The Ethics Of Environmentally Responsible Health Care

As the state of the natural world declines, environmentally related health problems will increasingly shape the landscape of human health and disease. The confluence of several global trends - rapid population growth combined with an even more dramatic increase in natural resource consumption - drives ecological deterioration, and this in turn poses serious challenges to health. U.S. medicine and bioethics have too long ignored the relevance of these global trends to health care. This groundbreaking work is a call to attention. It brings bioethics and health care squarely into the 21st century. The book shows how environmental decline relates to human health and to health care practices in the U.S. and other industrialized countries. It outlines the environmental trends that will strongly affect health, and challenges us to see the connections between ways of practicing medicine and the very environmental problems that damage ecosystems and make people sick. In addition to philosophical analysis of the converging values of bioethics and environmental ethics, the book offers case studies as well as a number of practical suggestions for moving health care toward sustainability. The exploration of a hypothetical Green Health Center, in particular, offers an intellectual and moral framework for talking about environmental values in health care. Engaging and challenging, this book will appeal not only to health professionals and philosophers, but to anyone concerned about how to preserve and promote both human health and the health of the natural world.

This text aims to bring bioethics and health care squarely into the 21st century. "The book shows how environmental decline relates to human health and to health care practices in the US and other industrialized countries."

Environmental bioethics addresses the environmental impact of the health care industry and climate change health hazards as two ethical issues which impact each other. This edited volume examines the theory of environmental bioethics and offers practical examples of practices which make health care more sustainable. Written in an accessible style which allows readers to understand what environmental bioethics is and why it is important, this book presents real-life case studies and thoughtful reflections from leading doctors, clinicians, and ethicists. Contributions to this volume address ethical frameworks for environmental bioethics and delve into the role of doctors in environmentally sustainable health care. Together, they offer hope for a more sustainable health care industry while also recognizing how much more needs to be done. A key resource for scholars, practitioners and researchers of philosophy, environmental studies, public health, and the allied health sciences, this book will also be relevant to international policymakers, especially in countries which have socialized health care (such as those in the EU), who want a rationale for health care decarbonization and practical examples. It will also appeal to educated citizens, particularly those that demand positive environmental change and are interested in the concept of sustainable health care. This book was originally published as a special issue of The New Bioethics.

Environmental health encompasses the assessment and control of those environmental factors that can potentially affect human health, such as radiation, toxic chemicals and other hazardous agents. It is often assumed that the assessment part is just a matter of scientific research, and the control part a matter of implementing standards which unambiguously follow from that research. But it is less commonly understood that environmental health also requires addressing questions of an ethical nature. How can we determine the "acceptable" risk level for the general population or for certain groups? How should we deal with uneven distributions of risks and benefits? How do we communicate about risks with the stakeholders? This multidisciplinary collection brings together a number of leading researchers and scholars in order to generate discussion surrounding these key questions, and to bring the ethical implications of science and technology to the forefront of critical thought. Providing a broad overview of the Ethics of Environmental Health, its philosophical foundations and practical applications, this book offers a significant contribution to ongoing discussions in sustainable development and will be of interest to scholars and practitioners of Environmental Health, urban studies and healthcare.

Health care is ubiquitous in the industrialized world. Yet, every medical development, technique, and procedure impacts the environment. Green bioethics synthesizes environmental ethics and biomedical ethics, thus creating an interdisciplinary approach to sustainable health care. Notably, green bioethics addresses not the structure of environmental sustainability in health-care institutions but the sustainability of individual health-care offerings. It parallels traditional biomedical ethics by providing four principles for ethical guidance: distributive justice, resource conservation, simplicity, and ethical economics. Through these four principles, green bioethics presents a coherent framework for evaluating the sustainability of medical developments, techniques, and procedures. The future of our world may very well depend on how effectively we halt ecological destruction and conserve our resources in all areas of life. The principles of green bioethics, outlined in this book, will advance sustainability in health care.

Research Ethics for Environmental Health explores the ethical basis of environmental health research and related aspects of risk assessment and control. Environmental health encompasses the assessment and control of those environmental factors that can potentially affect human health, such as radiation, toxic chemicals and other hazardous agents. It is often assumed that the assessment part is just a matter of scientific research, and that control is a matter of implementing standards that unambiguously follow from that research. But it is less commonly understood that environmental health also requires addressing questions of an ethical nature. Coming from multiple disciplines and nine different countries, the contributors to this book critically examine a diverse range of ethical concerns in modern environmental health research. This book will be of great interest to scholars and practitioners of environmental health, as well as researchers in applied ethics, environmental ethics, medical ethics, bioethics and those concerned with chemical and radiation protection.

Should we care about the environment because it is economically valuable or because nature has intrinsic value? This book gives a clear overview of some of the main theoretical problems within environmental ethics and offers definitive solutions and alternatives.

The connection between environment and health has been well studied and documented, particularly by the World Health Organization. It is now being included in some legal instruments, although for the most part caselaw does not explicitly make that connection. Neither the right to life nor the rights to health or to normal development are actually cited in the resolution of cases and in judges' decisions. This volume makes the connection explicit in a broad review of human rights and legal issues associated with public health and the environment. It will be particularly useful as many legal instruments emphasize the right to 'development' without fully discussing the necessary safety and public health aspects, and the respect for the ecology of any area where such 'development' (often unwanted by local or indigenous communities) is to be located. Climate change is another pressing variable that is considered, and several chapters address the interface between human health and ecological conditions. Overall the book integrates perspectives from a wide range of disciplines, including ethics, ecology, public health and epidemiology, and human rights and law.