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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

Response to Commentaries

Response to Commentaries

Further Thoughts on Implementing Accountability for Reasonableness

(p.590) 16.6 Response to Commentaries
The Future of Bioethics

James Sabin

Norman Daniels

Oxford University Press

Accountability for reasonableness is no panacea for various political problems. Daniel Callahan suggests that accountability for reasonableness requires strong leadership—perhaps the leadership of a judge—and we agree that proper management of the decision-making process requires strong leadership. Prof. Okuda suggests that there is an important historical component (he refers to “archives”), and the authors agree that it is the historical accumulation of a record of public rationales that constitutes the commitments of decision-makers over time. Prof. Inoue suggests that social consensus on a principle such as equality of opportunity may allow appropriate priority setting decisions, but the authors argue that such general principles are too indeterminate and the authors doubt there is social consensus on fine-grained principles that can resolve disagreements. The process requires participants selected appropriately given the context; they must be committed to finding mutually acceptable justifications. Ethical deliberation does not require technical expertise.

Keywords:   Accountability for reasonableness, leadership, participants, social consensus

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