Abstract
This paper explores the role of ‘community’ in the context of global bioethics. With the present globalization of bioethics, new and interesting references are made to this concept. Some are familiar, for example, community consent. This article argues that the principle of informed consent is too individual-oriented and that in other cultures, consent can be community-based. Other references to ‘community’ are related to the novel principle of benefit sharing in the context of bioprospecting. The application of this principle necessarily requires the identification and construction of communities. On the global level there are also new uses of the concept of community as ‘global community.’ Three uses are distinguished: (1) a diachronic use, including past, present, and future generations, (2) a synchronic ecological use, including nonhuman species, and (3) a synchronic planetary use, including all human beings worldwide. Although there is a tension between the communitarian perspective and the idea of global community, this article argues that the third use can broaden communitarianism. The current development towards cosmopolitanism is creating a new global community that represents humanity as a whole, enabling identification of world citizens and evoking a sense of global solidarity and responsibility. The emergence of global bioethics today demonstrates this development.
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References
Potter, V.R. 1988. Global bioethics: Building on the Leopold legacy. East Lansing: Michigan State University Press.
Potter, V.R. 1971. Bioethics: Bridge to the future. Englewood Cliffs: Prentice-Hall.
Dwyer, J. 2009. How to connect bioethics and environmental ethics: Health, sustainability, and justice. Bioethics 23(9): 497–502.
Ehrlich, P.R. 2009. Ecoethics: Now central to all ethics. Bioethical Inquiry 6: 417–436.
Gruen, L., and W. Ruddick. 2009. Biomedical and environmental ethics alliance: Common causes and grounds. Bioethical Inquiry 6: 457–466.
Garrett, L. 2007. The challenge of global health. Foreign Affairs 86: 14–38.
Bozorgmehr, K. 2010. Rethinking the “global” in global health: A dialectic approach. Globalization and Health 6: 19.
Reich, W.T. 1995. The word “bioethics”: The struggle over its earliest meanings. Kennedy Institute of Ethics Journal 5(1): 19–34.
Holm, S., and B. Williams-Jones. 2006. Global bioethics: Myth or reality? BMC Medical Ethics 7: 10.
Hellsten, S.K. 2008. Global bioethics: Utopia or reality? Developing World Bioethics 8(2): 70–81.
Illingworth, P., and W.E. Parmet. 2009. The ethical implications of the social determinants of health: A global renaissance for bioethics. Bioethics 23(2): ii–v.
Sherwin, S. 2011. Looking backwards, looking forward: Hopes for bioethics’ next twenty-five years. Bioethics 25(2): 72–82.
Christakis, N.A. 1992. Ethics are local: Engaging cross-cultural variation in the ethics for clinical research. Social Science and Medicine 35(9): 1079–1091.
Jegede, S. 2009. African ethics, health care research and community and individual participation. Journal of Asian and African Studies 44(2): 239–253.
Wilson, K. 2009. The problem of dual loyalty: Through African eyes. South African Journal of Bioethics and Law 2(1): 4–7.
Metz, T. 2010. An African theory of bioethics: Reply to Macpherson and Macklin. Developing World Bioethics 10(3): 158–163.
IJsselmuiden, C.B., and R.R. Faden. 1992. Research and informed consent in Africa: Another look. New England Journal of Medicine 326(12): 830–834.
Graboyes, M. 2010. Fines, orders, fear …, consent? Medical research in East Africa, C. 1950s. Developing World Bioethics 10(1): 34–41.
Ezeome, E.R., and P.A. Marshall. 2009. Informed consent practices in Nigeria. Developing World Bioethics 9(3): 138–148.
DeCosta, A., N. D’Souza, S. Krishnan, M.S. Chhabra, L. Shihaam, and K. Goswami. 2004. Community based trials and informed consent in rural north India. Journal of Medical Ethics 30(3): 318–323.
Molyneux, C.S., D.R. Wassenaar, N. Peshu, and K. Marsh. 2005. “Even if they ask you to stand by a tree all day, you will have to do it (laughter)…!”: Community voices on the notion and practice of informed consent for biomedical research in developing countries. Social Science and Medicine 61: 443–454.
CIOMS. 2002. International ethical guidelines for biomedical research involving human subjects. Geneva: CIOMS.
World Medical Association. 2008. Declaration of Helsinki. http://www.wma.net/en/30publications/10policies/b3/17c.pdf. Accessed January 24, 2011.
