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Bioethics, born in the 1960s and 1970s, has achieved great success, but also has experienced recent growing pains, as illustrated by the case of Terri Schiavo. In The Future of Bioethics, Howard Brody, a physician and scholar who dates his entry into the field in 1972, sifts through the various issues that bioethics is now addressing--and some that it is largely ignoring--to chart a course for the future. Traditional bioethical concerns such as medical care at the end of life and research on human subjects will continue to demand attention. Brody chooses to focus instead on less obvious issues that will promise to stimulate new ways of thinking. He argues for a bioethics grounded in interdisciplinary medical humanities, including literature, history, religion, and the social sciences. Drawing on his previous work, Brody argues that most of the issues concerned involve power disparities. Bioethics' response ought to combine new concepts that take power relationships seriously, with new practical activities that give those now lacking power a greater voice. A chapter on community dialogue outlines a role for the general public in bioethics deliberations. Lessons about power initially learned from feminist bioethics need to be expanded into new areas--cross cultural, racial and ethnic, and global and environmental issues, as well as the concerns of persons with disabilities. Bioethics has neglected important ethical controversies that are most often discussed in primary care, such as patient-centered care, evidence-based medicine, and pay-for-performance. Brody concludes by considering the tension between bioethics as contemplative scholarship and bioethics as activism. He urges a more activist approach, insisting that activism need not cause a premature end to ongoing conversations among bioethicists defending widely divergent views and theories.

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Recent decades have witnessed profound shifts in the politics of medicine and the biological sciences. Members of several professions, including philosophers, lawyers and social scientists, now discuss and help regulate issues that were once left to doctors and scientists, in a form of outside involvement known as ‘bioethics’. The making of British bioethics provides the first in-depth study of the growing demand for this outside involvement in Britain, where bioethicists have become renowned and influential ‘ethics experts’. The book moves beyond existing histories, which often claim that bioethics arose in response to questions surrounding new procedures such as in vitro fertilisation. It shows instead that British bioethics emerged thanks to a dynamic interplay between changing sociopolitical concerns and the aims of specific professional groups and individuals. Highlighting this interplay has important implications for our understanding of how issues such as embryo experiments, animal research and assisted dying became high profile ‘bioethical’ concerns in late twentieth century Britain. And it also helps us appreciate how various individuals and groups intervened in and helped create the demand for bioethics, playing a major role in their transformation into ‘ethics experts’. The making of British bioethics draws on a wide range of materials, including government archives, popular sources, professional journals, and original interviews with bioethicists and politicians. It is clearly written and will appeal to historians of medicine and science, general historians, bioethicists, and anyone interested in what the emergence of bioethics means for our notions of health, illness and morality.

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