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Book Detail
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Medicine
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Ethics
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Precision Medicine and Distributive Justice:
Wicked Problems for Democratic Deliberation
Fleck, Leonard M.
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Publisher: Oxford University Press Imprint: Oxford University Press Affiliation: Center for Bioethics and Social Justice, College of Human Medicine, Michigan State University Audience: Professional and scholarly Dimensions: 6.44 x 1.28 x 9.57 in
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Synopsis:
Metastatic cancer and costly precision medicines generate extremely complex problems of health care justice that previous theories of justice cannot address adequately. Fleck argues that what we need is a political conception of health care justice, following Rawls, and a fair and inclusive process of rational democratic deliberation governed by public reason.
While ideally just outcomes are a moral and political impossibility, “wicked†ethical problems can metastasize if rationing decisions are made in ways effectively hidden from those affected by those decisions. As Fleck demonstrates, a fair and inclusive process of democratic deliberation makes these “wicked†problems visible to public reason.
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