Abstract

I once heard John Arras, who was one of bioethics’ bright lights and, toward the end of his life, a member of the Presidential Commission for the Study of Bioethical Issues, remark that it is hard for an ethics commission not to “do paint‐by‐numbers ethics.” What I think Arras had in mind is an approach that, in the set of essays that make up this special report, Rebecca Dresser describes as a listing of “general, often relatively uncontroversial” moral positions to support largely procedural recommendations. Arras was calling attention to one of the challenges and sometimes frustrations of commission thinking. It is a recurring topic in this special report, Goals and Practices of Public Bioethics, which features a series of reflections about how national bioethics commissions around the world have contributed to public understanding and public policy about bioethical issues. Both the topic and the authors are drawn from the final two public meetings of the PCSBI, which was the most recent U.S. example of a national bioethics commission and whose winding down created an occasion for pondering the different forms and functions of bioethics commissions.

Highlights

  • Ionce heard John Arras, who was one of bioethics’ bright lights and, toward the end of his life, a member of the Presidential Commission for the Study of Bioethical Issues, remark that it is hard for an ethics commission not to “do paint-by-numbers ethics.”

  • What I think Arras had in mind is an approach that, in the set of essays that make up this special report, Rebecca Dresser describes as a listing of “general, often relatively uncontroversial” moral positions to support largely procedural recommendations

  • —promote human welfare and, to the extent possible, let people affected by a decision determine what “promoting welfare” requires, in so doing exercising their autonomy

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Summary

Introduction

Ionce heard John Arras, who was one of bioethics’ bright lights and, toward the end of his life, a member of the Presidential Commission for the Study of Bioethical Issues, remark that it is hard for an ethics commission not to “do paint-by-numbers ethics.” What I think Arras had in mind is an approach that, in the set of essays that make up this special report, Rebecca Dresser describes as a listing of “general, often relatively uncontroversial” moral positions to support largely procedural recommendations. Arras’s comment was not meant as a reflection on whether the Presidential Commission for the Study of Bioethical Issues fell into “paint-by-numbers” ethics, and essays in this report by other PCSBI members—especially those by chair Amy Gutmann and vice chair James Wagner and by Daniel Sulmasy, about the commission’s

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