Medical Ethics Book

1. Introduction.

2. Interview with Edmund D. Pellegrino, M.D.

3. From Theory to Practice.

Precautionary Reason as a Link to Moral Action, Deryck Beyleveld and Shaun Pattinson. Evaluating a Case Study: Developing a Practical Ethical Viewpoint.

4. Physician, Nurse, and Patient—The Practice of Medicine.

Paternalism and Autonomy.

Overview. Autonomy and Paternalism: Partners or Rivals?, Hilary Jones. Rational Non-Interventional Paternalism: Why Doctors Ought to Make Judgments of What Is Best for Their Patients, Julian Savulescu. Is Refusal of Futile Treatment Unjustified Paternalism?, Nancy S. Jecker. Confessions of a Closet Paternalist, Robert D. Orr.

Privacy and Confidentiality.

Overview. The Limits of Confidentiality, Paul Cain. Ethical Issues Experienced by HIV-Infected African-American Women, Katharine V. Smith and Jan Russell. Influence of Physician Confidentiality Assurances on Adolescents'—Willingness to Disclose Information and Seek Future Health Care, Carol A. Ford, et. al

Informed Consent.

Overview. Should Informed Consent be Based on Rational Beliefs?, Julian Savulescu and Richard W. Momeyer. Changing the BMJ's Position on Informed Consent Would Be Counterproductive, J.S. Tobias. Informed Consent—A Publisher's Duty, Mary Warnock. Trial Subjects Must Be Fully Involved in Design and Approval of Trials, Lisa Powers. Cultural Diversity and Informed Consent, Ellen Agard, Daniel Finkelstein, and Edward Wallach. Discrimination, Informed Consent and the HIV Infected Clinician, Ronald Bayer.

Gender Issues.

Overview. On Treatment of Myopia: Feminist Standpoint Theory and Bioethics, Mary B. Mahowald. Editorials. Suffering and Ethical Caring: Incompatible Entities, Debra Leners and Nancy Q. Beardslee.

Evaluating a Case Study: Finding the Conflicts.

5. Issues of Life and Death.

Euthanasia.

Overview. Killing and Allowing to Die, Daniel Callahan. Euthanasia in the Netherlands, Pieter V. Admiraal. Why Doctors Must Not Kill, Leon R. Kass. Death by Deliberate Dehydration and Starvation: Silent Echoes of the Hugerhaüser, John M. Dolan. Concerning the Case of “Mr Stevens,” John Jefferson Davis. The Hastings Center Newborn Project, Cynthia B. Cohen, et al. The Parents' Perspective: Ethical Decision-making in Neonatal Intensive Care, Winifred J. Pinch and Margaret L. Spielman.

Abortion.

Overview. An Almost Absolute Value in History, John T. Noonan Jr. A Defense of Abortion, Judith Jarvis Thomsom. The Abortion Debate in the Twenty-First Century, Michael Boylan.

Evaluating a Case Study: Assessing the Embedded Levels.

6. Genetic Engineering.

Overview. Interview with Kevin Brown, M.D., Ph.D.Altering Humans: The Case For and Against Human Gene Therapy, Nils Holtug. Genetic Disorders and the Ethical Status of Germ-Line Gene Therapy, Edward M. Berger and Bernard M. Gert. Commentary: How Do We Think about the Ethics of Human Germ-Line Genetic Therapy?, Kathleen Nolan. Cloning in the Popular Imagination, Dorothy Nelkin and M. Susan Lindee. A Life in Shadow: One Reason Why We Should Not Clone Humans, Soren Holm. Cloning and Human Dignity, John Harris. Report of the Council on Ethical and Judicial Affairs, American Medical Association. Position Paper on Human Germ Line Manipulation, Council for Responsible Genetics, Human Genetics Committee.

Evaluating a Case Study: Applying Ethical Issues.

7. Healthcare Policy.

The Right to Healthcare.

Overview. The Universal Right to Healthcare, Michael Boylan. Equality and Rights in Medical Care, Charles Fried.

The Organ Allocation Problem.

Overview. A Review of Ethical Issues in Transplantation, Rosamond Rhodes. Fault and the Allocation of Spare Organs, Brian Smart.

Evaluating a Case Study: Structuring the Essay. Micro Cases.

Further Readings.