (or least influe…
Animal Experimentation
This article takes the central issue concerning the ethics of animal experimentation to be the moral status of animals. Since most animal experimentation involves treating experimental subjects in ways that would clearly not be morally acceptable if the subjects were human, and since no animal experimentation involves the informed consent of the experimental subject(s), any attempt to justify such experimentation must include a defense of the cla…
Biobanking
This article looks at some of the chance discoveries and elegant ideas that were borne out through the availability of archived tissue samples. It then discusses some of the planned changes to the method and purpose of tissue storage and collection. The changes are in the form of new types of tissue bank, or biobank as they are conceived. These banks are part of a trend to move towards a preventative approach to public health rather than the curr…
Justice and the Elderly
Ethical concerns about the elderly are usually treated as a matter of justice. This is partly explained by the special status of the elderly in almost all economically developed societies. Public pension systems provide them with financial support, and publicly funded health care programs help to meet their health care needs. Those who are now old will have contributed to these institutions when they were younger, but it remains true that the eld…
‘Reinventing’ the Rule of Double Effect
The Rule of Double Effect has played an important role in bioethics, especially during the last fifty years. Its major application in bioethics has been in providing physicians who are opposed to euthanasia with a moral justification for using opioid analgesics in treating the pain of patients whose death might thereby be hastened. It has also prominently been applied to certain obstetric cases. The scope of application of double effect is actual…
For Dignity or Money
This article aims to lay out the ‘for money’ and ‘for dignity’ arguments that feminist ethicists have given about the reproductive labour women perform in providing oocytes or in getting pregnant for others. Feminist arguments about the morality of these two practices overlap significantly because, from a feminist perspective, the morally relevant facts about them are quite similar. Still, there are dissimilarities, stemming from the obvious fact…
Speciesism and the Idea of Equality
Most of us believe that we are entitled to treat members of other species in ways which would be considered wrong if inflicted on members of our own species. We kill them for food, keep them confined, use them in painful experiments. The moral philosopher has to ask what relevant difference justifies this difference in treatment. A look at this question will lead us to re-examine the distinctions which we have assumed make a moral difference.
Moral reasons and relativism
Interests and Rights
The Removal of Mr. Herbert's Feeding Tube
The California case of Drs. Nejdl and Barber, charged with murder for\nremoving the respirator and intravenous feeding line of a severely\nbrain-damaged comatose patient, resulted in divided judicial opinion, delaying\nindictment or dismissal. Steinbock discusses the legal arguments and medical\nopinions presented in court, supports the conclusion that removal of all\nlife-support apparatus from the irreversibly comatose is morally and legally\np…
Baby Jane Doe in the Courts
A parental decision to forego corrective surgery for a baby born with\nspina bifida in October 1983 resulted in a legal controversy and a public\ndebate about the care of all babies born with serious disabilities. Steinbock\ntraces the medical and legal history of the "Baby Jane Doe" case, contrasts\nthe approachs of the New York courts involved, and looks at two other\ndecisions involving the treatment of minors with which the case has been\ncom…
What Do We Owe to Baby Jane
Blood
The Logical Case for "Wrongful Life"
Suits that claim that a child would be better off never having been born often founder on conceptual and logical dilemmas. However, the correct interpretation of "wrongful life" does not require a comparison between existence and nonexistence. The New Jersey Supreme Court's decision in the Procanik case to limit damages to extraordinary medical expenses, barring recovery for pain and suffering, is a reasonable resolution
Whatever Happened to the Danville Siamese Twins
Case Studies
A young pregnant woman, diagnosed as extremely immature with a personality disorder, refuses treatment to stop preterm labor despite advice that a premature birth may result in fetal death or a handicapped baby. Her physician considers acquiescing and risking a premature delivery, transferring the patient to a compliant physician, or obtaining a court order to force treatment. Steinbock, a professor of philosophy and public policy, takes a psycho…
Recovery from Persistent Vegetative State
How reliable is a diagnosis of irreversible unconsciousness? In a\nunique case in New York, a state Supreme Court judge vacated an order allowing\nremoval of life-sustaining treatment after Carrie Coons showed signs of\nrecovery from a diagnosed vegetative state
Life Before Birth
Every day issues raise the question of the moral status of the unborn; are embryos and fetuses part of the pregnant woman or are they persons? Are they sources for tissue, research tools, or are they pre-born children? Different conceptions of the unborn prevail in different contexts, giving rise to the charge of inconsistency. This book provides a framework for thinking clearly and coherently about the unborn. The first chapter elaborates the bo…
The Relevance of Illegality
Once we acknowledge that women have moral obligations to the children\nthey will bear, there is a temptation to think that these obligations should\nbe made legal. If the coercive power of the state is justifiably invoked to\nprotect children from neglectful or abusive parents, why can't it be used\nagainst a woman whose behavior injures her child before it is born? Does not\nsociety have the right -- or indeed the obligation -- to intervene, coe…
When Is Birth Unfair to the Child
Is it wrong to bring children who will have serious diseases and\ndisabilities into the world? In particular, is it unfair to them? The notion\nthat existence itself can be an injury is the basis for a recent new tort\nknown as "wrongful life." This paper considers Feinberg's theory of harm as\nthe basis for a claim of wrongful life, and concludes that rarely can the\nstringent conditions imposed by his analysis be met. Another basis for\nmaintai…
Interests and Sentience
Reproductive Rights and Responsibilities
Coercion and Long-Term Contraceptives
It should be remembered, however, that coercion is not always\nunjustified or improper. Some socially desirable ends can only be achieved\nthrough mutually agreed-upon coercive policies, such as taxation and\nimmunization. Too often coercion is used as a generalized term of abuse. \nIncentives for birth control, for example, might be criticized as violating\nautonomy, equal protection, or informed consent, even if offering such\nincentives is not…
Liberty, Responsibility, and the Common Good
A call for ethical boundaries in assisted reproduction
Separate Execution and Organ Donation
What does “respect for embryos” mean in the context of stem cell research
Sex Selection
Although sex selection calls for careful thought, it seems in many cases to be neither intrinsically objectionable nor likely to have bad consequences
Perspective
Given the battles over abortion pro-choice advocates are understandably skeptical that the new federal rules are not about abortion. A better and less divisive option would be to broaden health care coverage explicitly to include pregnant women. This would have done even more to protect future children since biologically mothers and fetuses are not independent but a unit that must be treated together. (excerpt)
Alternative Sources of Stem Cells
http://dx.doi.org/10.1353/hcr.2005.0049
Defining Parenthood
Political science (29 works) · Law (24 works) · Psychology (24 works) · Computer Science (21 works) · Sociology (21 works) · Medicine (16 works) · Philosophy (16 works) · Ethics in medical practice (14 works) · Ethics and Legal Issues in Pediatric Healthcare (12 works) · Epistemology (11 works)