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The ethics of life itself

HURST, Samia

HURST, Samia. The ethics of life itself. Bioethica Forum , 2014, vol. 7, no. 3, p. 78

Available at:

http://archive-ouverte.unige.ch/unige:88970

Disclaimer: layout of this document may differ from the published version.

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EDITORIAL

Bioethica Forum / 2014 / Volume 7 / No. 3 78 Should bioethics care about the environment, address

issues related to environmental ethics? If yes, which ones and how? This question weaves through the his- tory of our field. One of the origins of bioethics in the 1920s started with concerns for environmental issues, with Fritz Jahr’s “bioethical imperative” to “Respect every living being on principle as an end in itself and treat it, if possible, as such” [1]. Until the rediscovery of his work, bioethics was traced back to a dual origin in the 1970s, with the near simultaneous coining of the term by Van Rensselaer Potter, who included long- range environmental concerns, and Hellegers, who focused on concrete medical dilemmas [2]. Despite the contrast usually made between these two origins, both integrated global issues of population ethics, questions which combine medical and environmental aspects [2].

Should bioethics, then, care about the environment?

There are several reasons why the answer should be yes.

First, environmental impacts are among the relevant consequences of human interventions which bioethics examines. Biotechnologies, medical interventions, and health systems can all impact the environment [3].

Second, environmental frameworks are clearly rele- vant. Animal experimentation, medically assisted re- production, research with human beings, public health:

all these topics integrate aspects that could be fruitfully approached from views developed within environmen- tal ethics.

Third, environmental effects on human health can be affected by our actions on the environment [4, 5].

Thinking about public health, and public health ethics, as separate from environmental issues is problematic [6].

Fourth, biotechnologies aimed at protecting the envi- ronment can raise ethical issues similar to those raised by biotechnologies aimed at any other goal. Genetically engineering humans to limit their impact on climate change may currently be a thought experiment [7], but it is an illustrative one. “Doing” bioethics or envi- ronmental ethics without the other fails to do justice to the tensions which arise between the environmental and the human elements of such possibilities, and ulti- mately between biocentric and anthropocentric views of ethics itself.

Fifth, how far does a view of human good focused on health take us in exploring environmental questions?

Prioritizing different views of the good without clear

The ethics of life itself

Samia Hursta

a Institut Ethique Histoire et Humanités (iEH2), Université de Genève

consensus on their value is one of the vexing questions in environmental ethics. Human health, however, is a goal with growing consensus behind it, including inter- national documents requiring collaboration in securing a right to health in certain circumstances [8]. It may be sufficiently consensual to ground at least some deci- sions [5]. How far can this take us? This seems a wor- thy question.

Finally, there is simply the observation that the ques- tion is not going away. Should bioethics address issues related to the environment? The answer might depend on the issues it examines, and how it does so. Finding this out will require having the discussion, be it only to see where we are capable of taking it.

In this issue, Bioethica Forum launches a new section on Bioethics and the environment with an inaugural theme issue on human enhancement and climate change. We hope there will be more. We invite you to contribute to this section. How rich and interesting it becomes is, ultimately, up to you.

Correspondence Prof. Dr. Samia Hurst

Institut Ethique Histoire Humanités (iEH2) Faculté de médecine, Université de Genève CMU/1, rue Michel Servet

CH-1211 Genève 4

E-mail: samia.hurst[at]unige.ch

References

1. Sass HM. Fritz Jahr’s 1927 concept of bioethics. Kennedy Inst Ethics J. 2007 Dec;17(4):279–95. PubMed PMID: 18363267.

2. Reich WT. The word “bioethics”: the struggle over its earliest mean- ings. Kennedy Inst Ethics J. 1995 Mar;5(1):19–34. PubMed PMID:

11645296.

3. Resnik DB. Bioethics and Global Climate Change. Bioethics forum.

2009;39(3):1. PubMed PMID: 19484138. Pubmed Central PMCID:

2688386.

4. Resnik DB, Roman G. Health, justice, and the environment. Bio ethics.

2007 May;21(4):230–41. PubMed PMID: 17845481. Pubmed Central PMCID: 3943334.

5. Costello A, Abbas M, Allen A, Ball S, Bell S, Bellamy R, et al. Manag- ing the health effects of climate change: Lancet and University College London Institute for Global Health Commission. Lancet.

2009 May 16;373(9676):1693–733. PubMed PMID: 19447250.

6. Lee C. Environmental justice: building a unified vision of health and  the environment. Environmental health perspectives. 2002 Apr;110 Suppl 2:141–4. PubMed PMID: 11929721. Pubmed Central PMCID: 1241156.

7. Liao MS, Sandberg A, Roache R. Human Engineering and Climate Change. Ethics, Policy & Environment. 2012;15(2):206–21.

8. Ford N, Calmy A, Hurst S. When to start antiretroviral therapy in resource-limited settings: a human rights analysis. BMC inter- national health and human rights. 2010;10:6. PubMed PMID:

20356356. Pubmed Central PMCID: 2864209.

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