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Human Dignity and Bioethics

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18<br />

<strong>Dignity</strong> <strong>and</strong> <strong>Bioethics</strong>:<br />

History, Theory, <strong>and</strong> Selected<br />

Applications<br />

Daniel P. Sulmasy, O.F.M.<br />

T<br />

he word “dignity” has become something of a slogan in bioethics,<br />

often invoked by both sides of debates about a variety of scientific<br />

<strong>and</strong> clinical issues, supporting contradictory conclusions. For<br />

instance, in arguments about assisted suicide, those who favor the legalization<br />

of the practice base their conclusion on a moral imperative<br />

to provide “death with dignity,” while those who oppose legalization<br />

do so because they see intentionally rendering a human being dead,<br />

even out of mercy, as a direct assault on human dignity. 1 Certainly<br />

this suggests that dignity is a concept in need of clarification.<br />

Ruth Macklin has noted this lack of conceptual clarity surrounding<br />

the use of the word “dignity” in the bioethics literature <strong>and</strong> has<br />

concluded that dignity is a “useless concept,” reducible to respect for<br />

autonomy, <strong>and</strong> adds nothing to the conversation. 2 This hasty conclusion,<br />

casting aside thous<strong>and</strong>s of years of philosophical writing, ignoring<br />

the contemporary bioethical discourse of continental Europeans,<br />

<strong>and</strong> sweeping away a whole body of international law, can be justified<br />

only by begging the question. If one defines a word completely in<br />

terms of another concept more to one’s liking, it will always follow<br />

469

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