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Bioethics

Principles, Issues, and Cases


The most up-to-date, comprehensive, and accessible introduction available, Bioethics: Principles, Issues, and Cases explores the philosophical, medical, social, and legal aspects of key bioethical issues. Lewis Vaughn offers students a truly unique hybrid text that combines introductory and explanatory material; a wide variety of current readings; classic and contemporary cases; and more robust pedagogy than any other text. Opening with a thorough introduction to ethics, bioethics, and moral reasoning, Bioethics then covers influential moral theories and the criteria for evaluating them; this gives students the background to relate moral principles and theories to current controversies. Integrating seventy-seven readings, numerous cases, and abundant pedagogical tools, the book addresses the most provocative and controversial topics in bioethics, including paternalism and patient autonomy, truth-telling and confidentiality, informed consent, clinical trials, abortion, assisted reproduction, surrogacy, cloning, genetic testing, gene therapy, embryonic stem-cell dilemmas, euthanasia and physician-assisted suicide, and the just allocation of health-care resources. With a lucid writing style and a focus on critical thinking that engages students and keeps them interested, Bioethics is ideal for courses in bioethics, biomedical ethics, and medical ethics. In addition, its modular structure gives instructors great flexibility in designing and teaching their courses. Pedagogical Features: * "Classic Case Files" describe landmark cases that shaped the debate, while news-making "Cases for Evaluation" encourage students to form their own opinions * Various text boxes: "In Depth" boxes contain additional material, illustrations, or analyses, much of it "ripped from the headlines"; "Fact File" boxes provide statistics on the social, medical, and scientific facets of a chapter's topic; and "Legal Brief" boxes summarize important court rulings and the status of major legislation * "Key Terms" are boldfaced and boxed off within the text and then defined in a glossary at the back of the book * "Applying Major Theories" sections at the end of each chapter help students relate theories to the issues * Unique Support Package (not available with any other text): An Instructor's Manual and Testbank (available in print and on CD) features reading summaries, essay questions, key terms, sample syllabi, and numerous test questions; a Companion Website contains Powerpoint lecture outlines, reading summaries, student self-test questions, flashcards, and helpful web links
Chapters 3-10 include an "Applying Major Theories" section. Chapters 3-11 include Cases for Evaluation. Each chapter includes Key Terms, a Summary, Further Reading, and Notes. Preface PART 1. PRINCIPLES AND THEORIES Chapter 1. Moral Reasoning in Bioethics Ethics and Bioethics Ethics and the Moral Life In Depth: Morality and the Law Moral Principles in Bioethics Autonomy Beneficence Utility Justice Ethical Relativism In Depth: Anthropology and Moral Diversity Ethics and Religion Moral Arguments Argument Fundamentals Patterns of Moral Arguments Review: Valid and Invalid Argument Forms In Depth: Fallacies in Moral Reasoning Evaluating Premises Chapter 2. Bioethics and Moral Theories The Nature of Moral Theories Influential Moral Theories Utilitarianism In Depth: Utilitarianism and the Golden Rule Kantian Ethics Natural Law Theory Rawls' Contract Theory Virtue Ethics The Ethics of Care In Depth: Can Virtue Be Taught? Feminist Ethics Criteria for Judging Moral Theories Review: Evaluating Moral Theories: Criteria of Adequacy Applying the Criteria Utilitarianism Kant's Theory PART 2. PHYSICIAN AND PATIENT Chapter 3. Paternalism and Patient Autonomy Shades of Autonomy and Paternalism Refusing