Issues concerning patients' rights are at the centre of bioethics, but the political basis for these rights has rarely been examined. In this book, Thomas May offers an analysis of how the political context of liberal constitutional democracy shapes the rights and obligations of both patients and health care professionals. May focuses on how a key feature of liberal society - namely, an individual's right to make independent decisions - has an impact on the most important relational facets of health care, such as patients' automy and professionals' rights of conscience. Although a liberal political framework protects individual judgements, May asserts that this right is based on the assumption of an individual's competency to make sound decisions. May uses case studies to examine society's approach to medical decision making when, for reasons ranging from age to severe mental disorder, a person lacks sufficient competency to make independent and fully informed choices. To protect the automy of these vulnerable patients, May emphasizes the need for health care ethics committees and ethics consultants to help guide the decision-making process in clinical settings. The book is aimed at all those interested in understanding how bioethics is practiced within our society.
Thomas May is an associate professor and director of Graduate Studies in Bioethics at the Center for the Study of Bioethics, Medical College of Wisconsin, Milwaukee.