Buddhism and Bioethics, by Damien Keown

Reviewed by Gerald P. McKenny

The Journal of Religion

Vol.77 No.2

Pp.341-343

April 1997

COPYRIGHT 1997 University of Chicago


            Despite the increasing importance of ethics in the study of Buddhism 
            and the globalization of the field of bioethics, Buddhist 
            perspectives on bioethical issues have usually appeared in piecemeal 
            form. Now Damien Keown develops the position he argued for in his 
            first book, The Nature of Buddhist Ethics (New York, 1992), into the 
            first systematic treatment of a range of bioethical issues from a 
            Buddhist perspective. The result is a strongly argued yet 
            controversial volume that will be of interest to Buddhologists and 
            bioethicists alike. 
            If Keown is right, Buddhism prohibits abortion, suicide, euthanasia, 
            the withdrawal of food and hydration from patients in a persistent 
            vegetative state, and most forms of embryo research and reproductive 
            technology. While these conclusions contrast with some recent work 
            on these issues, especially by Western scholars and practitioners of 
            Buddhism, they are neither as original nor as controversial as the 
            method by which they are reached. Keown grounds his arguments in the 
            Pali canon (especially the monastic discipline [vinaya]) and the 
            commentarial tradition (limited to Buddhaghosa) while recognizing 
            that these sources are insufficient. First, they do not directly 
            address many current bioethical issues, and even when they do, the 
            circumstances are radically different from today. Second, the vinaya 
            consists of judgments about particular cases rather than principles 
            enabling one to generalize about kinds of cases. Third, the truth of 
            scriptural teachings is grounded in their conformity with the nature 
            of things, so that the texts are "a window through which the 
            principles of natural law are discerned" (p. 16). Keown therefore 
            adopts the natural law ethic of John Finnis and Germain Grisez to 
            reconstruct what he believes is the theoretical framework that 
            underlies the textual tradition and makes it possible to apply that 
            tradition to current problems. Central to this natural law ethic is 
            the claim that human fulfillment consists in basic goods that human 
            choices must never directly oppose or subordinate one to another. 
            Buddhism, according to Keown, recognizes life, knowledge, and 
            friendship as basic goods in this sense. Hence, it is always wrong, 
            for example, to act directly against life. Keown draws on the 
            scriptures and Buddhaghosa to formulate distinctively Buddhist 
            beliefs about human nature, rebirth, when individual life begins and 
            ends, and the moral status of nonhuman life. These beliefs 
            concerning life, coupled with the principle that it is always wrong 
            to act directly against life, lead to the above-mentioned 
            conclusions regarding ethical issues at the beginning and end of 
            life. 
            Keown's proposal is bold and his positions well argued. However, his 
            project raises many questions. While drawing from sources that 
            Theravadins are more likely to adhere to as authoritative, Keown 
            also puts forth his position as the Buddhist view. This requires 
            agreement with Mahayana textual sources and with actual Buddhist 
            practice. While his arguments against adherents of other schools 
            (mostly Zen) who disagree with him are convincing, Keown engages 
            non-Theravadin sources selectively. Moreover, when beliefs and 
            practices in Buddhist societies (and texts) disagree with him, he 
            attributes it to non-Buddhist cultural influences while assuming 
            that beliefs and practices in agreement with his conclusions are 
            devoid of such influences. Even those who share his textual 
            perspective may question whether his focus on the vinaya and 
            Buddhaghosa is too narrow. While Buddhism does regard its teachings 
            as grounded in the nature of reality, it is unclear why, of the 
            competing ways of articulating this claim, Keown chose the natural 
            law theory of Finnis and Grisez. The Buddhist prohibition against 
            intentional killing, which Keown wants above all to preserve, does 
            not require the notion of life as a basic good to explain or justify 
            it. Moreover, Keown himself seems to realize that his natural law 
            ethic is inconsistent with Buddhism at some points. He admits that 
            this ethic prohibits contraception because the latter acts directly 
            against the transmission of life (pp. 128-29). Yet, recognizing the 
            ambivalence of Buddhism regarding contraception, he treats the 
            prohibition as an ideal that need not be adhered to in all acts of 
            sexual intercourse (p. 132). More generally, Keown admits the 
            difficulty of finding a doctrine of the basic goods, and especially 
            of life as a basic good, in Buddhist sources. Other proposals for a 
            Buddhist natural law ethic, such as those based on the doctrine of 
            dependent origination, do not face this problem. In the end Keown 
            may be driven too much by what he thinks is necessary to combat 
            moral subjectivism and contribute to public bioethical debates. 
            These reservations indicate that Keown has started a debate rather 
            than ended one - a debate that has implications for Buddhist social 
            ethics in general and comparative religious ethics as well as 
            bioethics. Bioethicists will appreciate Keown's general competence 
            in their field and his articulation of Buddhist beliefs that account 
            for crucial differences with Western secular and religious views. 
            Nonspecialists, however, will be annoyed by the omission of a key to 
            the standard abbreviations of Pali texts.