title: The foundations of bioethics: contingency and relevance.
abstract: In this essay, I proceed by, first, laying out H. Tristram Engelhardt's argument for the principle of permission as the proper foundation for a secular bioethic. After considering how a number of commentators have tried to undermine this argument, I show why it is immune to some of these advances. I then offer my own critique of Engelhardt's project. This critique is two pronged. First, I argue that Engelhardt is unable to establish his own foundation for a secular bioethic. This inability leaves him with only contingent points of departure for a secular bioethic, some of the more salient of which he has ignored. Second, I argue that even if Engelhardt's project succeeds, it is in danger of being irrelevant in a practical sense because it ignores important contextual dimensions of the peculiar enterprise we call bioethics. Ultimately, the proper foundations for a relevant secular bioethic. I argue, must appeal to certain contingent features of the context that gives rise to the need for it.
authors.affiliation: University of Pittsburgh, Center for Medical Ethics, PA 15213, USA.
authors.forename: M P
authors.initials: MP
authors.lastname: Aulisio
mesh_terms: D001675:Bioethics; D018864:Cultural Diversity; D026689:Ethical Analysis; D026822:Ethicists; D009014:Morals; D028723:Personhood; D010684:Philosophy; D033302:Postmodernism; D035621:Secularism; D012945:Social Values