New Ethics for the Public's Health

Overview

This book is an edited collection of readings that addresses these pub lic health challenges. Many of the issues considered, such as policy f or alcohol and other drugs, newly emergent epidemics, and violence pre vention, are public health concerns beyond the purview of traditional bioethics. Others, such as access to health care, managed care, reprod uctive technologies, and genetic testing, are covered in bioethics tex ts, but here they are approached from the distinct viewpoint of public health. The book makes...

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Overview

This book is an edited collection of readings that addresses these pub lic health challenges. Many of the issues considered, such as policy f or alcohol and other drugs, newly emergent epidemics, and violence pre vention, are public health concerns beyond the purview of traditional bioethics. Others, such as access to health care, managed care, reprod uctive technologies, and genetic testing, are covered in bioethics tex ts, but here they are approached from the distinct viewpoint of public health. The book makes explicit the community perspective of public h ealth, as well as the field's emphasis on prevention. It examines the conceptual issues raised by the public health perspective (i.e., what is meant by community, the common good, and individual autonomy) as we ll as the policies that can be developed when health problems are appr oached in population-based, preventive terms.

The book contains black-and-white illustrations.

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Editorial Reviews

Elizabeth A. Burns
The issues that are important for the next century are discussed in this book. How will access be provided in an era of managed care and at a time when new and old diseases are emerging? Also, how do we address those issues that are becoming more apparent as the result of new technology? What are the rights of the community versus the individual? The articles in this book are the basis for a strong argument for ethics to be viewed from a public health and provider view and not just from a philosophical point of view. From this perspective, texts used by philosophers usually expose students and/or practitioners to ""contrasting and powerfully argued views on problems which are deeply disputed or in perpetual conflict and not likely to be resolved."" The editors here do not discuss issues in an abstract way, but rather with a pragmatic, eclectic approach to real life problems. The purpose is to look at fundamental questions about the duties and obligations owed by citizens to the public community. The editors and contributors make the point throughout each article chosen that public health must pay careful attention to the larger community and the rationale for promoting and protecting the health of the people if it is to prosper. They also raise some fundamental political questions such as: what is the meaning and scope of community and the balance between the market and the public realm in today's highly individualistic society? Graduate students in nursing, medical students, and social and public health students all could benefit from the discussions in each chapter. It would also be very appropriate to have professionals in those areas read and discuss the various health issuespresented. A very helpful feature is the introductory focus on aspects of ethical theory and public health. This is very helpful in setting the stage for thought and discussion for those who have not recently studied ethics. The content is organized to present material from a population perspective (i.e., sickness, race, class, and epidemiological theory). Public health is viewed from a community perspective. Timely topics such as tobacco, alcohol, and drugs, as well as the U.S. policies on violence, AIDS, and emerging diseases such as the hanta virus are discussed and are viewed from an ethical and public health perspective. Of particular interest are sections related to new technology and reproductive issues. This book would be a great adjunct to many courses related to community and public health at colleges and universities. It could also be used to spark vigorous debate among healthcare providers, especially those involved in public/community health. There are many nursing ethics texts and those related to community health, but, I am not familiar with any one which takes the approach found in this book. I would highly recommend this as a companion book in any number of nursing courses.
Doody's Review Service
Reviewer: Elizabeth A. Burns, RN, MSN, EdD (Husson College)
Description: The issues that are important for the next century are discussed in this book. How will access be provided in an era of managed care and at a time when new and old diseases are emerging? Also, how do we address those issues that are becoming more apparent as the result of new technology? What are the rights of the community versus the individual? The articles in this book are the basis for a strong argument for ethics to be viewed from a public health and provider view and not just from a philosophical point of view. From this perspective, texts used by philosophers usually expose students and/or practitioners to "contrasting and powerfully argued views on problems which are deeply disputed or in perpetual conflict and not likely to be resolved." The editors here do not discuss issues in an abstract way, but rather with a pragmatic, eclectic approach to real life problems.
Purpose: The purpose is to look at fundamental questions about the duties and obligations owed by citizens to the public community. The editors and contributors make the point throughout each article chosen that public health must pay careful attention to the larger community and the rationale for promoting and protecting the health of the people if it is to prosper. They also raise some fundamental political questions such as: what is the meaning and scope of community and the balance between the market and the public realm in today's highly individualistic society?
Audience: Graduate students in nursing, medical students, and social and public health students all could benefit from the discussions in each chapter. It would also be very appropriate to have professionals in those areas read and discuss the various health issues presented.
Features: A very helpful feature is the introductory focus on aspects of ethical theory and public health. This is very helpful in setting the stage for thought and discussion for those who have not recently studied ethics. The content is organized to present material from a population perspective (i.e., sickness, race, class, and epidemiological theory). Public health is viewed from a community perspective. Timely topics such as tobacco, alcohol, and drugs, as well as the U.S. policies on violence, AIDS, and emerging diseases such as the hanta virus are discussed and are viewed from an ethical and public health perspective. Of particular interest are sections related to new technology and reproductive issues.
Assessment: This book would be a great adjunct to many courses related to community and public health at colleges and universities. It could also be used to spark vigorous debate among healthcare providers, especially those involved in public/community health. There are many nursing ethics texts and those related to community health, but, I am not familiar with any one which takes the approach found in this book. I would highly recommend this as a companion book in any number of nursing courses.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780195124385
  • Publisher: Oxford University Press, USA
  • Publication date: 12/1/1999
  • Pages: 400
  • Product dimensions: 6.20 (w) x 9.20 (h) x 1.10 (d)

