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This best-selling anthology of readings with case studies provides insightful and comprehensive treatment of ethical issues in medicine. Appropriate for courses taught in philosophy departments as well as in schools of medicine and nursing, the collection covers provocative topics such as conflicts of interest in medicine, advance directives, physician-assisted suicide, and the rationing of health care. The text's effective pedagogical features include chapter introductions, argument sketches, explanations of medical terms, headnotes, and annotated bibliographies.

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• Preface
• Chapter 1 General Introduction
• The Nature of Biomedical Ethics
• Recently Dominant Ethical Theories
• The Critical Assessment of Competing Ethical Theories
• Teleological Versus Deontological Theories
• Act-Utilitarianism
• Rule-Utilitarianism
• Kantian Deontology W.D.Ross''s Theory of Prima Facie Duties
• The Principles of Biomedical Ethics
• Alternative Directions and Methods
• Virtue Ethics
• The Ethics of Care and Feminist Ethics
• Casuistry: Case-Based Reasoning in Historical Context
• Reflective Equilibrium and Appeals to Coherence Confronting Ethical Relativism
• Fundamental Concepts and Principles
• Autonomy
• Liberty-Limiting Principles
• Paternalism Notes
• Annotated Bibliography
• Appendix: Selected Reference Sources in Biomedical Ethics
• Print Resources
• Web Resources
• Chapter 2 The Physician-Patient Relationship
• Physicians'' Obligations and Virtues
• The Hippocratic Oath
• Council of Ethical and Judicial Affairs
• American Medical Association
• Fundamental Elements of the Patient-Physician Relationship
• The Virtuous Physician and the Ethics of Medicine Physician-Patient Models and Patient Autonomy
• Metaphors and Models of Doctor-Patient Relationships
• TheirImplications for Autonomy
• Why Doctors Should Intervene Truth Telling
• On Telling Patients the Truth
• Offering the Truth: One Ethical Approach to the Uninformed Cancer Patient Informed Consent
• Judge
• Opinion in Canterbury v. Spence
• President''s Commission for the Study of Ethical Problems in Medicine and Biomedical a0nd Behavioral Research
• The Values Underlying Informed Consent
• Transparency: Informed Consent in Primary Care
• The Practice of Medicine in a Multicultural Society
• Ethical Relativism in a Multicultural Society
• Quality Care and the Wounds of Diversity Contested Therapies within the Physician-Patient Relationship
• Cosmetic Surgery and the Internal Morality of Medicine
• One Pill Makes You Smarter: An Ethical Appraisal of the Rise of Ritalin Conflicts of Interest, Problems of Conscience, and Managed Care
• The Doctor as Double Agent
• Managed Care and the Goals of Medicine
• Conscience and the Conscientious Actions in the Context of MCOs Annotated Bibliography
• Chapter 3 Hospitals, Nurses, Families, And Medical Confidentiality
• Professional Statements
• American Hospital Association, The Patient Care Partnership: Understanding Expectations, Rights and Responsibilities
• American Nurses'' Association, Code of Ethics for Nurses The Role and Responsibilities of Nurses
• In Defense of the Traditional Nurse
• Advocacy or Subservience for the Sake of Patients?
• The Nurse/Physician Relationship and Ethical Decision Making Families and Medical Decision Making
• atient Choices, Family Interests, and Physician Obligations
• Deaf Culture, Cochlear Implants, and Elective Disability
• The Hanukkah Bush: Ethical Implications in the Clinical Management of Intersex Confidentiality
• Justice
• Majority Opinion in Tarasoff v. Regents of the University of California
• Justice
• Dissenting Opinion in
• Please Don''t Tell!: A Case About HIV and Confidentiality (with commentaries
• Annotated Bibliography
• Chapter 4 Human And Animal Research
• Ethical Codes
• The Nuremberg Code
• World Medical Association, Declaration of Helsinki
• Council for International Organizations of Medical Sciences
• International Guiding Principles for Biomedical Research Involving Animals Research Involving "Vulnerable" Populations
• Proxy Consent for Research on the Incompetent Elderly
• The Dangers of Difference
• Ethical and Human-Rights Issues in Research on Mental Disorders
• That May Affect Decision-Making Capacity
• Experimental Design and Randomized Clinical Trials
• Of Mice but Not Men: Problems of the Randomized Clinical Trial
• How to Resolve and Ethical Dilemma Concerning Randomized Clinical Trials Clinical Trials in Developing Countries
• Research in Developing Countries: Taking Benefit Seriously
• Ethical Issues in Clinical Trials in Developing Countries Animal Research
• The Case for the Use of Animals in Biomedical Research
• The Responsible Use of Animals in Biomedical Research
• The Ethics of Animal Research: What Are the Prospects for Agreement?
• Annotated Bibliography
• Chapter 5 Death And Decisions Regarding Life-Sustaining Treatment
• The Definition and Determination of Death
• President''s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, Why "Update" Death?
• The Definition and Criterion of Death
• Pragmatism and the Determination of Death Competent Adults and the Refusal of Life-Sustaining Treatment
• Council on Ethical and Judicial Affairs, American Medical Association, Withholding and Withdrawing Life-Sustaining Treatment
• Refusing Life-Sustaining Treatment After Catastrophic Injury: Ethical Implications
• Suicide by Persons with Disabilities Disguised as the Refusal of Life-Sustaining Treatment DNR Orders and Medical Futility
• Ethics and Communication in Do-Not-Resuscitate Orders
• A Conceptual and Ethical Analysis Advance Directives and Treatment Decisions for Incompetent Adults
• Some Reflections on Advance Directives Norman
• The Conscious Incompetent Patient The Treatment of Impaired Infants
• Involuntary Euthanasia of Defective Newborns
• Members of The Hastings Center Research Project on the Care of Imperiled Newborns, Standards of Judgment for Treatment of Imperiled Newborns
• Annotated Bibliography
• Chapter 6 Suicide, Physician-Assisted Suicide, And Active Euthanasia
• The Morality of Suicide
• Suicide
• The Morality and Rationality of Suicide The Morality of Active Euthanasia
• Active and Passive Euthanasia Daniel Callahan, Killing and Allowing to Die
• Voluntary Active Euthanasia The Supreme Court, Physician-Assisted Suicide, and Terminal Sedation
• Chief Justice
• Chief Justice
• Justice
• Concurring Opinion in Washington v. Glucksberg
• The Supreme Court and Physician-Assisted Suicide: Rejecting Assisted Suicide but Embracing Euthanasia Physician-Assisted Suicide, Active Euthanasia, and Social Policy
• Care of the Hopelessly Ill: Proposed Clinical Criteria for Physician-Assisted Suicide