Competence and Paternalism
Some bioethicists have argued in favor of a sliding scale notion of competence, paternalistically requiring greater competence in relation to more significant risk. I argue against a sliding scale notion, taking issue with the positions of Allen E. Buchanan and Dan W. Brock, Ian Wilkes, and Joel Fei...
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Format: | Electronic Article |
Language: | English |
Check availability: | HBZ Gateway |
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Wiley-Blackwell
2002
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In: |
Bioethics
Year: 2002, Volume: 16, Issue: 3, Pages: 231-245 |
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Volltext (lizenzpflichtig) Volltext (lizenzpflichtig) |
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520 | |a Some bioethicists have argued in favor of a sliding scale notion of competence, paternalistically requiring greater competence in relation to more significant risk. I argue against a sliding scale notion, taking issue with the positions of Allen E. Buchanan and Dan W. Brock, Ian Wilkes, and Joel Feinberg. Rejecting arguments that a sliding scale is supported by legal cases, by ordinary usage, and by fallible judgments about competence, I argue in favor of greater evidence of competence when risk is greater. Two clinical cases are examined, both involving amputation, to show that my fixed concept of competence, with a requirement of clearer evidence of competence when risk is high, better accounts for good moral decisions in bioethics. | ||
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