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Issues in Bioethics and the Concept of Scale arose from the author's deep and committed interest in ecology, moral philosophy, and medicine, and how they are interrelated. William A. Cook expands on the recognition that spatial and temporal scale characteristics are factors in the understanding and modeling of ecological systems and in decision-making around ecological and environmental issues, and introduces this dynamic to the field of bioethics. The concept of scale, from hierarchy theory as it is used in ecology to deal with the complexity and interrelationships of systems, is explored and identified as a factor and potential source of conflict in the field of bioethics. This notion of scale is conceptually useful for considering the complexity of some bioethical issues.
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«William A. Cook makes a major contribution to bioethics by providing a framework to guide decisions, which are based on a balance between individual interests and the larger story that we all live within. The scalar approach is particularly applicable to the development of a new paradigm for bioethics in the health care context.» (Gary Kenyon, Founding Chair and Professor, Gerontology Department, St. Thomas University, Fredericton, New Brunswick, Canada)
«'Issues in Bioethics and the Concept of Scale' is a refreshing critique that explicitly acknowledges the importance of considering social context, hierarchy theory and the concept of scale in the discipline of bioethics. This is a pivotal insight that will revolutionize the assumptions upon which the field of bioethics rests.» (Timothy K. S. Christie, Director, Ethics Services, Atlantic Health Sciences Corporation; Adjunct Professor, Department of Bioethics, Dalhousie University, Halifax, Nova Scotia, Canada)
