The History and Future of Bioethics

It seems like every day society faces a new ethical challenge raised by a scientific innovation. Human genetic engineering, stem cell research, face transplantation, synthetic biology - all were science fiction only a few decades ago, but now are all reality. How do we as a society decide whether these technologies are ethical? For decades professional bioethicists have served as mediators between a busy public and its decision-makers, helping people understand their own ethicalconcerns, framing arguments, discrediting illogical claims, and supporting promising ones. These bioethicists play an instrumental role in guiding governments ethical policy decisions, consulting for hospitals faced with vital decisions, and advising institutions that conduct research on humans. Although the bioethics profession has functioned effectively for many years, it is now in crisis. Policy-makers are less inclined to take the advice of bioethics professionals, with many observers saying that bioethics debates have simply become partisan politics with dueling democratic and republican bioethicists. While this crisis is contained to the task of recommending ethical policy to the government, there is risk that it will spread to the other tasks conducted by bioethicists. To understand how this crisis came about and to arrive at a solution, John H. Evans closely examines the history of the bioethics profession. Bioethics debates were originally dominated by theologians, but came to be dominated by the emerging bioethics profession due to the subtle and slow involvement of the government as the primary consumer of bioethical arguments. After the 1980s, however, the views of the government changed, making bioethical arguments less legitimate. Exploring thesociological processes that lead to the evolution of bioethics to where it is today, Evans proposes a radical solution to the crisis. Bioethicists must give up its inessential functions, change the way they make ethical arguments, and make conscious and explicit steps toward re-establishing theprofessions legitimacy as a mediator between the public and government decision-makers.John Evans provides a trenchant reconstruction of the waxing and waning influence of theology on the bioethics canon, as well as an original proposal for a social science-based bioethics. This book will fascinate and instruct anyone interested in where we have been and where we should go in our societal conversation about deep human values.- Jonathan Moreno, University of Pennsylvania