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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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Commentary

Commentary

Reasonableness and Politics

Chapter:
(p.571) 16.2 Commentary
Source:
The Future of Bioethics
Author(s):

Daniel Callahan

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199682676.003.0077

The principle of “accountability for reasonableness” seems both wise and full of common sense, but several doubts and questions remain. In a political system such as that in the U.S., where the highly polarized and contentious debate on health care reform is which is ongoing, decision-makers would likely be unable to carry out these principles even if they were committed to them. Moreover, for a “fair deliberative process” to occur, a range of stakeholders in this process must exist, but the discussion content is unclear. To add to the murkiness, the definition of “more deliberative”, how to find “fair-minded people” to carry out “fair process”, and the best pedagogical method for educating all stakeholders in this principle are all currently ambiguous. While raising these questions, the author does not mean to deny that accountability for reasonableness is a reasonable idea.

Keywords:   Accountability for reasonableness, health care reform debate, stakeholders, fairness

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