Bioethics and the Failure of Success

Authors

  • Tom Koch University of British Columbia Vancouver, BC. Canada

DOI:

https://doi.org/10.14738/bjhr.1206.19741

Keywords:

Bioethics, commercialization, Hippocratic ethics, moral philosophy marketization

Abstract

Since its inception in the 1970s Bioethics has become the dominant perspective on issues of medical care and organization. It has done so with the declaration that neither the traditional Hippocratic ethic nor ethicists grounded in religious perspectives should have a similar posture in debate over medical dilemmas in modern, post-industrial society. It has failed, however, to offer convincing answers to a range of issues arising in both the evolving medical science and the realities of medical practice. While acknowledging its strength an understanding of its failures may permit a better and more comprehensive and humanistic medical ethics to be presented.

References

Beauchamp T.L., Childress J. 2019. Principles of Bioethics, Eighth Edition. New York: Oxford University Press. ISBN-10. 0190640871.

Beauchamp T.L. 1993. The principles approach. The Hastings Center Report 23 (6

Blumenthal D., Galvin, R. 2025. The Vocabulary of Our Discontent. JAMA Online (Aug 18). Doi: 10.1011/jama.2025.12584

Blumenthal-Barby J., Aas S. Brudney D., Et al. 2021. The Place of Philosophy in Bioethics Today. The American Journal of Bioethics 22 (12). https://doi.org/10.1080/15265161.2021.1940355 .

Callahan D. 1993. Why American Accepted. Bioethics. The Hastings Center Report 23 (6): S8-9.

Callahan D. 2012. In Search of the Good: A Life in Bioethics. Cambridge, MA. MIT Press.

Cherry M. 2024. Bioethics after God: Morality, Culture, and Medicine. Chicago, IL: University of Notre Dame Press.

Clouser K. D., Gert B. 1990. A Critique of Principlism Journal of Medicine and Philosophy 15b(2) 2: 219–236, https://doi.org/10.1093/jmp/15.2.219.

Coordinating Committee of Spirit of 1848. Spirit of 1848: A Network Linking Politics, Passion and Public Health. Critical Public Health 8 (1): 97-103. https://doi.org/10.1080/09581599808409215.

Cruess S.R., Cruess R.L. 2016. Professionalism as a social construct: The evolution of the concept. Invited commentary. Journal of Graduate Medical Education 8(2):265-267.

Cuevas-Badallo A., Torres González O. 2025. Medical expertise as hybrid expertise: a proposal for the articulation of medical knowledge. Philosophy, Ethics, and Humanities in Medicine 20 (38). https://doi.org/10.1186/s13010-025-00194-y

Dubljević V, Coin A. eds. 2023. Policy, Identity, and Neurotechnology. NY: Springer.

Elliott, C. 2021. Sisyphus Gets a Prescription. Hedgehog Review 23 (3). https://hedgehogreview.com/issues/authenticity/articles/sisyphus-gets-a-prescription .

Engelhardt, H. T. Jr. (2011). Core competencies for health care ethics consultants: In search of professional status in a post-modern world. HEC Forum, 23, 129–145.

Fins J. 2015. Rights Come to Mind: Brain Injury, Ethics and the Struggle for Consciousness. NY: Cambridge University Press.

Foucault M. 1976. Archeology of Knowledge & The Discourse on Language. NY: Harper Collins.

Grose, J. 2020. How many organisms during a pregnancy? Philosophy of Science 87 (5):1049–60. doi:10.1086/710542.

Guthrie R. 1992. The origin of newborn screening. Screening:1: 5–15. Doi: 10.1016/0925-6164(92)90025-Z.

Hamlin C. 1998. Public Health and Social Justice in the Age of Chadwick. Britain, 1800-1854. NY: Cambridge University Press.

Held V. 2006. The Ethics of Care: Personal, Political and Global. NY: Oxford University Press.

Jacobs J. 1992. Systems of Survival: A Dialogue on the Moral Foundations of Commerce and Ethics. NY: Vintage Books.

Lewis G.F. Brubaker P. 2021. The Discovery of Insulin Revisited: Lessons for the Modern Era. Journal of Clinical Investigation 131 (1): e142239. Doi: 10.1172/JCI142239.

