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You are here > Home > Reading Lists > Compliance Resources > Ethics & the Metaphysics of Medicine

Ethics and the Metaphysics of Medicine: Reflections on Health and Beneficence
Kenneth Richman

Hardcover: 232 pages    
ISBN 0262182386
The MIT Press
July 2004
(click below for the very best currently available price for this important resource)

It is notable that such contentious legal initiatives as the Americans with Disability Act and the Patients' Bill of Rights fail to define adequately the medical terms on which their effectiveness depends. 

In Ethics and the Metaphysics of Medicine, Kenneth Richman develops an "embedded instrumentalist" theory of health and applies it to practical problems in health care and medicine, addressing topics that range from the philosophy of science to knee surgery.

"Embedded instrumentalist" theories hold that health is a match between one's goals and one's ability to reach those goals, and that the relevant goals may vary from individual to individual. This captures the normative implications of the term health while avoiding problematic relativism. Richman's embedded instrumentalism differs from other theories of health in drawing a distinction between the health of individuals as biological organisms and the health of individuals as moral agents. This distinction illuminates many difficulties in patient-provider communication and helps us understand conflicts between promoting health and promoting ethically permissible behavior. 

Definitions of health and disease are of more than theoretical interest. Understanding what it means to be healthy has implications for choices in medical treatment, for ethically sound informed consent, and for accurate assessment of policies or programs. 

This deeper understanding can help us create more effective public policy for health and medicine. 

After exploring, expanding, and defending this theory in the first part of the book, Richman examines its ethical implications, discussing such concerns as the connection between medical beneficence and respect for autonomy, patient-provider communication, living wills, and clinical education.

Kenneth A. Richman is Associate Professor of Philosophy and Health Care Ethics at the Massachusetts College of Pharmacy and Health Sciences. He is the coeditor of The New Hume Debate and Current Moral and Social Issues.

(information about this book has been provided by the publisher)

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