Vogelstein Eric
Bioethics. 2015 Jun;29(5):324-33. doi: 10.1111/bioe.12114. Epub 2014 Sep 24.
In this article, I address the extent to which experts in bioethics can contribute to healthcare delivery by way of aid in clinical decision-making and policy-formation. I argue that experts in bioethics are moral experts, in that their substantive moral views are more likely to be correct than those of non-bioethicists, all else being equal, but that such expertise is of use in a relatively limited class of cases. In so doing, I respond to two recent arguments against the view that bioethicists are moral experts, one by Christopher Cowley and another by David Archard. I further argue that bioethics experts have significant additional contributions to make to healthcare delivery, and highlight a hitherto neglected aspect of that contribution: amelioration of moral misconception among clinicians. I describe in detail several aspects of moral misconception, and show how the bioethicist is in a prime position to resolve that sort of error.
在本文中,我探讨了生物伦理学专家能够在多大程度上通过协助临床决策和政策制定来为医疗服务做出贡献。我认为,生物伦理学专家是道德专家,因为在其他条件相同的情况下,他们的实质性道德观点比非生物伦理学家的观点更有可能是正确的,但这种专业知识仅在相对有限的一类案例中有用。在此过程中,我回应了最近针对生物伦理学家是道德专家这一观点的两个论点,一个来自克里斯托弗·考利,另一个来自大卫·阿查德。我进一步认为,生物伦理学专家对医疗服务还有其他重大贡献,并强调了该贡献中一个迄今被忽视的方面:改善临床医生中的道德误解。我详细描述了道德误解的几个方面,并展示了生物伦理学家如何处于解决此类错误的有利位置。