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Confronting complexities

The Irish health system is confronted by a range of challenges, both emerging and recurring. In order to address these, it is essential that spaces are created for conversations around complex ethical and legal issues. This collection aims to provide a basis for ongoing engagement with selected issues in contemporary Irish health contexts. It includes contributions from scholars and practitioners across a range of disciplines, most particularly, ethics, law and medicine.

The focus of the collection is interdisciplinary and the essays are situated at the intersection between ethics, law and medicine. Important issues addressed include admission to care homes; assisted suicide; adolescent decision-making; allocation of finite resources; conscientious objection; data protection; decision-making at the end of life; mental health; the rights of older people; patient responsibilities; stem cell research; the role of carers; and reproductive rights. From these discussion, the collection draws out the following interlinking themes, addressing difference; context and care; oversight and decision-making; and, regulating research.

The essays are theoretically informed and are grounded in the realities of the Irish health system, by drawing on contributors’ contextual knowledge.

This book makes an informed and balanced contribution to academic and broader public discourse.

Zalfa Feghali

, ‘Perhaps recognizing the centrality 156 Crossing borders and queering citizenship of the Caribbean to the core structure of the Dominican experience, Díaz owns his regional descent in a manner that makes him into a kind of American to whom the Antillean world matters at the level of existential immediacy’.8 At its core, The Brief Wondrous Life of Oscar Wao allows readers to reflect on the hybridity of contemporary American literature, offering them routes to conceiving of citizenship as an archipelago of rights and responsibilities, or status and habitus, and fusing

in Crossing borders and queering citizenship
Steve Garner

to grasp the breadth of the issues involved, we need an introduction to the key concepts that inform them: citizenship, ‘race’ and racialisation, and the state. After discussing those concepts, I suggest that the Citizenship Act (2005) racialised Irish nationality: i.e. it gave primary preference to bloodlines as its principal criterion for belonging, thus dividing Irish children into two categories with differential access to the rights and responsibilities accruing to citizens, Irish children and ‘Irish-born children’ (‘IBC’). 1 If the new citizenship rules were

in Defining events
Cormac Behan

6 Civic engagement and community participation Introduction This chapter examines the level of active citizenship in prison and, similar to the last chapter, is based on the interviews with 50 prisoners. Recognising that citizenship encompasses more than just rights and responsibilities but is intertwined with participation, it considers their activities prior to imprisonment, the opportunities for participative citizenship behind bars and outlines some reasons for involvement in what are characterised as citizenship activities inside. The chapter concludes by

in Citizen convicts
Andrekos Varnava

Transport of Wounded: Two Wounded Serbians Brought Down from the Mountains’, Illustrated London News , 149, 4043, 14 October 1916. Balancing the contracts Pivotal to recruitment was the contracts offered to the muleteers, which defined their rights and responsibilities, and those of the British. In all, three different

in Serving the empire in the Great War
Liberalism and liberalisation in the niche of nature, culture, and technology
Regenia Gagnier

The shade of the ruler is yet more cool But coolest of all is the shade of Buddha’s teachings. ( Asian Freedoms : Kelly and Reid, 1998 : 199) Obviously, as we approach multiple nuanced notions of freedom, individuals, rights, and responsibilities in translation, Victorianists must defer to linguists in specific area studies. Yet as we study the processes of transculturation, we may conclude with one of the more productive articulations of nineteenth-century western philosophy, the idea

in Interventions
Author: Charles V. Reed

Royal Tourists, Colonial Subjects, and the Making of a British World, 1860-1911 examines the ritual space of nineteenth-century royal tours of empire and the diverse array of historical actors who participated in them. The book is a tale of royals who were ambivalent and bored partners in the project of empire; colonial administrators who used royal ceremonies to pursue a multiplicity of projects and interests or to imagine themselves as African chiefs or heirs to the Mughal emperors; local princes and chiefs who were bullied and bruised by the politics of the royal tour, even as some of them used the tour to symbolically appropriate or resist British cultural power; and settlers of European descent and people of colour in the empire who made claims on the rights and responsibilities of imperial citizenship and as co-owners of Britain’s global empire. Royal Tourists, Colonial Subjects, and the Making of a British World suggests that the diverse responses to the royal tours of the nineteenth century demonstrate how a multi-centred British-imperial culture was forged in the empire and was constantly made and remade, appropriated and contested. In this context, subjects of empire provincialized the British Isles, centring the colonies in their political and cultural constructions of empire, Britishness, citizenship, and loyalty.

Sarah Hale, Will Leggett, and Luke Martell

lost … should be a major priority for future progress along the Third Way’, 2 while community is one of the four values placed by Tony Blair at the heart of his Third Way. 3 Linked to the idea of community is the doctrine of communitarianism, which appears in a number of forms. The prominent juxtaposition of rights and duties, or rights and responsibilities

in The Third Way and beyond
Mary Keys

the arguments for and against involuntary admission in the person’s ‘best interests’. Quasi-­voluntary admission to nursing homes There are a number of aspects­– ­each on a continuum from the acceptable to the unacceptable­– ­to decision-­making in such cases that might call into DONNELLY 9780719099465 PRINT.indd 117 12/10/2015 15:59 118 Rights and responsibilities ­ uestion the voluntariness of the person’s decision to go into a nursing home. q These include lack of involvement in planning, lack of choice and pressure from others. Lack of involvement in

in Ethical and legal debates in Irish healthcare
Two sides of the same unequal coin?
Asim A. Sheikh

6 Patient autonomy and responsibilities within the patient–doctor partnership: two sides of the same unequal coin? Asim A. Sheikh Introduction The autonomous patient has the ability to engage with a healthcare provider in relation to his or her health on a wide range of issues. This ability and control are central to a patient’s autonomy and self-­determination. This chapter will consider whether this ability confers both rights and responsibilities upon patients. It asks whether the language and idea of the healthcare provider and healthcare receiver (‘doctor

in Ethical and legal debates in Irish healthcare