Table of Contents

I The Scope of Public Health As Ethics
Introduction: Ethical Theory and Public Health 3
1 Population Perspective 25
Sick Individuals and Sick Populations 28
Race or Class Versus Race and Class: Mortality Differentials in the United States 39
What Explains the Public's Health? - A Call for Epidemiologic Theory 45
II Public Health As Community Perspective
2 Community 53
Community: The Neglected Tradition of Public Health 57
Security and Welfare 68
Medicine and Public Health, Ethics and Human Rights 83
3 Prevention and Its Limits 95
Public Health As Social Justice 101
Analysis of Cause - Long-cut to Prevention? 110
Paternalism 115
III Modern Challenges to the Public's Health
4 Alcohol, Tobacco, and Other Drugs 131
New Directions in Alcohol Policy 135
Drug Prohibition: A Public Health Perspective 150
Controlling Tobacco Advertising: The FDA Regulations and the First Amendment 164
5 Injury and Violence 177
Energy Damage and the Ten Countermeasure Strategies 180
Public Health Policy for Preventing Violence 188
Violence Prevention: Criminal Justice or Public Health? 200
6 AIDS and Other Newly Emergent Diseases 207
The AIDS Exception: Privacy vs. Public Health 211
Tuberculosis, Public Health, and Civil Liberties 225
Medical Science, Infectious Disease, and the Unity of Humankind 240
Emerging Diseases and Ecosystem Instability: New Threats to Public Health 244
7 Justice and Health Care 251
For and Against Equal Access to Health Care 255
Market Meditopia: A Glimpse at American Health Care in 2005 270
Trust and Trustworthy Care in the Managed Care Era 275
National Health Care Reform Minus Public Health: A Formula for Failure 285
IV New Technology and the Public's Health
8 Reproductive Issues 299
The Resurgence of Eugenics 303
Infertility As a Public Health Problem: Why Assisted Reproductive Technologies Are Not the Answer 314
How Many People Can the Earth Support? 330
9 Genetic Screening, Testing, and Therapy 339
Ethical Implications of Screening Asymptomatic Individuals 344
Prenatal Genetic Testing and Screening: Constructing Needs and Reinforcing Inequities 353
Germ-Line Gene Therapy 366
Index 379
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