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Books |
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The Limits of Principle: Deciding Who Lives and What Dies
Tom Koch
Praeger Publishers; 12/30/1998; ISBN: 0-275-96407-8; 192 pages.
Provides a critique and a new approach to bioethics. As a society, we are faced with a series of dilemmas--abortion, euthanasia, genetic engineering, organ transplant allocation, support or non-support of the elderly and fragile--that seem to offer no resolution. How do we choose between the needy and the ailing? Choices must be made in both the world of law and the realm of medical ethics. What we need is what we do not have--a perspective in the larger sense of the word--a view that makes apparent the sweep of the issues at hand. The failure of perspective in bioethics and medical decision making is absolute. It results from the limits of an 18th century philosophy and philosophical method. Simply, current methods of examining these issues can not resolve them because the method itself is limited.
http://www.praeger.com/books/BookDetail.asp?dept_id=1&sku=C6407 |
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From Clinic to Classroom: Medical Ethics and Moral Education
Howard
B. Radest
Praeger Publishers; 3/30/2000; ISBN: 0-275-96194-X; 224 pages
Explores the impact of biomedical ethics on moral education and on ethics in general.
http://www.praeger.com/books/BookDetail.asp?dept_id=1&sku=C6194 |
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"It Just Ain't Fair": The Ethics of Health Care for African Americans
Authors: Annette
Dula ed. , Sara
Goering ed.
Praeger Publishers; 7/30/1994; ISBN: 0-275-94494-8; 336 pages
This collection focuses on gross disparities in health care for African Americans to develop a culturally aware medical ethics for all underserved ethnic groups.
http://www.praeger.com/books/BookDetail.asp?dept_id=1&sku=C4494 |
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The Hastings Center's Bibliography of Ethics, Biomedicine, and Professional Responsibility
The Hastings Center
University Publications of America Paperback; 6/30/1984; ISBN: 0-313-27091-0; 109 pages.
http://www.praeger.com/books/BookDetail.asp?dept_id=1&sku=P7091 |
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Ethics of Withdrawal of Life-Support Systems: Case Studies on Decision Making in Intensive Care
Douglas
N. Walton
Greenwood Press; 6/29/1983; ISBN: 0-313-23752-2; 257 pages
Very good introduction to ethical issues raised in Intensive Care Units (ICU) surrounding decisions of whether to continue or stop medical treatments. Written by a philosopher and known author on these issues, this volume covers common ethical theories, definitions of death illustrated with legal cases, the concept of decision making for or against continuing medical treatment in ICUs, and the patient, family, and physician as potential decision makers in such situations.
http://www.praeger.com/books/BookDetail.asp?dept_id=1&sku=WLS/ |
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Human Life and Health Care Ethics
James
Bopp Jr. ed.
University Publications of America; 6/30/1985; ISBN: 0-313-27064-3; 320 pages
http://www.praeger.com/books/BookDetail.asp?dept_id=1&sku=U7064 |
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The Ethics of Commercial Surrogate Motherhood: Brave New Families?
Scott
B. Rae
Praeger Publishers; 12/30/1993; ISBN: 0-275-94679-7; 200 pages
A thorough investigation of the moral and legal issues related to the complicated arrangements involved in surrogate parenting using new reproductive technologies, and recommends the avoidance of monetary and binding contracts forcing the surrogate mother to give up the infant against her will.
http://www.praeger.com/books/BookDetail.asp?dept_id=1&sku=C4679 |
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Handbook on Ethical Issues in Aging
Tanya
Fusco Johnson ed.
Greenwood Press; 6/30/1999; ISBN: 0-313-28726-0; 432 pages
Comprehensive writings on ethical issues in aging including a historical perspective and policy recommendations for the future with an ethical emphasis. Johnson addresses ethical issues in aging in a variety of contexts--the social cultural environment, physical health care, mental health care, social health care, legal care, and spiritual care. Because long-term aging has created a "new generation" of older adults, some new issues are emerging which need to be addressed from an ethical perspective--elder abuse, physician assisted suicide, dementia, intergenerational equity, guardianship, and living wills. A wide range of experts including physicians, philosophers, lawyers, social workers, nurses, sociologists, public health persons, theologians, historians, and ethicists share their insights on the ethical issues and dilemmas older adults in American society are facing or are likely to face over the life course.
http://www.praeger.com/books/BookDetail.asp?dept_id=1&sku=GR8726&imprintID= |
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Choices and Conflict: Explorations in Health Care Ethics
Emily Friedman
Jossey-Bass; June 1992; ISBN: 1-55648-082-2; 209 Pages
Should Dr. Jack Kavorkian be allowed to facilitate the suicides of sick women? To what extent should high technology be incorporated into health care practices? The integration of health care and public policy has taken health care ethics beyond the hospital walls. This book provides a choice selection of articles reflecting the current environment of bioethics. Leaders will gain insight from a wide variety of prominent thinkers in health care.
Choices and Conflict: Explorations in Health Care Ethics |
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Philosophical Medical Ethics
Raanan Gillon.
