The Journal of Religion
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.