Taking Issue

Dr. Brody has crafted a set of lucid and compelling arguments for the utility and integrity of moral pluralism. His collected essays challenge the ethics orthodoxy to submit conventional views to a fresh analysis. -- Nancy Neveloff Dubler, LLB, director, Division of Bioethics, Department of Epidemiology and Social Medicine, Montefiore Medical Center and professor of bioethics, Albert Einstein College of Medicine

Taking the theory of pluralistic casuistry with conventional bioethical wisdom, this title challenges the rigid principalism of contemporary bioethics. It argues for the fundamental distinction between active and passive euthanasia, and for a need to reconceptualize approaches to brain death.A pioneer in the theory of pluralistic casuistry, the idea that there are almost as many facets to moral choices as there are cases that call for choices, Baruch Brody takes issue with conventional bioethical wisdom and challenges the rigid principalism of contemporary bioethics. His views have been seen as controversial, but they are firmly held, and convincingly argued - all of which have led him to be one of the most widely discussed and highly admired bioethicists of our time. He argues for the fundamental distinction between active and passive euthanasia, for a need to reconceptualize approaches to brain death, and for the right of providers to unilaterally discontinue life support. He shows support for the waiving of the requirement of informed consent for some research, for the widespread use of animals in research, and for the use of placebos in many international clinical trials. When it comes to morality as it is practiced in medicine, Brody makes clear that the ethical issues are never as simple as black and white - that there are myriad factors and fine nuances that can and should challenge decision making as it is commonly practiced in difficult medical cases. In this collection, delving thoughtfully and systematically into methodology, research ethics, clinical ethics, and Jewish medical ethics, he tackles thorny life-and-death questions head-on and fearlessly. He casts a light into all the corners of end-of-life decisions - a field in which he has exemplary credentials - while illuminating a new understanding of morality and ethics. The introduction outlines Brody's approach, defines the terminology used, and contrasts his ethical positions with much of the competing literature. "Taking Issue" will be invaluable to students and scholars in medical ethics, bioethics, and philosophy of medicine.