Emanuel, E.J., D. Wendler, J. Killen, and C. Grady. 2004. What makes clinical research in developing countries ethical? The benchmarks of ethical research. The Journal of Infectious Diseases 189: 930–937.
Tausig, M., S. Subedi, and J. Subedi. 2007. The bioethics of medical research in very poor countries. Health 11(2): 145–161.
Thiessen, C., R. Ssekubugu, J. Wagman, et al. 2007. Personal and community benefits and harms of research: Views from Rakai, Uganda. AIDS 21(18): 2493–2501.
Barsdorf, N., S. Maman, N. Kass, and C. Slack. 2010. Access to treatment in HIV prevention trials: Perspectives from a South African community. Developing World Bioethics 10(2): 78–87.
Lynch, J., and M. Mitchell. 2010. Community engagement and the ethics of global, translational research: A response to Sofaer and Eyal. American Journal of Bioethics 10(8): 37–38.
Ataguba, J.E., and G. Mooney. 2010. A communitarian approach to public health. Health Care Analysis 19(2): 154–164.
Marshall, P.A., and C. Rotimi. 2001. Ethical challenges in community-based research. American Journal of Medical Sciences 322(5): 241–245.
HUGO Ethics Committee. 2000. HUGO ethics committee statement on benefit sharing. Clinical Genetics 58: 364–366.
Morgera, E., and E. Tsioumani. 2010. The evolution of benefit sharing: Linking biodiversity and community livelihoods. Review of European Community & International Environmental Law 19(2): 150–173.
MacQueen, K.M., E. McLellan, D.S. Metzger, et al. 2001. What is community? An evidence-based definition for participatory public health. American Journal of Public Health 91(12): 1929–1938.
Hayden, C. 2007. Taking as giving: Bioscience, exchange, and the politics of benefit sharing. Social Studies of Science 37(5): 729–758.
Weijer, C. 1999. Protecting communities in research: Philosophical and pragmatic challenges. Cambridge Quarterly of Healthcare Ethics 8: 501–513.
Green, S. 2004. Indigenous people incorporated? Culture as politics, culture as property in pharmaceutical bioprospecting. Current Anthropology 45(2): 211–237.
Korthals, M., and B. de Jonge. 2009. Two different ethical notions of benefit sharing of genetic resources and their implications for global development. New Genetics and Society 28(1): 87–95.
ten Have, H.A.M.J., and M.S. Jean (eds.). 2009. The UNESCO universal declaration on bioethics and human rights: Background principles, and application. Paris: UNESCO Publishing.
UNESCO. 1997. Declaration on the responsibilities of the present generations towards future generations. Paris: UNESCO. http://www.unesco.org/cpp/uk/declarations/generations.pdf. Accessed January 21, 2010.
Agius, E. 2005. Environmental ethics: Towards an intergenerational perspective. In Environmental ethics and international policy, ed. H.A.M.J. ten Have, 89–115. Paris: UNESCO Publishing.
Weiss, E.B. 1990. Our rights and obligations to future generations for the environment. American Journal of International Law 84(1): 198–207.
Levine, B.R. 2007. Toward a broader notion of community. Perspectives in Biology and Medicine 50(1): 124–135.
Callahan, D. 2003. Individual good and common good: A communitarian approach to bioethics. Perspectives in Biology and Medicine 46(4): 496–507.
Kuczewski, M.G. 2009. The common morality in communitarian thought: Reflective consensus in public policy. Theoretical Medicine and Bioethics 30: 45–54.
Etzioni, A. 2003. Organ donation: A communitarian approach. Kennedy Institute of Ethics Journal 13(1): 1–18.
Etzioni, A. 2011. Authoritarian vs. responsive communitarian bioethics. Theoretical Medicine and Bioethics.
Sandel, M.J. 1996. Democracy’s discontent: America in search of a public philosophy. Cambridge: Belknap Press.
Byk, C. 1998. A map to a new treasure island: The human genome and the concept of common heritage. Journal of Medicine and Philosophy 23(3): 234–246.
Knoppers, B.M., and Y. Joly. 2007. Our social genome? Trends in Biotechnology 25(7): 284–288.
Dower, N. 2007. World ethics: The new agenda. 2nd ed. Edinburgh: Edinburgh University Press.
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ten Have, H.A.M.J. Global bioethics and communitarianism. Theor Med Bioeth 32, 315–326 (2011). https://doi.org/10.1007/s11017-011-9190-0
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DOI: https://doi.org/10.1007/s11017-011-9190-0