Treatment In Depth: The Hippocratic Oath Futile Treatment Legal Brief: Refusing Treatment for Children on Religious Grounds In Depth: CPR and DNR Classic Case File: Elizabeth Bouvia Readings: "Paternalism," Gerald Dworkin "The Refutation of Medical Paternalism," Alan Goldman "Why Doctors Should Intervene," Terrence F. Ackerman "Autonomy, Futility, and the Limits of Medicine," Robert L. Schwartz "Whose Body Is It Anyway?" Atul Gawande Bouvia v. Superior Court, California Court of Appeals "Fundamental Elements of the Patient-Physician Relationship," AMA Council on Ethical and Judicial Affairs "Code of Ethics for Nurses," American Nurses Association Chapter 4. Truth-Telling and Confidentiality Paternalism and Deception In Depth: Do Patients Want the Truth? Do Physicians Tell It? Confidential Truths Legal Brief: Confidentiality and a Duty to Warn Classic Case File: Carlos R. Readings: "Telling the Truth to Patients: A Clinical Ethics Exploration," David C. Thomasma "On Telling Patients the Truth," Mack Lipkin "On a Supposed Right to Lie from Altruistic Motives," Immanuel Kant "Respect for Patients, Physicians, and the Truth," Susan Cullen and Margaret Klein "Why Privacy Is Important," James Rachels "Confidentiality in Medicine--A Decrepit Concept," Mark Siegler Tarasoff v. Regents of the University of California, Supreme Court of California Chapter 5. Informed Consent Autonomy and Consent Conditions of Informed Consent In Depth: Two Views of Informed Consent Legal Brief: Important Informed Consent Cases Classic Case File: Jerry Canterbury Readings: "The Concept of Informed Consent," Ruth R. Faden and Tom L. Beauchamp "Informed Consent--Must It Remain a Fairy Tale?" Jay Katz "Transparency: Informed Consent in Primary Care," Howard Brody "Should Informed Consent Be Based on Rational Beliefs?" Julian Savulescu and Richard W. Momeyer "Informed Consent: Some Challenges to the Universal Validity of the Western Model," Robert J. Levine Canterbury v. Spence, United States Court of Appeals Chapter 6. Human Research The Science of Clinical Trials In Depth: The Tuskegee Tragedy Beneficence, Science, and Placebos Science and Informed Consent In Depth: Women in Clinical Trials Research on the Vulnerable In Depth: Why Enter a Clinical Trial? Classic Case File: The UCLA Schizophrenia Study Readings: The Nuremberg Code Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects, World Medical Association "The Belmont Report," National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research "Final Report: Human Radiation Experiments," Advisory Committee on Human Radiation Experiments "Of Mice but Not Men: Problems of the Randomized Clinical Trial," Samuel Hellman and Deborah S. Hellman "A Response to a Purported Ethical Difficulty with Randomized Clinical Trials Involving Cancer Patients," Benjamin Freedman "How to Resolve an Ethical Dilemma Concerning Randomized Clinical Trials," Don Marquis "Clinical Trials: Are They Ethical?" Eugene Passamani "The Ethics of Clinical Research in the Third World," Marcia Angell "Ethical Issues in Clinical Trials in Developing Countries," Baruch Brody PART 3. LIFE AND DEATH Chapter 7. Abortion Starting Point: The Basics Fact File: U.S. Abortions In Depth: Abortion and Public Opinion The Legal Struggle Persons and Rights In Depth: Late-Term Abortion Classic Case File: Nancy Klein Readings: "A Defense of Abortion," Judith Jarvis Thomson "Why Abortion Is Immoral," Don Marquis "On the Moral and Legal Status of Abortion," Mary Anne Warren "An Almost Absolute Value in History," John T. Noonan, Jr. "Abortion Decisions: Personal Morality," Daniel Callahan "Abortion and the Concept of a Person," Jane English "In Defense of Abortion and Infanticide," Michael Tooley "Abortion Through a Feminist Ethic Lens," Susan Sherwin Roe v. Wade, United States Supreme Court Planned Parenthood of Southeastern Pennsylvania