Primer for Health Care Ethics Book

	Introduction
Pt. 1	Principles and Core Values	1
1	What Is Health Care Ethics?	3
2	Other Ethical Systems	9
3	Medical Ethics Needs Accurate Distinctions	13
4	The Values Inherent in Medical Care	16
5	Medical Ethics: Basic Goals	19
6	Medicine: Not an Exact Science	22
7	Professionalism: The Essence Is Empathy	26
8	Professional Attitudes - The Ethical Physician	29
9	Human Rights and Health Care	32
10	Culture and Religion	36
11	"No Greater Love"	40
Pt. 2	Informed Consent: Personal and Proxy	45
12	Informed Consent	47
13	Proxy Consent: Deciding for Others	49
14	Informed Consent and the Purpose of Medicine	52
15	Standards for Surrogates	55
16	Informed Consent: Therapeutic and Nontherapeutic Procedures	58
17	Informed Consent: Neonatal Care	61
18	When Children Can Consent	65
19	Telling the Truth to Patients	69
20	Confidentiality	71
21	Confidentiality in the Computer Age	74
22	CPR and DNR Revisited	78
23	Living Will and Durable Power of Attorney	82
24	The Patient Self-Determination Act (PSDA)	85
25	Advance Directives Revisited	88
Pt. 3	Use and Removal of Life Support	93
26	Ordinary and Extraordinary Means	95
27	Ethical Criteria for Removing Life Support	98
28	Withholding and Withdrawing Life Support	102
29	Assessing Treatment Options	106
30	Discontinuing Life Support in Doubt	109
31	Religious Beliefs and Lifesaving Therapy	113
32	Care for Patients in Persistent Vegetative States	117
33	Unfinished Business in the Cruzan Case	120
34	"Only God Can Heal My Daughter"	124
35	It's Time to Resolve the "Futility Debate"	127
36	Court Decisions on Futile Therapy	131
37	The Wanglie Case: Demands for Futile Therapy	134
38	Baby K: It's Time to Take a Stand	138
Pt. 4	Genetics	143
39	Cloning (Artifical Twinning): Have We Gone Too Far?	145
40	Genetic Testing: Ethics Issues	149
41	Concerns about Genetic Testing: Is a Little Knowledge Dangerous?	153
42	Cloning Human Beings	157
Pt. 5	Organ Donation	161
43	Organ Donation: Priceless Gift or Market Commodity?	163
44	Baby Theresa: "The Good That Could Be Done"	167
45	The Baby Fae Legacy	171
46	Destroying One Life to Save Others	174
47	Obtaining Organs from Non-Heart-Beating Cadavers	179
48	Mandated Choice for Organ Donation	182
Pt. 6	Research	187
49	Human Research Using Animals	189
50	Use of Fetal Tissue in Research and Therapy	192
51	Embryo Research: Ethical Issues	195
52	Research in the Emergency Department	198
Pt. 7	Suicide and Physician-Assisted Suicide	203
53	Suicide: A Rational Choice?	205
54	The Myth of "Managed Death"	208
55	Kevorkian's Dilemma: Are We Owners or Stewards of Human Life?	211
56	Physician-Assisted Suicide: An Ethical Analysis of Presuppositions	214
57	Suffering and the Debate over Assisted Suicide and Euthanasia	218
58	Federal Courts Approve Physician-Assisted Suicide	222
59	The U.S. Supreme Court and Assisted Suicide	226
60	Social Aspects of Assisted Suicide	229
61	Can Liberty Sustain Itself? Reflections on Physician-Assisted Suicide	233
Pt. 8	Managed Care	237
62	Ethical Issues and Managed Care: Asking the Right Questions	239
63	Harry and Louise: What Happened?	243
64	Managed Care and Early Discharge of Newborn Infants	246
65	Treating Symptoms or Basic Causes	249
66	Handling the 800-Pound Gorilla	253
67	The Oregon Health Care Plan: Some Questions	257
Pt. 9	Artificial Generation	261
68	In Vitro Fertilization and Surrogate Motherhood	263
69	Conceiving One Child to Save Another	266
Pt. 10	Special Questions	271
70	On Playing God	273
71	Autopsy: Ethical and Religious Considerations	276
72	Pain: Some Ethical Considerations	279
73	Suffering and the Need for Compassion	282
74	Truth-Telling and Alzheimer's Disease	285
75	Ethics Committees in Hospitals	289
76	The Role of Ethics Committees	292
77	"There But for the Grace of God": Disclosing Imperfect Care	297
78	Treatment of Rape Victims	300
79	Separating the Lakeberg Twins: Ethical Issues	303
80	The McCaughey Septuplets: All's Well that Ends Well?	307
81	Early Delivery of Anencephalic Infants: Ethical Opinions	311
	About the Center for Health Care Ethics	316
	Index	317