Philosophical Implications and Practical Steps
Philosophical Implications and Practical Steps
Summing up the book, this chapter reviews the argument, notes the novelty of the partial-entrustment model and, looking forward, sets out practical steps that can be recommended even without committing to that approach. The partial-entrustment approach is shown to be an important addition to the bioethical principles set out by Beauchamp & Childress (2009) and Emanuel et al. (2004) and to evade worries about paternalism raised by Wertheimer & Miller (2007). Further, the idea of moral entanglements on which it rests is of interest, more broadly, to moral philosophers. Regarding practical steps that need to be taken, the “four Ps” of a 2008 consensus paper by participants in a Georgetown ancillary-care workshop are reiterated and reinforced, along with their framework of three key questions for Institutional Review Boards and Research Ethics Committees.
Keywords: research ethics, ancillary care, partial-entrustment model, moral entanglements, paternalism, institutional review boards, research ethics committees, Tom L Beauchamp, Jams Childress, Emanuel, Ezekiel, Miller, Franklin, Alan Wertheimer
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