'Intervention and Reflection' demonstrates that the solutions to some of today's most perplexing medical dilemmas lie in philosophical answers. Case studies and decision scenarios, located throughout the book, encourage readers to think about medical issues not only from a scientific standpoint but from a philosophical perspective as well.
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About the Author
Ronald Munson is Professor of Philosophy of Science and Medicine at the University of Missouri-St. Louis. He received his PhD from Columbia University and was Postdoctoral Fellow in Biology at Harvard University. He has been a visiting professor at University of California, San Diego, Johns Hopkins School of Medicine, and Harvard Medical School. A nationally acclaimed bioethicist, Munson is a medical ethicist for the National Eye Institute and a consultant for the National Cancer Institute. He is also a member of the Washington University School of Medicine Human Studies Committee. In addition to being the author of a number of science and ethics books, he is also the author of the novels NOTHING HUMAN, FAN MAIL, and NIGHT VISION.
Table of ContentsReadings. Decision Scenarios. Additional Resources. PART TWO: RIGHTS. 4. RACE, GENDER, AND MEDICINE. African-Americans and Health Care. Native Americans and Alaska Natives and Health Care. Asian Americans and Pacific Islanders and Health Care. Hispanic Americans/Latinos and Health Care. Women and Health Care. Conclusion. Readings. Decision Scenarios. Additional Resources. 5. HIV AND AIDS: STILL A PROBLEM. Combination Therapy: AIDS on the Run. Discovering the Disease. Ethical and Social Issues. Readings. Decision Scenarios. Additional Resources. 6. PHYSICIANS, PATIENTS, AND OTHERS: AUTONOMY, TRUTH TELLING, AND CONFIDENTIALITY. Autonomy. Paternalism. Informed Consent and Medical Treatment. Truth Telling in Medicine. Dignity and Consent. Confidentiality. Ethical Theories: Autonomy, Truth Telling, and Confidentiality. Readings. Decision Scenarios. Additional Resources. 7. RESEARCH ETHICS AND INFORMED CONSENT. Drug Testing. The ''Informed'' Part of Informed Consent. The ''Consent'' Part of Informed Consent. Vulnerable Populations. Medical Research and Medical Therapy. Placebos and Research. Therapeutic and Nontherapeutic Research. Research Involving Children. Research Involving Prisoners. Research Involving the Poor. Research Involving the Terminally Ill. Research Involving Fetuses. Research Involving Animals. Women and Medical Research. Summary. Ethical Theories: Medical Research and Informed Consent. Readings. Decision Scenarios. Additional Resources. PART THREE: CONTROLS. 8. GENETICS: INTERVENTION, CONTROL, AND RESEARCH. Genetic Intervention: Screening, Counseling, and Diagnosis, Genetic Disease. Genetic Screening. Genetic Counseling. Prenatal GeneticDiagnosis. Difficulties with Genetic Intervention. Eugenics: Negative and Positive Eugenics, Use of Desirable Germ Cells. Difficulties with Eugenics. Genetic Research, Therapy, and Technology: Recombinant DNA, Gene Therapy, Biohazards, Difficulties with Genetic Research, Therapy, and Technology. Readings. Decision Scenarios. Additional Resources. 9. REPRODUCTIVE CONTROL: ASSISTED REPRODUCTION AND ETHICS. IVF, GIFT, ZIFT, and Other Techniques. Need, Success Rates, and Costs of Assisted Reproduction. Multiple Births. Freezing Embryos. Gestational Surrogates and Donor Ova. Criticisms of Assisted-Reproduction Practices. Benefits of IVF and Other Forms of Assisted Reproduction. Ethical and Social Difficulties. Cloning and Twinning. Artificial Insemination. Ova Donors. Surrogate Pregnancy. Ethical Theories and Reproductive Control. Readings. Decision Scenarios. Additional Resources. PART FOUR RESOURCES. 10. ACQUIRING AND ALLOCATING SCARCE MEDICAL RESOURCES. Transplants, Kidneys, Machines: Controlling Rejection, Allocation and Scarcity, Seattle and Kidney Machines, Dialysis Costs and Decisions, Microallocation Versus Macroallocation. Ethical Theories and the Allocation of Medical Resources. Readings. Decision Scenarios. Additional Resources. 11. THE CLAIM TO HEALTH CARE. Claim-Rights, Legal Rights, and Statutory Rights. Moral Rights. Political Rights. Readings. Decision Scenarios. Additional Resources. NOTES AND REFERENCES FOR INTRODUCTIONS, CASES, AND SCENARIOS. GENERAL RESOURCES IN BIOETHICS.