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The Future of BioethicsInternational Dialogues$
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Akira Akabayashi

Print publication date: 2014

Print ISBN-13: 9780199682676

Published to Oxford Scholarship Online: January 2014

DOI: 10.1093/acprof:oso/9780199682676.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 24 October 2021



How Should We Defend a Family-Based Approach to Informed Consent?

(p.762) 21.4 Commentary
The Future of Bioethics

Ruiping Fan

Oxford University Press

This essay highlights the similarities between the “family-facilitated approach” to informed consent proposed by Akabayashi and Hayashi and the “family-based account” developed by the author himself, as they relate to East Asian culture. The author argues that such an approach cannot be supported by upholding a modern Western individualist concept of personal autonomy. Instead, it must draw on a concept of moral autonomy, such as the Confucian concept, to lay out its ethical foundations and cultural expectations still shared by most people in East Asia. The author concludes that there is no need to change relevant health care policy in East Asia. The patients who do not accept the family-based approach should be responsible for clarifying this to their doctors so as to receive unique treatment.

Keywords:   Autonomy, family, individualism, informed consent

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