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Bioethics 33<br />

(1833) that the Bill of Rights only applied to the national<br />

government and not the states. That became a bone of contention<br />

in the years leading up to the Civil War and set the<br />

stage for the 14th Amendment, which was intended by its<br />

authors to reverse Barron by extending federal protection<br />

of the “Privileges or Immunities” of citizens against infringement<br />

by their state governments.<br />

Second, scrutiny of the debates makes it clear that the<br />

Bill of Rights was not intended to change anything. It was<br />

generally agreed that it was not strictly necessary to add<br />

those rights because they were already protected. They<br />

were added only out of a sense of caution. But that implied<br />

that those rights were protected both before and after they<br />

were enumerated. It further suggested that unenumerated<br />

rights deserved the same protection as had been accorded<br />

enumerated rights, an inference made explicit in the 9th<br />

Amendment. The Amendment reads, “The enumeration in<br />

the Constitution of certain rights shall not be construed to<br />

deny or disparage others retained by the people.”<br />

Somewhat surprisingly, none of the enumerated rights<br />

received much, if any, attention in the early years of the<br />

United States. Indeed, the first time that a federal statute<br />

was held to be an unconstitutional violation of the 1st<br />

Amendment was in the 1965 case of Lamont v. Postmaster<br />

General. The most likely reason for the early neglect of the<br />

Bill of Rights by the courts was that, in the early years of<br />

the Republic, as was already noted, the Bill of Rights did<br />

not apply to state laws, and the national government largely<br />

kept within its enumerated powers. Even where Congress<br />

or the president did claim broader implied powers, those<br />

powers did not usually restrict the liberties of the people.<br />

The early history strongly suggests that a Bill of Rights is<br />

of greatest functional importance when governmental powers<br />

are not properly limited.<br />

This question thus arises: Who was more prescient, the<br />

Federalists, who declared a Bill of Rights to be unnecessary<br />

and dangerous, or the Anti-Federalists, who insisted on having<br />

one? Clearly both were right. The Federalists’ warning<br />

that a Bill of Rights would be dangerous has largely come<br />

true. With few exceptions, such as the right of privacy or the<br />

right to travel, only the enumerated rights have received any<br />

protection. Notwithstanding the 9th Amendment, in practice,<br />

almost every right that was not enumerated has been<br />

considered to have been surrendered to the general government.<br />

However, the Anti-Federalists accurately foresaw that<br />

the scheme of enumerated powers was inadequate to protect the<br />

rights retained by the people. Thanks to their insistence, the<br />

Bill of Rights has served as an essential, although incomplete,<br />

safeguard to limit the powers of government.<br />

REB<br />

See also Constitution, U.S.; Declaration of the Rights of Man and of<br />

the Citizen; Federalists Versus Anti-Federalists; Jefferson,<br />

Thomas; Madison, James; Magna Carta<br />

Further Readings<br />

Amar, Akhil Reed. The Bill of Rights: Creation and Reconstruction.<br />

New Haven, CT: Yale University Press, 1998.<br />

Barnett, Randy E., ed. The Rights Retained by the People: The<br />

History and Meaning of the Ninth Amendment. 2 vols. Fairfax,<br />

VA: George Mason University Press, 1989–1993.<br />

Bodenhamer, David J., and James W. Ely, Jr., eds. The Bill of Rights<br />

in Modern America: After 200 Years. Bloomington: Indiana<br />

University Press, 1993.<br />

Cogan, Neil, ed. The Complete Bill of Rights. New York: Oxford<br />

University Press, 1997.<br />

Hickok, Eugene E., Jr., ed. The Bill of Rights and Current<br />

Understanding. Charlottesville: University Press of Virginia, 1991.<br />

Veit, Helen E., Kenneth R. Bowling, and Chalene Bangs Bickford,<br />

eds. Creating the Bill of Rights: The Documentary Record from<br />

the First Federal Congress. Baltimore: Johns Hopkins<br />

University Press, 1991.<br />

BIOETHICS<br />

There can be no libertarian bioethics without libertarian<br />

ethics. Once a libertarian approach to ethics is identified,<br />

resolving questions in bioethics involves little more than<br />

applying those principles to the sphere of human interaction<br />

specific to medicine and scientific innovation. For this reason,<br />

we must first touch on libertarianism as it relates to<br />

general theories of ethics before moving on to ethical theory<br />

with specific reference to bioethical questions.<br />

Like the pursuit of liberty, bioethical questions have<br />

existed since the dawn of civilization, but the term bioethics<br />

and its emergence as an academic and clinical discipline first<br />

occurred in the 1970s. Then as now, some of the more theoretical<br />

topics include defining illness, patients’ rights, medical<br />

professional integrity, human dignity, competency,<br />

research ethics, self-ownership, medical resource allocation,<br />

and social responsibility.<br />

All ethical theories, of course, are intended to provide<br />

practical guidance for human interaction. A complete theory<br />

of ethics must do two things. First, it must provide a<br />

framework of rules intended to ensure peaceable interaction<br />

within a community; this framing is the purview of theories<br />

of justice. Second, it must provide guidance for individuals<br />

who wish to become morally better people; this guidance is<br />

the purview of theories of personal morality. Libertarian<br />

theories of justice are well documented and do not need further<br />

explanation. Suffice it to say that, unlike many theories<br />

of justice, libertarian theories are procedural rather than<br />

prescriptive in nature. The libertarian principle of equal<br />

freedom is illustrative: “Everyone has the right to live their<br />

life as they choose as long as in so doing they do not violate<br />

another’s equal right to do the same.”<br />

Unfortunately, little attention has been given to libertarian<br />

theories of personal morality, particularly not from the

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