Summary Democratic society is defined by pluralism and diversity of religions, worldviews and lifestyles. According to a popular proposal, compromise is the preferred method for resolving disagreements about public policy regarding bioethical issues. Citizens are expected to make concessions in order to be able to practise as much of their religions or worldviews as possible. However, since religions and worldviews engage commitments, which are fundamental, moral identity-conferring and indefeasible, compromise can play only a limited role in a democratic society's efforts to arrive at public policy regarding controversial bioethical issues. An analysis of compromise shows that it can be a valuable method for resolution of bioethical disagreements if they do not engage the most fundamental, identity-conferring and indefeasible commitments of the disagreeing parties. When disagreement involves such commitments, a compromise is morally impossible for each party. The paper offers an alternative perspective on bioethical policy debates. Since bioethics emerged and developed in a democratic society, bioethical policy debate and its results should be conceived of as expressive of and defined by the values and ideals of a democratic society, rather than as simply a process of seeking a compromise. Bioethical debates are not and cannot be conducted in a social or normative vacuum. They are part of the practice of bioethics, which is defined by democratic values and ideals. Thus, bioethics is a bounded enterprise of inquiry and discourse developed in and for a democratic society. Sensitive and responsive to religions and worldviews, public policy solutions developed in such a society are premised on democratic values and ideals rather than on any particular religious, theological or philosophical doctrine. Bioethical policy debate presupposes a commitment of its parties to the democratic values and ideals. This commitment shapes the debate's process and outcome. Accordingly, a public policy debate on bioethical issues, which involve citizens’ most fundamental, identity-conferring and indefeasible commitments, should not be directed at a compromise – although there certainly is ample room for it – but at adjustment of both the debate process and its outcome to the values and ideals of a democratic society. The goal of bioethical debate or democratic debate on bioethical issues, aimed at generating public policy solutions to bioethical controversies involving citizens’ most fundamental, identity-conferring and indefeasible commitments, is not a compromise between the disputing parties but public policy adjustment to the democratic values and ideals.
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