Basics of Bioethics

ISBN-10: 0130991619
ISBN-13: 9780130991614
Edition: 2nd 2002 (Revised)
Authors: Robert M. Veatch
List price: $56.20 Buy it from $3.00
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Description: For health professional schools (Medicine, Nursing, and Allied Health) and short undergraduate courses or course segments in Bioethics, Medical Ethics, and Applied Ethics in departments of philosophy, religion, biology, and the social sciences.   More...

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Book details

List price: $56.20
Edition: 2nd
Copyright year: 2002
Publisher: Routledge
Publication date: 9/27/2002
Binding: Paperback
Pages: 205
Size: 6.00" wide x 9.00" long x 0.25" tall
Weight: 0.748
Language: English

For health professional schools (Medicine, Nursing, and Allied Health) and short undergraduate courses or course segments in Bioethics, Medical Ethics, and Applied Ethics in departments of philosophy, religion, biology, and the social sciences. Brief text provides a balanced, systematic framework to help students analyze wide range of controversial topics in medicine. Considers ethical systems from various religious and secular traditions. Topics include history of codes of ethics, abortion, animal rights and welfare, confidentiality, truth-telling, informed consent, care of the terminally ill, genetics, birth technologies, and problems of social ethics, including resource allocation, organ transplant, and human subjects research.

List of Cases
List of Figures
Preface
A Map of the Terrain of Ethics
The Levels of Moral Discourse
The Level of the Case
Rules and Rights (Codes of Ethics)
Normative Ethics
Metaethics
A Full Theory of Bioethics
The Hippocratic Oath and Its Challengers: A Brief History
The Hippocratic Tradition
The Hippocratic Oath
Modern Codes in the Hippocratic Tradition
The Collapse of the Hippocratic Tradition
Codes and Oaths Breaking with the Hippocratic Tradition
Sources from Outside Professional Medicine
Defining Death, Abortion, and Animal Welfare: The Basis of Moral Standing
Persons, Humans, and Individuals: The Language of Moral Standing
The Concept of Moral Standing
Moral and Nonmoral Uses of the Term Person
Moral and Nonmoral Uses of the Word Human
Defining Death
A Cardiac Definition of Death
A Whole-Brain-Oriented Definition of Death
The Higher-Brain Definition of Death
Definitions and Moral Standing
Abortion
Symmetry between Definition of Death and Abortion
Possible Basis for a Breakdown in the Symmetry
The Moral Status of Non-Human Animals
Problems in Benefitting and Avoiding Harm to the Patient
What Counts as a Benefit?
Subjective vs. Objective Estimates of Benefit and Harm
Medical vs. Other Personal Benefits
Conflicting Goals within the Medical Sphere
Ways to Balance Benefits and Harms
Bentham and Arithmetic Summing
Comparing the Ratio of Benefits to Harms
First of All, Do No Harm
The Problem of Medical Paternalism
The Ethics of Respect for Persons: Lying, Cheating, and Breaking Promises and Why
Physicians Have Considered Them Ethical
The Principle of Fidelity
The Ethics of Confidentiality
The Principle of Autonomy and the Doctrine of Informed Consent
The Concept of Autonomy
Positive and Negative Rights
Informed Consent, Autonomy, and Therapeutic Privilege
Standards of Disclosure for Consent to Be Adequately Informed
The Principle of Veracity: Lying and the Duty to Tell the Truth
The Change in Physician Attitudes
Accounting for the Change in Attitudes
The Principle of Avoiding Killing
Active Killing vs. Allowing to Die
Distinguishing Active Killing from Allowing to Die
New Legal Initiatives for Physician-Assisted Suicide
Stopping vs. Not Starting
The Distinction Between Direct and Indirect Killing
The Distinction Between Ordinary and Extraordinary Means
The Meaning of the Terms
The Criteria for Classifying Treatments Morally Expendable
The Subjectivity of All Benefit and Harm Assessments
Withholding Food, Fluids, CPR, and Medications
Death and Dying: The Incompetent Patient
Formerly Competent Patients
The Principle of Autonomy Extended
Substituted Judgment
Going Beyond Advance Directives
Mechanisms for Expressing Wishes
Issues to Be Addressed in an Advance Directive
Never-Competent Patients without Family or Other Pre-existing Surrogates
The Principles
The Legal Standard
Who Should Be the Surrogate?
Never-Competent Patients with Family Surrogates
What Is the Standard Underlying This Family Discretion?
Social Ethics of Medicine: Allocation of Resources, Transplantation, and Human Subjects Research
The Need for a Social Ethic for Medicine
The Limits of the Ethics of Individual Relations
The Social Ethical Principles for Medical Ethics
Allocation of Health Care Resources
The Demand for Health Care Services
The Inevitability of Rationing
Ethical Responses to the Pressures for Cost Containment
The Role of the Clinician in Allocation Decisions
Organ Transplantation
Is Performing Transplants "Playing God?"
Procurement of Organs
Organ Allocation
Research Involving Human Subjects
Distinguishing Research and Innovative Therapy
Social Ethics for Research Involving Human Subjects
Human Control of Life: Genetics, Birth Technologies and Modifying Human Nature
The Human as Created and as Creator
Medical Manipulation as Playing God
Having Dominion over the Earth
Genetics and the Control of Human Reproduction
Genetics
New Reproductive Technologies
Resolving Conflicts Among Principles
Different Concepts of Duty
Absolute, Exceptionless Duties
Prima Facie Duties
Duty Proper
Theories of Conflict Resolution
Single Principle Theories
Ranking (Lexically Ordering) Principles
Balancing
Combining Ranking and Balancing
Ways of Reconciling Social Utility and Justice
Translating Principles to Rules
Conclusion
The Virtues in Bioethics
Virtue Lists
Professional Virtues
Secular Virtues
Religious Virtues
Care as a Virtue
Problems with the Virtues
The Wrong Virtue Problem
The Naked Virtue Problem
Conclusion
Appendix
Hippocratic Oath
Principles of Medical Ethics (2001) of the American Medical Association
Index

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