Toward a Global Bioethics: Principlism and the Problem of Political Legitimacy.

Tom Beauchamp and James Childress's Principles of Biomedical Ethics introduced principlism—or the "four principles approach"—which has since become one of the most influential frameworks in contemporary bioethics. However, its potential to serve as a foundation for shared transcultural bioethical no...

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Publicado en:Bioethics Vol. 40; no. 1; pp. 5 - 12
Autor principal: Annoni, Marco
Formato: Artículo
Publicado: Wiley-Blackwell Jan2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Toward a Global Bioethics: Principlism and the Problem of Political Legitimacy.
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        au: Annoni, Marco
        affil: National Research Council of Italy (CNR), Interdepartmental Center for Research Ethics and Integrity (CID‐Ethics), Rome, Italy
      su:
        Culture
        Bioethics
        Social norms
        Ethics
        Practical politics
        Medical ethics
        Conceptual structures
        Hypothesis
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          Culture
          Bioethics
          Social norms
          Ethics
          Practical politics
          Medical ethics
          Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology)
          Conceptual structures
          Hypothesis
      keyword:
        global bioethics
        medicine
        morality
        policy
        principlism
        global bioethics
        medicine
        morality
        policy
        principlism
      ab: Tom Beauchamp and James Childress's Principles of Biomedical Ethics introduced principlism—or the "four principles approach"—which has since become one of the most influential frameworks in contemporary bioethics. However, its potential to serve as a foundation for shared transcultural bioethical norms has elicited both substantial support and considerable critique. In this article, I analyze two notable attempts that utilize, or appear to be modeled after, principlism as a basis for global bioethics: Beauchamp and Childress's original formulation and the recently revised International Code of Medical Ethics by the World Medical Association. I argue that each model fails, but for different reasons. Beauchamp and Childress's account is rooted in particular moralities, making it suitable for guiding action in specific clinical contexts but ill‐equipped to handle global ethical pluralism. Conversely, the WMA's approach is deficient due to its undefined moral foundation and lack of political legitimacy. To address these shortcomings, I outline a third approach designed to make explicit the connection between principlism, global bioethics, and the problem of political legitimacy.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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