... this book is though-provoking, bringing a scientist's reason and a moralist's outrage to bear on a subject that's largely escaped attention." -- Wired "Caplan's choice of topics is broad and his opinions challenging.... This volume will interest the general public. It is a good survey of a broad range of ethical issues, as seen by one prominent bioethicist who has thought much about the subject. Caplan's well-merited reputation as a commentator and interpreter between the scholarly and the public arena is reaffirmed in this book." -- The Washington Post "Arthur Caplan -- with assiduous effort, unflagging energy, encyclopedic knowledge, and imposing talent -- has become America's most visible commentator on bioethics." -- The Philadelphia Inquirer "Arthur Caplan is perhaps the most quoted bioethicist in the US and this new collection of essays illustrates why." -- Nature Medicine "... an important book of essays addressing the most problematic and persistent questions in the realm of contemporary bioethics. He offers a highly readable text balancing irony and incisive analysis with a palpable sense of moral urgency as he confronts a variety of subjects." -- Curtis W. Hart, BCC "Careful consideration of some of the knottier bioethical problems of our times, by the director of the Center for Bioethics at the University of Pennsylvania, who fears that cynicism and mistrust have eroded our ability to see ourselves as our brothers' keepers." -- Kirkus Reviews "Caplan's particular skill is an ability to identify, analyze, and explain the extremely complex moral questions that grow out of changes in health care, science, and medicine." -- The New York Times Magazine "An important critical voice for American medicine." -- The New England Journal of Medicine "... a useful introduction to a variety of bioethical issues." -- Library Journal In this impassioned book, Arthur L. Caplan, America's leading bioethicist, calls for an end to cynicism and mistrust in our approach to resolving health care issues. He brings this vision to discussions of some of the most exciting issues at the frontiers of medical ethics today -- including doctor-assisted suicide, gene therapy, and the headline-grabbing case of Dolly the sheep and the possibility that human beings might one day be cloned.
Named an Outstanding Academic Title for 2009 byChoice! "[A] set of almost 70 essays, all well informed and many with attitude." Harold Shapiro, PhD Professor Emeritus and Professor of Economics and Public Affairs Princeton University, Former Chair, National Bioethics Advisory Board "This most noteworthy and authoritative collection of 67 essays...represents 'the Penn way of doing bioethics' ....The Penn Center is widely known for multidisciplinary scholarship that emphasizes empirical inquiry on bioethical issues coupled with practical application(s)....The book provides excellent coverage of...both classical topics (e.g., informed consent, infertility, eugenics) and emerging issues (e.g., cloning, nonprofessional caregiving, privacy of thought in the age of brain imaging). The contributors, including the three editors, are either well-established or emerging scholars. Each essay offers historical background, an overview of relevant issues, a conclusion, and a list of references....Summing Up: Highly recommended."--Choice: Current Reviews for Academic Libraries "This well-written book addresses a wide-ranging assortment of traditional bioethics issues that persist in the field as well as contemporary bioethics concerns that have evolved with new technologies and medical advances. This is a great resource for scholars in bioethics as well as various other relevant disciplines concerned with bioethical issues." Score: 96, 4 stars--Doody's Medical Reviews The Center for Bioethics at the University of Pennsylvania is the internationally recognized leader in bioethical education and research. Its interdisciplinary faculty is drawn from the fields of medicine, law, nursing, education, philosophy, psychology, and religious studies. Arthur L. Caplan, the Center's founding director, is recognized as one of the most influential experts in bioethics. He has authored numerous books and articles, and served as the Chair of the Advisory Committee to the United Nations on human cloning. The Penn Center's leading fellows, Autumn Fiester and Vardit Ravitsky, have combined their expertise with Dr. Caplan and over 80 other contributors to create The Penn Center Guide to Bioethics--the foremost authority on both traditional and cutting-edge bioethical issues. The Penn Guide navigates uncharted ethical terrains, undoubtedly shaping both academic and public discourses on the challenging controversies generated by new technologies, theories, and medical advances. This volume represents the Penn Center's distinct, pioneering approach to bioethics, one that emphasizes empirical treatment of bioethical issues, and the integration of bioethical scholarship with practical application. Learn what the Penn Center has to say about: Neuroethics and brain imaging: Is my mind mine? Choosing future people: reproductive technologies and identity Eugenics and survival of the fittest in the modern world Bioethics and national security Vaccination, abortion, nanotechnology, organ transplantation, end-of-life issues, and more The Penn Guide will be the definitive text for policy makers, health practitioners, researchers, and students. This book will also inform the general public, patients, and family members as they seek answers to the bioethical issues of the day.