McNamara M. 2025. Oaths and Expertise: The Bioethical Consequences of Health Policy as Medical Decision-Making. Minneapolis, MN: Univ. Minnesota Centre for Bioethics (October 31). https://bioethics.umn.edu/events/oaths-and-expertise-bioethical-consequences-health-policy-medicaldecision-making

Miller F. G., Truog R. D. 2018. Rethinking the Ethics of Vital Organ Donations. Hastings Center Report 38(6) 38-

Koch, T. (2025). Bioethics and the Failure of Success. British Journal of Healthcare and Medical Research, Vol - 12(06). 176-185.

Mol A. 2002. The Body Multiple: Ontology in Medical Practice. Durham, NC: Duke University Press.

Nussbaum M. 1998. Public Philosophy and international Feminism. Ethics 108: 762-68.

Pilkington B., Caplan A., Parsi K. (2025). In an Age of Anti-Intellectualism What is the Value of Expertise. Voices in Bioethics 11: 53-62. https://doi.org/10.52214/vib.v11i.13851

Porter, R. 1999. The Greatest Benefit to Mankind: A Medical History of Humanity. NY: 2010.

Ravidsky V. 2024. 2024. The Future of Bioethics: Challenges, Visions and Opportunities. NY: Columbia University. Presented Online Sept. 28. https://sps.columbia.edu/events/futurebioethics-challenges-visions-andopportunities

Rechlin J. 1994. Observations on the Epistemological Status of Bioethics. Journal of Medicine and Philosophy 19: 79-102. Ruokvets O. 2025. Is Neurotechnology Developing Faster Than Its Ethical and Legal Guardrails? Neurology Today 25(1):15-16, January 2,2025. | DOI: 10.1097/01.wnt.0001097200.05407.15 .

Richie C. 2020. The New Bioethics 26 ( 2), 2020, 82–90.

Rotenstein L. S., Torre, M. Ramos M.A., Rosales R. C. et al. 2018. Prevalence of Burnout among Physicians: A Systematic Review. JAMA 320; 11: 1130-1150. 50.

Shea M. 2025. The Ethics of Clinical Ethics. HEC Forum 37: 389–410. https://doi.org/10.1007/s10730-024-09544-3.

Singer P. 1974. Philosophers are back on the job. NY Times Magazine, July 7, 6-7,17-20.

Singer P. 1983. Hegel: A Short Introduction. NY: Oxford University Press.

Smith D.M. 2000. Moral Geographies: Ethics in a World of Difference. Edinburgh: Edinburgh University Press.

Smith D.M. 1973. The Geography of Social Well-being. NY: McGraw-Hill.

Starr P. 2017. The Social Transformation of American Medicine: The Rise of a Sovereign Profession & the Making of a Vast Industry: With a New Epilogue by the Author. Updated edition. New York: Basic Books, 2017.

Sklott R. 2010. The Immortal Life of Henrietta Lacks. NY: Crown Publishers.

Taylor R., Rieger A. 1985. Medicine as social science: Rudolf Virchow on the typhus epidemic in Upper Silesia. International Journal of Health Services 15 (4): 547-559 Doi: 10.2190/xx9v-acd4-kuxd-c0e5.

Veatch R.M. 1993. From forgoing life support to aid-in-dying. Hastings Center Report 23 (6): S7-8.

Veatch R.M. 2012. Hippocratic, Religious, and Secular Medical Ethics. Georgetown University Press.

Virchow R. 2016. Report on the Typhus Epidemic in Upper Silesia. Am J Public Health 96(12): 2102–2105. Doi: 10.2105/ajph.96.12.2102.

Weil S. 1952. The Need for Roots: Prelude to a Declaration of Duties Toward Mankind. A.F. Wills, Trans. London: Routledge & Kegan Paul, Ltd.

Wiley L. Cheek M., LeFar E. et al. 2025. The Ethics of Human Embryo Editing via CRISPR-Cas9.

Wiley L., Cheek M., LaFar, E. et al. The Ethics of Human Embryo Editing via CRISPR-Cas9 Technology: A Systematic Review of Ethical Arguments, Reasons, and Concerns. HEC Forum 37: 267–303. https://doi.org/10.1007/s10730-024-09538-1. Zuckerman S., Kimsma G., Devisch I. 2023. On Bioethics. Journal of Evaluation in Clinical Practice 29 (7): 1100-1107, https://doi.org I 1 O.1 1 1 1 /jep.13841.

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Published

2025-12-23

How to Cite

Koch, T. (2025). Bioethics and the Failure of Success. British Journal of Healthcare and Medical Research, 12(06), 176–185. https://doi.org/10.14738/bjhr.1206.19741