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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



Navigating the Twilight Zone

(p.618) 17.4 Commentary
The Future of Bioethics

Michael Dunn

Oxford University Press

It is important that the ethical question of how healthcare organizations – and society more broadly – ought to respond to the challenge of chronic diseases is addressed. Berlinger and Gusmano claim that the concept of ‘chronicity’ needs to be clarified, and that consideration is given to how the responsibility to treat and care for people with chronic diseases should be determined in light of this conceptual project. In this commentary, it is argued that chronic diseases can be distinguished from other health conditions on the differential – and morally significant – kinds of impact that they have on people’s everyday lives. On the basis of this argument, it is claimed that the pathways that Berlinger and Gusmano outline for the reform of policy and practice relating to the management of chronic diseases point us in the right kinds of directions, but do not go far enough.

Keywords:   chronic disease, ethics, disability, social support, long-term care, health policy, resource allocation

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