v. Casey, United States Supreme Court Chapter 8. Reproductive Technology In Vitro Fertilization Fact File: Assisted Reproduction Surrogacy In Depth: IVF and Children's Future Children Cloning Legal Brief: Surrogacy Contracts and the Law In Depth: Cloning Time Line Classic Case File: Baby M Readings: "IVF: The Simple Case," Peter Singer "IVF and Women's Interests: An Analysis of Feminist Concerns," Mary Anne Warren "'Give Me Children or I Shall Die!' New Reproductive Technologies and Harm to Children," Cynthia B. Cohen "Instruction on Respect for Human Life in Its Origin and on the Dignity of Procreation," Congregation for the Doctrine of the Faith "Surrogate Mothering: Exploitation or Empowerment?" Laura M. Purdy "On 'Surrogacy,'" Barbara Katz Rothman "The Wisdom of Repugnance," Leon R. Kass "Cloning Human Beings: An Assessment of the Ethical Issues Pro and Con," Dan W. Brock Opinion in the Matter of Baby M, New Jersey Supreme Court Chapter 9. Genetic Choices Genes and Genomes Genetic Testing In Depth: Direct-to-Consumer Genetic Tests Gene Therapy Fact File: Genetic Tests Stem Cells In Depth: Recent Research in Gene Therapy Classic Case File: The Kingsburys Readings: "Implications of Prenatal Diagnosis for the Human Right to Life," Leon R. Kass "Genetics and Reproductive Risk: Can Having Children Be Immoral?" Laura M. Purdy "The Morality of Screening for Disability," Jeff McMahan "Disowning Knowledge: Issues in Genetic Testing," Robert Wachbroit "The Non-Identity Problem and Genetic Harms--the Case of Wrongful Handicaps," Dan W. Brock "Is Gene Therapy a Form of Eugenics?" John Harris "Genetic Enhancement," Walter Glannon "Germ-Line Gene Therapy," LeRoy Walters and Julie Gage Palmer "What Does 'Respect for Embryos' Mean in the Context of Stem Cell Research?" Bonnie Steinbock "Declaration on the Production and the Scientific and Therapeutic Use of Human Embryonic Stem Cells," Pontifical Academy for Life Chapter 10. Euthanasia & Physician-Assisted Suicide Deciding Life and Death Legal Brief: Euthanasia and Assisted Suicide: Major Developments In Depth: Euthanasia and Assisted Suicide: What Doctors Think and Do Autonomy, Mercy, and Harm In Depth: Oregon's Death With Dignity Act Applying Major Theories In Depth: Physician-Assisted Suicide and Public Opinion Classic Case File: Nancy Cruzan Readings: "The Wrongfulness of Euthanasia," J. Gay-Williams "Voluntary Active Euthanasia," Dan W. Brock "When Self-Determination Runs Amok," Daniel Callahan "When Abstract Moralizing Runs Amok," John Lachs "Physician-Assisted Suicide: A Tragic View," John D. Arras "Active and Passive Euthanasia," James Rachels "The Distinction Between Refusing Medical Treatment and Suicide," New York State Task Force on Life and the Law "The Philosophers' Brief," Ronald Dworkin, Thomas Nagel, Robert Nozick, John Rawls, Thomas Scanlon, and Judith Jarvis Thomson Vacco v. Quill, United States Supreme Court Washington v. Glucksberg, United States Supreme Court PART 4. JUSTICE AND HEALTH CARE Chapter 11. Dividing Up Health Care Resources Health Care in Trouble In Depth: Unequal Health Care for Minorities Fact File: U.S. Health Care Theories of Justice A Right to Health Care In Depth: Public Opinion: Obtaining Adequate Heath Care The Ethics of Rationing Classic Case File: Christine deMeurers Readings: "Is There a Right to Health Care and, if So, What Does It Encompass?" Norman Daniels "The Right to a Decent Minimum of Health Care," Allen E. Buchanan "Multiculturalism and Just Health Care: Taking Pluralism Seriously," Jeffrey Blustein "Rights to Health Care, Social Justice, and Fairness in Health Care Allocations: Frustrations in the Face of Finitude," H. Tristram Engelhardt, Jr. "Rationing Fairly: Programmatic Considerations," Norman Daniels "The Allocation of Exotic Medical Lifesaving Therapy," Nicholas Rescher "QALYfying the Value of Life," John Harris Glossary Index