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Distanced Perspectives: Aids,Anencephaly, and Ahp
Authors:Koch  Tom  Ridgley  Mark
Institution:(1) Hospital for Sick Children, 515 University Ave, Bioethics, Rm 10408, Toronto, Ontario, Canada, M5E 1X8;(2) University of Hawaii, Department of Geography, Honolulu, HI, U.S.A
Abstract:US court decisions guaranteeing life-sustaining care to anencephalic infants have been viewed with disfavor, and sometimes disbelief, by some ethicists who do not believe in the necessity of life-sustaining support for those without cognitive abilities or an independently sustainable future. The distance between these two views – one legal and inclusive, the other medical and specific – seems unbridgeable. This paper reports on a program using multicriterion decision making to define and describe persons in a way which both acknowledges the differences perceived by many as well as those commonalities insisted on in U.S. court decisions. It does this through application of the Analytic Hierarchy Process to a hierarchy of ldquohumannessrdquo criteria, and secondarily through reference to that concept's subset, personhood.
Keywords:anencephaly  AHP  Baby K  humanhood  multicriterion decision making  personhood
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