Health care ethics Book

	Contributors
	Preface
	Acknowledgments
Pt. I	Reproductive Issues	1
Ch. 1	Proposals for Human Cloning: A Review and Ethical Evaluation	3
Ch. 2	The Moral Status of Gametes and Embryos: Storage and Surrogacy	8
Ch. 3	Prenatal Diagnosis and the Ethics of Uncertainty	15
Ch. 4	Prenatal Diagnosis of Fetal Disorders: Ethical, Legal, and Social Issues	29
Ch. 5	The Ethical Challenge of the New Reproductive Technology	45
Ch. 6	Ethical Considerations of Preimplantation Genetic Diagnosis and Embryo Selection	56
Ch. 7	Abortion: The Unexplored Middle Ground	60
Ch. 8	Women, Fetuses, Physicians, and the State: Pregnancy and Medical Ethics in the 21st Century	67
Pt. II	Adult Medicine	79
Ch. 9	The Family in Medical Decision Making	81
Ch. 10	The Patient Self-Determination Act	92
Ch. 11	Competency: What It Is, What It Isn't, and Why It Matters	117
Ch. 12	Domestic Violence: Changing Theory, Changing Practice	128
Ch. 13	Bioethical Dilemmas in Emergency Medicine and Prehospital Care	138
Ch. 14	High-Technology Home Care: Critical Issues and Ethical Choices	146
Ch. 15	The Plight of the Deinstitutionalized Chronic Schizophrenics: Ethical Considerations	164
Ch. 16	Older People and Long-Term Care: Issues of Access	177
Ch. 17	Treating Senility and Dementia: Ethical Challenges and Quality-of-Life Judgements	189
Ch. 18	Respecting the Autonomy of Elders in Nursing Homes	200
Ch. 19	The Ethics of Prediction: Genetic Risk and the Physician-Patient Relationship	212
Ch. 20	Human Experimentation and Clinical Consent	228
Ch. 21	The Ethics of Research on the Mentally Disabled	239
Ch. 22	AIDS Activists and Their Legacy for Research Policy	251
Ch. 23	The IRB: Current and Future Challenges	265
Pt. III	Critically Ill and Dying Patients	277
Ch. 24	Ethical Issues in the Use of Fluids and Nutrition: When Can They Be Withdrawn?	279
Ch. 25	Death, Medicine, and the Moral Significance of Family Decision Making	288
Ch. 26	Care of the Hopelessly Ill: Proposed Clinical Criteria for Physician-Assisted Suicide	295
Ch. 27	Ethical Issues Concerning Physician-Assisted Death	302
Ch. 28	Euthanasia: The Way We Do It, the Way They Do It	311
Ch. 29	The Problem with Futility	323
Ch. 30	Is It Time To Abandon Brain Death?	330
Ch. 31	Waste Not, Want Not: Communities and Presumed Consent	342
Pt. IV	Justice and Economics in Health Care	351
Ch. 32	Intergenerational Justice: Is It Possible?	353
Ch. 33	Gender and Health Insurance	366
Ch. 34	Is Rationing of Health Care Ethically Defensible?	371
Ch. 35	The Social Obligations of Health Care Practitioners	378
Ch. 36	Social Systems and Professional Responsibility	392
Ch. 37	Equality and Inequality in American Health Care	399
Pt. V	Institutional Issues	411
Ch. 38	Rationing Health Care: The Ethics of Medical Gatekeeping	413
Ch. 39	Multiculturalism, Bioethics, and End-of-Life Care: Case Narratives of Latino Cancer Patients	421
Ch. 40	Technology, Older Persons, and the Doctor-Patient Relationship	432
Ch. 41	Ethically Important Distinctions among Managed Care Organizations	442
Ch. 42	Outcomes Research: The Answer to All Our Health Care Questions or the Question to All Our Health Care Answers?	452
Ch. 43	Hospital Ethics Committees: Roles, Membership, Structure, and Difficulties	460
Ch. 44	Clinical Ethics Consultants: Survey and Practice	471
Ch. 45	Can There Be Educational and Training Standards for Those Conducting Health Care Ethics Consultation?	484
Ch. 46	Health Care Institutional Ethics: Broader Than Clinical Ethics	497
Ch. 47	The Ethics of Health Care as a Business	505
Pt. VI	Methodology	513
Ch. 48	Basic Theories in Medical Ethics	515
Ch. 49	A Method of Ethical Decision Making	527
Ch. 50	Getting Down to Cases: The Revival of Casuistry in Bioethics	541
Ch. 51	Literature and Medicine: Contributions to Clinical Practice	554
Ch. 52	Ethically Responsibly Creativity - Friendship of an Understanding Heart: A Cognitively Affective Model for Bioethics Decision Making	566
Ch. 53	Bioethics as Social Problem Solving	578
Ch. 54	Intercultural Reasoning: The Challenge for International Bioethics	587
	Index	594