In the past few years an increasing number of colleges and universities have added courses in biomedical ethics to their curricula. To some extent, these additions serve to satisfy student demands for "relevance. " But it is also true that such changes reflect a deepening desire on the part of the academic community to deal effectively with a host of problems which must be solved if we are to have a health-care delivery system which is efficient, humane, and just. To a large degree, these problems are the unique result of both rapidly changing moral values and dramatic advances in biomedical technology. The past decade has witnessed sudden and conspicuous controversy over the morality and legality of new practices relating to abortion, therapy for the mentally ill, experimentation using human subjects, forms of genetic interven tion, suicide, and euthanasia. Malpractice suits abound and astronomical fees for malpractice insurance threaten the very possibility of medical and health-care practice. Without the backing of a clear moral consensus, the law is frequently forced into resolving these conflicts only to see the moral issues involved still hotly debated and the validity of existing law further questioned. In the case of abortion, for example, the laws have changed radically, and the widely pub licized recent conviction of Dr. Edelin in Boston has done little to foster a moral consensus or even render the exact status of the law beyond reasonable question.
Medical practice is an inherently ethical enterprise. More than ever before, medical practice requires that medical professionals develop and exercise high ethical standards. Health care practitioners who ignore basic concepts of medical ethics risk exposing their patients to serious harm, and open themselves and their institutions to charges of malpractice. Clinical Bioethics provides for the busy clinical professional a concise, comprehensive treatment of the basics in this complex new field.
This is a valuable clarification, re-statement and defence of principlism as an approach to applied ethics. It is strongly recommended to many teachers of bioethics..." -- Journal of the American Medical Association "Childress' book deserves careful study by all concerned with the ethical aspect of contemporary biomedical challenges." -- Science Books & Films "An ideal supplement for a graduate seminar on bioethics or for upper-division undergraduates needing more information in this area." -- Choice In these revised and updated essays, renowned ethicist James F. Childress highlights the role of imagination in practical reasoning through various metaphors and analogies. His discussion of ethical problems contributes to a better understanding of the scope and strength of different moral principles, such as justice, beneficence, and respect for autonomy. At the same time, Childress demonstrates the major role of metaphorical, analogical, and symbolic reasoning in biomedical ethics, largely in conjunction with, rather than in opposition to, principled reasoning.
This book collects the most influential essays and articles by renowned ethicist James F. Childress, along with several new pieces. It focuses on 'public bioethics' - bioethics as they relate to the shaping of public policy and public culture. The book is divided into four sections, which address issues of autonomy and paternalism, the role of religious convictions and conscientious refusals in health care, ethical practices in organ transplantation, and the general terrain of public health ethics.
This timely volume clearly lays out the central ethical questions raised by today's rapid advances in biotechnology. James Peterson sorts through the maze of clinical decisions occasioned by human genetic intervention, organizing the range of moral considerations that now face us and exploring their practical impact on individuals, families, and communities. / The ethical question are covered in the order of how soon the particular technologies that raise them are becoming available. This unique format allows readers to go directly to issues of particular interest. Peterson assumes no prior knowledge of genetics or ethics, making his work one of the most accessible discussions of bioethics available today.
Sensitive and high-profile public policy issues often benefit from being considered in comparative perspective. Here, euthanasia and the right to die are examined in the context of the social, legal, and religious settings of a wide range of countries. The authors employ public opinion data, where available, to illustrate the great disparity between approval of physician-assisted suicide and the general illegality of the practice. Ultimately, making and implementing laws to ensure a responsible right to die_as the U.S. has been struggling with in Oregon, Michigan, and elsewhere_will be informed by experiences in such places as the Netherlands, Australia, and the only country in the world where euthanasia is a clear-cut medical option: Colombia.
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