An important contribution to a debate that will continue for some time." -- Health and Canadian Society "Insightful and thought-provoking.... As Caplan has demonstrated so clearly... we would all be better off if the ethicists spoke first and not last." -- The Washington Post "Caplan's views are important and instructive.... [This] book represents some of his best work." -- New England Journal of Medicine "Caplan's [book] is thought provoking, insightful, and well argued. I recommend it highly."Â -- The Journal of the American Medical Association "... a generously illustrated discourse on method in medical and practical ethics." -- Ethics A member of the President's Task Force on National Health Care Reform examines some of the most controversial biomedical issues of our time.
In April 1982, an infant boy was born in Bloomington, Indiana, with Down syndrome and a defective, but surgically correctable, esophagus. His parents refused to consent to surgery or intravenous feeding. The hospital unsuccessfully sought a court order to force treatment, and appeals to higher courts also failed. The child, identified as Baby Doe by the news media, subsequently died. The events in Bloomington became the catalyst for action by the Reagan administration, the courts, and Congress that culminated in a federal policy that makes failure to treat newborns with disabilities a form of child neglect. This book centers on the public policy aspects of withholding treatment from critically ill newborns who are disabled. Specifically, it deals with why the policy was enacted and what impact it has had on health care workers, families, and infants. Some of the contributors to this book spearheaded the early debate on withholding treatment. Anthony Shaw's New York Times Magazine article in 1972 was the first to address these issues in the popular press. The following year, he published a related article in the New England Journal of Medicine. Also appearing in this same issue of NEJM, was the pathbreaking study, coauthored by A. G. M. Campbell, on withholding treatment in the special care nursery at Yale-New Haven Hospital. Each of these articles promoted much public and professional discussion.
The fate of seriously ill newborns has captured the atten tion of the public, of national and state legislators, and of powerful interest groups. For the most part, the debate has been cast in the narrowest possible terms: "discrimination against the handicapped"; "physician authority"; "family autonomy." We believe that something much more profound is happening: the debate over the care of sick and dying babies appears to be both a manifestation of great changes in our feelings about infants, children, and families, and a reflection of deep and abiding attitudes toward the newborn, the handi capped, and perhaps other humans who are "less than" nor mal, rational adults. How could we cast some light on those feelings and attitudes that seemed to determine silently the course of the public debate? We chose to enlist the humanities-the dis players and critics of our cultural forms. Rather than closing down the public discussion, we wanted to open it up, to illuminate it with the light of history, religion, philosophy, literature, jurisprudence, and humanistically oriented sociol ogy. This book is a first effort to place the hotly contested Baby Doe debate into a broader cultural context.
In When Medicine Went Mad, one of the nation's leading bioethicists-and an extraordinary panel of experts and concentration camp survivors-examine problems first raised by Nazi medical experimentation that remain difficult and relevant even today. The importance of these issues to contemporary bioethical disputes-particularly in the thorny areas of medical genetics, human experimentation, and euthanasia-are explored in detail and with sensitivity.
Genetic counseling is fairly new. The fact that the field is an accepted professional enterprise in universities, clinics, and hospitals throughout the United States is remarkable. The contributors argue that genetics and medicine rest on beliefs widely held in American society. Scientific progress is good, and highly sophisticated technologies are appropriate means to solving medical problems. The better understanding they gain about the nature and evolution of disease, the more prepared clinicians will be to treat and prevent future occurrence of disease. A belief that medicine, including genetic medicine, is clear, factually based, and objective undergirds the strategies and norms of genetic counseling. This collection of original papers explores the history, values, and norms of that process, with focus on the value of non-directiveness in counseling practice. The contributors' examination of genetic counseling issues serves as a foundation from which to address the ethical, legal, and policy considerations of clinical genetics.
