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Public Reason Requirements in Bioethical Discourse

Bibliographic Data

ID21598388
AuthorsSøren Holm (0000-0003-1411-1855, University of Oslo, corresponding author)
Year2025
Volume34
Issue1
Pages74-83
Publication date2025-01-01
Open AccessYes
TypeARTICLE
VenueCambridge Quarterly of Healthcare Ethics (JOURNAL)
Journal identifiersISSN: 0963-1801 • E-ISSN: 1469-2147
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s0963180124000094
PMID38389493
OpenAlexW4392106721
LanguageEN
Citations received1
References cited25

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

Bioethics · Civility · Democracy · Epistemology · Expansive · Law and economics · Political science · Politics · Public discourse · Public policy · Public reason · Sociology · Ethics and Legal Issues in Pediatric Healthcare · Ethics in medical practice · Law · Patient Dignity and Privacy · Philosophy

  • Public Justification and Normatively Meaningful Bias

    Open Access•Anantharaman Muralidharan, Julian Savulescu et al.•Bioethics•2026

  • The Idea Of An Overlapping Consensus

    John Rawls•Oxford Journal of Legal Studies•1987

  • Moral Conflict and Political Legitimacy

    Thomas Nagel•Perspectives on Human Conduct•1988

  • Public Reason and Prenatal Moral Status

    Open Access•Jeremy Williams•The Journal of Ethics•2015

  • Against Public Reason Liberalism's Accessibility Requirement

    Kevin Vallier•Journal of Moral Philosophy•2011

  • Incompletely Theorized Agreements

    Cass R Sunstein•Harvard Law Review•1995

  • What is the appropriate role of reason in secular clinical ethics? An argument for a compatibilist view of public reason

    Open Access•Abram Brummett•Medicine Health Care and Philosophy•2021

  • On the Justified Use of AI Decision Support in Evidence-Based Medicine

    Open Access•Sune Holm•Cambridge Quarterly of Healthcare…•2023

  • The Dobbs Decision

    Open Access•Leonard M Fleck•Cambridge Quarterly of Healthcare…•2023

  • Religious Reasons and Political Debate

    Phillip Montague•Social Theory and Practice•2004

  • Nonsense upon Stilts (Routledge Revivals)

    Jeremy Waldron•Nonsense upon Stilts•2014

  • Do Religious Justifications Distort Policy Debates? Some Empirics on the Case for Public Reason

    Open Access•Steven Kettell, Paul A Djupe•Politics and Religion•2020

  • How, When, and Why Do Religious Actors Use Public Reason? The Case of Assisted Dying in Britain

    Open Access•Steven Kettell•Politics and Religion•2019

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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