Preface to the Third Edition
Introduction
1. What Is Ethics? Defining EthicsTwo Kinds of EthicsHistorical Versions of the Ethics of ObligationMoral Reasoning and the Theories of ObligationContrasting the Ethics of Obligation with an Ethics of the GoodRetrieving the Ethics of the GoodBioethics TodaySuggested Readings
2. Prudence and Living a Good Life The Good We SeekHappinessMoral VirtuePrudenceSuggested Readings
3. The Language of Health Care Ethics Distinctions That Can MisleadHelpful DistinctionsSuggested Readings
4. Making Health Care Decisions Complexity of Health Care DecisionsDecision-Making CapacityInformed ConsentAdvance DirectivesThe Patient Self-Determination ActThe Case of Hazel WelchFinal ReflectionsSuggested Readings
5. Deciding for Others Becoming a ProxyStandards for Making Proxy DecisionsDeciding for Older ChildrenDeciding for the Mentally IllDeciding for Patients of Another CultureFinal Reflections on Deciding for OthersSuggested Readings
6. Determining Life and Death The Classical Conceptual FrameworkA New Conceptual FrameworkWhen Does One of Us Begin?When Does One of Us Die?Recent Controversies over Determining DeathEthical ReflectionsSuggested Readings
7. Life-Sustaining Treatments VentilatorsThe Case of Karen QuinlanThe Case of Brother FoxThe Case of william BartlingThe Case of Helga WanglieThe Case of Barbara HoweDialysisThe Case of Earle SpringSurgeryThe Case of Rosaria CanduraOther Life-Sustaining TreatmentsSuggested Readings
8. Cardiopulmonary Resuscitation TerminologyA Brief History of Resuscitation AttemptsThe Effectiveness of Attempting CPRLearning to Withhold CPRImportant Ethical Elements for a DNR PolicyLingering Questions about DNR OrdersThe Case of Marie MThe Case of shirley DinnersteinThe Case of Catherine GilgunnSuggested Readings
9. Medical Nutrition and Hydration The Techniques and TechnologiesConceptualizing Medical Nutrition and HydrationThe Case of Clarence HerbertThe Case of Claire ConroyThe Case of Elizabeth bouviathe Case of Nancy CruzanThe Case of Terri SchiavoAn Emerging Controversy: the Vatican and Feeding TubesEthical ReflectionsSuggested Readings
10. Reproductive Issues Contraception and SterilizationArtificial Reproduction TechniquesCloningSurrogate MotherhoodEthical ReflectionsSuggested Readings
11. Prenatal LifeAbortionMoral Issues of AbortionRU–486Maternal–Fetal Treatment ConflictsThe Case of AngieEthical ReflectionSuggested Readings
12. Infants and Children Historical BackgroundA Sampling of Neonatal AbnormalitiesSpecial Difficulties in Deciding for Neonates and Small ChildrenThe Baby Doe RegulationsThe Case of Baby DoeThe Case of Baby Jane DoeThe Case of DanielleThe Case of Baby KThe Case of AshleyInfant Euthanasia in The NetherlandsSuggested Readings
13. Euthanasia and Physician-Assisted Suicide Historical OverviewRecent DevelopmentsPhysician-Assisted Suicide and State LawsPhysician-Assisted Suicide and the ConstitutionRelevant DistinctionsMoral Reasoning and EuthanasiaReasons for Euthanasia and Physician-Assisted SuicideReasons against Euthanasia and Physician-Assisted SuicideThe Story of a Landmark Physician-Assisted suicideThe Case of DianeConcluding ReflectionsSuggested Readings
14. Medical Research Notorious Examples of Questionable Ethics in ResearchReactions to the Questionable Medical ResearchResearch on Embryos Research on Fetuses Research on MinorsResearch in Developing CountriesOther Special Populations in ResearchAnimals and Medical ResearchSuggested Readings
15. Transplantation Transplantation of Organs from Dead Human DonorsThe Case of Jamie FiskeThe Case of Jess SepulvedaTransplantation of Organs from Living Human DonorsTransplantation of Organs from AnimalsThe Case of Baby FaeImplantation of Artificial HeartsSuggested Readings
16. Medical Genetics Genetic TestingA Case of Concern About CancerGenetic ScreeningGenetic Research on HumansThe Case of Jesse GelsingerGenetic EnhancementHuman Genome ProjectSuggested Readings
17. Social and Political Issues Paying for Health CareLegislation and the “Futility” DebateThe Case of Sun HudsonThe Case of Emilio GonzalesExperimental Drugs for Dying PatientsThe Case of Abigail Burroughs and the Abigail AllianceSeeding Trials and Ghost WritersSuggested Readings
Glossary
Index of Cases
Index