caa a22 4500 445798289 CHVBK 20180317145133.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s11017-011-9183-z doi (NATIONALLICENCE)springer-10.1007/s11017-011-9183-z Prusak Bernard Center for Liberal Education, Villanova University, 800 Lancaster Ave., 19085, Villanova, PA, USA aut Double effect, all over again: The case of Sister Margaret McBride [Elektronische Daten] [Bernard Prusak] As media reports have made widely known, in November 2009, the ethics committee of St. Joseph's Hospital in Phoenix, Arizona, permitted the abortion of an eleven-week-old fetus in order to save the life of its mother. This woman was suffering from acute pulmonary hypertension, which her doctors judged would prove fatal for both her and her previable child. The ethics committee believed abortion to be permitted in this case under the so-called principle of double effect, but Thomas J. Olmsted, the bishop of Phoenix, disagreed with the committee and pronounced its chair, Sister Margaret McBride, excommunicated latae sententiae, "by the very commission of the act.” In this article, I take the much discussed Phoenix case as an occasion to subject the principle of double effect to another round of philosophical scrutiny. In particular, I examine the third condition of the principle in its textbook formulation, namely, that the evil effect in question may not be the means to the good effect. My argument, in brief, is that the textbook formulation of the principle does not withstand philosophical scrutiny. Nevertheless, in the end, I do not claim that we should then "do away” with the principle altogether. Instead, we do well to understand it within the context of casuistry, the tradition of moral reasoning from which it issued. Springer Science+Business Media B.V., 2011 Double effect nationallicence Casuistry nationallicence Catholic hospitals nationallicence Ethical and religious directives for Catholic healthcare institutions nationallicence Abortion nationallicence Principle of choosing the lesser evil nationallicence Theoretical Medicine and Bioethics Springer Netherlands 32/4(2011-08-01), 271-283 1386-7415 32:4<271 2011 32 11017 https://doi.org/10.1007/s11017-011-9183-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11017-011-9183-z text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Prusak Bernard Center for Liberal Education, Villanova University, 800 Lancaster Ave., 19085, Villanova, PA, USA aut NATIONALLICENCE 773 0- Theoretical Medicine and Bioethics Springer Netherlands 32/4(2011-08-01), 271-283 1386-7415 32:4<271 2011 32 11017 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer