HIV and AIDS Testing, Screening, and Confidentiality

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Testing and screening for HIV and AIDS give rise to ethical, legal, an d social issues of the most controversial and delicate kind. In this b ook, an international team of eighteen doctors, philosophers, and lawy ers present a fresh and thorough discussion of these issues; they aim to show the way to practical advances but also to provide an accessibl e guide to the debates for readers new to them. They pay particular at tention to the sensitive nature of the information yielded by a test f or the HIV antibody. Together the essays illuminate not only public po licy and medical practice in connection with HIV and AIDS, but also br oader issues about professional ethics and individual rights in other medical and social contexts.

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Product Details

  • ISBN-13: 9780198238010
  • Publisher: Oxford University Press, USA
  • Publication date: 4/28/1999
  • Series: Issues in Biomedical Ethics Series
  • Pages: 304
  • Product dimensions: 5.40 (w) x 8.60 (h) x 0.90 (d)

Meet the Author

both at the University of Manchester
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Table of Contents

Notes on Contributors
1 Introduction 1
2 HIV Testing and Screening: Current Practicalities and Future Possibilities 21
3 Counselling and HIV Testing: Ethical Dilemmas 39
4 HIV Screening: Benefits and Harms for the Individual and the Community 61
5 HIV Testing, Screening, and Confidentiality: An American Perspective 75
6 Compensation and Consent: A Brief Comparative Examination of Liability for HIV-Infected Blood 91
7 Individual Responsibility for Health 107
8 Is Society Responsible for My Health? 125
9 HIV/AIDS and the Point and Scope of Medical Confidentiality 140
10 Can Health Care Workers Care for Their Patients and Be Advocates of Third-Party Interests? 149
11 HIV Infection and the Health Care Worker: The Case for Limited Disclosure 166
12 Fiduciary Relationship: An Ethical Approach and a Legal Concept? 179
13 Ethical Aspects of the Use of 'Sensitive Information' in Health Care Research 200
14 AIDS and Insurance 216
15 Should We routinely Test Pregnant Women for HIV? 228
16 Who Should Know about My HIV Positivity and Why? 240
17 Is There a Right to Remain in Ignorance of HIV Status? 251
Annexe 'AIDS: Ethics, Justice, and European Policy': Summary of Conclusions and Recommendations 267
Bibliography 271
Index 281
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