Arthur L. Caplan It is commonly said, especially when the subject is assisted reproduction, that medical technology has out stripped our morality. Yet, as the essays in this volume make clear, that is not an accurate assessment of the situ ation. Medical technology has not overwhelmed our moral ity. It would be more accurate to say that our society has not yet achieved consensus about the complex ethical iss ues that arise when medicine tries to assist those who seek its services in order to reproduce. Nevertheless, there is no shortage of ethical opinion about what we ought to do with respect to the use of surrogate mothers, in vitro fertil ization, embryo transfer, artificial insemination, or fertil ity drugs. Nor is it entirely accurate to describe assisted repro duction as technology. The term "technology" carries with it connotations of machines buzzing and technicians scurrying about trying to control a vast array of equip ment. Yet, most of the methods used to assist reproduc tion that are discussed in this volume do not involve exotic technologies or complicated hardware. It is technique, more than technology, that dominates the field of assisted reproduction. Efforts to help the infertile by means of the manipu lation of human reproductive materials and organs date 1 2 Caplan back at least to Biblical times. Human beings have en gaged in all manner of sexual practices and manipulations in attempts to achieve reproduction when nature has balked at allowing life to begin.
... this book is though-provoking, bringing a scientist's reason and a moralist's outrage to bear on a subject that's largely escaped attention." -- Wired "Caplan's choice of topics is broad and his opinions challenging.... This volume will interest the general public. It is a good survey of a broad range of ethical issues, as seen by one prominent bioethicist who has thought much about the subject. Caplan's well-merited reputation as a commentator and interpreter between the scholarly and the public arena is reaffirmed in this book." -- The Washington Post "Arthur Caplan -- with assiduous effort, unflagging energy, encyclopedic knowledge, and imposing talent -- has become America's most visible commentator on bioethics." -- The Philadelphia Inquirer "Arthur Caplan is perhaps the most quoted bioethicist in the US and this new collection of essays illustrates why." -- Nature Medicine "... an important book of essays addressing the most problematic and persistent questions in the realm of contemporary bioethics. He offers a highly readable text balancing irony and incisive analysis with a palpable sense of moral urgency as he confronts a variety of subjects." -- Curtis W. Hart, BCC "Careful consideration of some of the knottier bioethical problems of our times, by the director of the Center for Bioethics at the University of Pennsylvania, who fears that cynicism and mistrust have eroded our ability to see ourselves as our brothers' keepers." -- Kirkus Reviews "Caplan's particular skill is an ability to identify, analyze, and explain the extremely complex moral questions that grow out of changes in health care, science, and medicine." -- The New York Times Magazine "An important critical voice for American medicine." -- The New England Journal of Medicine "... a useful introduction to a variety of bioethical issues." -- Library Journal In this impassioned book, Arthur L. Caplan, America's leading bioethicist, calls for an end to cynicism and mistrust in our approach to resolving health care issues. He brings this vision to discussions of some of the most exciting issues at the frontiers of medical ethics today -- including doctor-assisted suicide, gene therapy, and the headline-grabbing case of Dolly the sheep and the possibility that human beings might one day be cloned.
An important contribution to a debate that will continue for some time." -- Health and Canadian Society "Insightful and thought-provoking.... As Caplan has demonstrated so clearly... we would all be better off if the ethicists spoke first and not last." -- The Washington Post "Caplan's views are important and instructive.... [This] book represents some of his best work." -- New England Journal of Medicine "Caplan's [book] is thought provoking, insightful, and well argued. I recommend it highly."Â -- The Journal of the American Medical Association "... a generously illustrated discourse on method in medical and practical ethics." -- Ethics A member of the President's Task Force on National Health Care Reform examines some of the most controversial biomedical issues of our time.
What do you think about cloning, stem cell research, brain enhancement, or doing experiments on newly dead patients? Read Smart Mice, Not so Smart People and you'll know what Art Caplan thinks. But this assortment of pithy, provocative opinions on all things bioethical does more than simply give you a piece of the author's mind—it also invites and even dares you to make up your own mind. In his typical style, Caplan—one of the most sought-after bioethicists of our time—provokes discussion on issues at the center of the new genetics, cloning in the laboratory and in the media, stem cell research, experiments on human subjects, blood donation and organ transplantation, and healthcare delivery. Are new developments in these areas good or bad? As an engaged citizen in a democratic society, it is your responsibility to decide. This book will help you do it.
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