Bioethics examines and challenges existing and future practices in health care, reproduction, genetics, biotechnology, and biomedical research. This volume includes many of the most important and influential articles that have set the agenda for key debates in bioethics or have changed the face of those debates. The articles address ethics in clinical practice, issues at the outset of life, reproductive ethics, end-of-life issues, professional integrity and the goals of medicine, ethics and the pharmaceutical industry, research ethics and bioethics and public policy. The volume demonstrates what is at stake in many current controversies in bioethics and shows the breadth and richness of work in the field.
Contents: Introduction; Part I Ethics in Clinical Practice: Autonomy and the refusal of lifesaving treatment, Bruce L. Miller; Value theory and the best interests standard, David Degrazia; Paternalism and partial autonomy, Onora O'Neill; Informed consent and surgeons' performance, Steve Clarke and Justin Oakley; Models for ethical medicine in a revolutionary age, Robert M. Veatch; What about the family?, John Hardwig; Dworkin on dementia: elegant theory, questionable policy, Rebecca Dresser; Why saying no to patients in the United States is so hard: cost containment, justice and provider autonomy, Norman Daniels. Part II Issues at the Outset of Life: Indicators of humanhood: a tentative profile of man, Joseph Fletcher; Arguing from potential, Stephen Buckle; Why potentiality matters, Jim Stone; Virtue theory and abortion, Rosalind Hursthouse; Going to the roots of the stem cell controversy, Søren Holm; 'Goodbye Dolly?' The ethics of human cloning, John Harris. Part III Reproductive Ethics: Genetic dilemmas and the child's right to an open future, Dena S. Davis; Procreative beneficence: why we should select the best children, Julian Savulescu; The case against perfection, Michael J. Sandel; The exploitation argument against commercial surrogacy, Stephen Wilkinson. Part IV End-of-Life Issues: Presidential address: Is the sanctity of life ethic terminally ill? Peter Singer; A modern myth: that letting die is not the intentional causation of death: some reflections on the trial and acquittal of Dr Leonard Arthur, Helga Kuhse; Euthanasia: the way we do it, they way they do it, Margaret Pabst Battin; 'Culture of life' politics at the bedside – the case of Terri Schiavo, George J. Annas; Death and the value of life, Jeff McMahan. Part V Professional Integrity and the Goals of Medicine: Reviving a distinctive medical ethic, Larry R. Churchill; Neither for love nor money: why doctors must not kill, Leon R. Kass; Professional integrity and physician-assisted death, Franklin G. Miller and Howard Brody; Doing what the patient orders: maintaining integrity in the doctor-patient relationship, Jeffrey Blustein. Part VI Research Ethics: Equipoise and the ethics of clinical research, Benjamin Freedman; Instituting a research ethic: chilling and cautionary tales, Philip Pettit; Inducement in research, Martin Wilkinson and Andrew Moore; Unethical trials of interventions to reduce perinatal transmission of the human immunodeficiency virus in developing countries, P. Lurie and S.M. Wolfe; Moral standards for research in developing countries: from 'reasonable availability' to 'fair benefits', Participants, 2001 Conference on Ethical Aspects of Research in Developing Countries. Part VII Ethics and the Pharmaceutical Industry: Human rights and global health: a research program, Thomas W. Pogge; Biomedical conflicts of interest: a defence of the sequestration thesis – learning from the cases of Nancy Olivieri and David Healy, A. Schafer; Pharma buys a conscience, Carl Elliott. Part VIII Bioethics and Public Policy: Can we learn from eugenics?, Daniel Wikler; Abortion, Judith Jarvis Thomson; Morality and the law: some problems, Mary Warnock; Deliberating about bioethics, Amy Gutmann and Dennis Thompson; Name Index.