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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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Response to Commentaries

Response to Commentaries

(p.624) 17.5 Response to Commentaries
The Future of Bioethics

Nancy Berlinger

Michael K. Gusmano

Oxford University Press

The scope of chronic illness, and of the chronic disease/end-of-life care continuum, is vast, and different health care systems may reflect different values about how best to offer good care to persons who are living with (and often self-managing) different chronic illnesses. Chronic illness is certainly about the experiences of the person living with chronic illness and about populations affected by different chronic conditions. It is also about how a society, through its health financing and other policies, expresses its support for this experience – or else turns away from its chronically ill members. The three commentaries on the authors’ case highlight: 1) the degree to which cultural values may create challenges for clinicians caring for patients with chronic illness; 2) the psychological impact of living with chronic illness and; 3) the importance of looking at chronicity from a perspective informed by the experiences of people with chronic illness.

Keywords:   filial piety, family caregiving, social support

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