Cases in Bioethics: Selections from the Hastings Center Report Book

Preface

PART I. HEALTH CARE PROFESSIONALS' RESPONSIBILITIES AND PATIENTS' RIGHTS

Introduction

1. Professional Conduct
When the Doctor and Minister Disagree The Nurse's Appeal to Conscience The Usual Suspects Culture, Healing, and Professional Obligation When the Doctor is on Drugs

2. Informed Consent
Proxy Consent for a Medical Gamble Faith Healing for Childhood Leukemia Who Speaks for the Patient with the Locked-In Syndrome?
"Make Me Live": Autonomy and Terminal Illness

3. Privacy and Confidentiality
AIDS and a Duty to Protect A Duty to Warn, An Uncertain Danger The Price of Silence

Selected Bibliography

PART II. REPRODUCTIVE RIGHTS AND TECHNOLOGIES

Introduction

4. Reproductive Rights
Cancer and Maybe a Baby When a Pregnant Woman Endangers Her Fetus Live Sperm, Dead Bodies Maternal Rights, Fetal Harms

5. Abortion
When a Mentally Ill Woman Refuses Abortion Selective Termination of Pregnancy

Selected Bibliography

PART III. DEATH AND DYING

Introduction
6. Decisions About Death
For Love or Money Does "Doing Everything" Include CPR?
Surgical Risks and Advance Directives Nurturing a Defective Newborn The Second-Hand Suicide Threat

7. Refusal of Life-Sustaining Treatment and Euthanasia
A Demand to Die Family Wishes and Patient Autonomy
"If I Have AIDS, Then Let Me Die Now!"
Whether "No" Means "No"
"No Feeding Tubes for Me!"
When the Doctor Gives a Deadly Dose

Selected Bibliography

PART IV. RESEARCH WITH LIVING SUBJECTS

Introduction

8. Consent to Research
Hope and the Limits of Research For the Benefit of All Informed Consent in the Developing World

9. Selection of Subjects and Protection of Their Welfare
Can a Research Subject be Too Eager to Consent?
Can a Healthy Subject Volunteer to be Injured in Research?
Nazi Data: Dissociation from Evil The Heart of the Matter

Selected Bibliography

PART V. DECISION MAKING CAPACITY

Introduction

10. Involuntary Treatment
The Tracheostomy Tube
"Ain't Nobody Gonna Cut on My Head!"
The Woman Who Died in a Box Preterm Labor and Prenatal Harm

11. Decisions on Behalf of the Incompetent
WORD OF MOUTH
Sterilizing the Retarded Child
Should Competence be Coerced?
The Forgetful Mourner

PART VI. ALLOCATION AND HEALTH CARE POLICY

INTRODUCTION

12. Allocation of Scarce Resources
How Best Shall We Serve?
Forced Transfer to Custodial Care The Last Bed in the ICU Two Cardiac Arrests, One Medical Team The Doctor, The Patient, and The DRG The HMO Physician's Duty to Cut Costs The Noncompliant Substance Abuser

13. Organ Procurement and Transplantation
In Organ Transplants, Americans First?
The Anencephalic Newborn as Organ Donor Can the Fetus be an Organ Farm?
Health Care Policy But Is He Genetically Diseased?
My Conscience, Your Money Who Pays for AZT?
When is Home Care Medically Necessary Palliation in the Age of Chronic Disease

Selected Bibliography
Glossary