December 1986; ISBN: 0-471-91222-0, 200 Pages
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This book is intended for all who see a need for critical thinking about the moral issues which arise in medical practice. Equally the book is aimed at those-including many doctors, nurses and other health workers-who acknowledge no such requirement, either because they are confident of knowing all they need to know, because they are content to rely on received wisdom, or because they think such issues are irrelevant in practice. Each group will find its views challenged in this book. The author believes that 'conscience', 'integrity' and 'good character' are not enough, and that whatever our moral stance it is necessary to consider the relevance of four moral principles-respect for autonomy, beneficence, nonmaleficence, and justice-with each ethical problem we encounter. In doing this, we are unlikely to omit any relevant moral concerns. The book does not attempt to provide answers to specific medicomoral problems, but it does seek to bring more order, consistency and understanding to moral judgements in health care, by reference to a potentially widely acceptable framework for working out the answers. |
Philosophical Medical Ethics |
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The Ethics of Human Cloning
June 1998
Leon R. Kass and James Q. Wilson
If human cloning becomes a practical reality, is it a reality we humans should countenance? Should human cloning be left to individual choice and discovery, regulated (for example, limited to married couples or infertile married couples), or banned outright? Leon R. Kass and James Q. Wilson arrive at different answers to these questions, on the basis of different assessments of the ethical implications of cloning for human sexuality and the traditional family. This volume includes two essays by each author-a main essay and a second one responding to the other. Mr. Kass is the Addie Clark Harding Professor in the Committee on Social Thought and the College of the University of Chicago and an AEI adjunct scholar. Mr. Wilson is the James A. Collins Professor of Management and Public Policy Emeritus at the University of California, Los Angeles, and chairman of AEI's Council of Academic Advisers.
http://www.aei.org/bs/bs9255.htm |
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The Ethics of the Ordinary in Healthcare: Concepts and Cases
Health Administration Press; Softbound, 332 pages, 1997; ISBN 1-56793-056-5
John A. Worthley, D.P.A
The everyday ethical dilemmas encountered by healthcare executives are the focus of this unique book. Original text, selected readings, and case studies probe the fundamental reality of professional power. Ten case studies illustrate the ordinary challenges of modern healthcare ethics, such as balancing institutional efficiency and responsive patient care, obtaining informed consent in a high-stress situations, and handling impaired providers
http://www.ache.org/PUBS/eo.cfm |
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Organizational Ethics in Health Care: Principles, Cases, and Practical Solutions
Jossey-Bass; June 2001; ISBN: 0-7879-5558-2; 448 pages
Philip J. Boyle, Edwin R. DuBose, Stephen J. Ellingson, David E. Guinn, David B. McCurdy
This book presents itself as a story about the moral lives of individuals within health care instructions and about the moral life of the health care institution as an institution. It takes on the challenge of describing healthcare organizational ethics and offering insights about how an institution can respond to growing concerns about organizational ethics. It addresses questions such as: Is an institution a moral agent? Is it morally accountable? If an organization is a moral agent, with which moral problems should it be concerned? How does an organization identify, analyze, and resolve moral problems? Who in the organization is responsible for this task?
Organizational Ethics in Health Care: Principles, Cases, and Practical Solutions |
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Clinical Ethics
McGraw-Hill Professional Publishing; ISBN: 0070331200; 4th edition; September 1, 1997
Albert
R. Jonsen, Mark
Siegler (Contributor), William
J. Winslade, Mark
Seigler
This edition of this best-selling title continues to offer sage advice about the often difficult decisions health professionals encounter daily concerning ethics and medical issues. This handy book provides a broad knowledge base as well as different perspectives so the best solution can emerge.
http://www.ethicsweb.ca/books/index-profl.htm |
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Articles |
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Who Needs Medical Ethics?
Sally L. Satel and Christine Stolba
Instilling in doctors a strong commitment to do right by their patients has been a concern of the medical profession since antiquity. Indeed, the ancient Hippocratic Oath--with its pledge to "come for the benefit of the sick" and to refrain from divulging the confidences of patients or engaging in sexual relations with them--is still administered, in one form or another, to the graduates of most medical schools. The American Medical Association also has its own code of ethics, which dates back more than 150 years and includes, in its most updated version, thoughtful guidance on matters like fetal research and end-of-life care.
Sally Satel is a W. H. Brady fellow at AEI. Christine Stolba is an adjunct fellow at AEI. The authors wish to thank Lee Zwanziger for her insights and suggestions.
http://www.aei.org/ra/rasate010201.htm |
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Should Doctors Reveal One Another's Errors To Patients?
by John
Banja, Ph.D., Fellow in Biomedical Ethics
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A physician told me about a case in which a surgeon left a piece of gauze in his patient's abdomen after a surgery. The gauze was discovered in a subsequent surgery, and the error was noted in the patient's records. The patient, however, was never told about it. Unfortunately, the patient's condition worsened over the next two years, owing to complications that were almost certainly related to the surgical error. During those two years, the patient saw five other physicians, each of whom read his medical records and knew about the error. Yet, those doctors never told the patient. Should they have? |
Should Doctors Reveal One Another's Errors To Patients? |
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The Gift of Life: Ethical and Social Consequences of Organ Donation
Michelle Wong
It is not a conscious concern of many. Until tragedy strikes, it is not likely given any more than a few moments' discussion or contemplation. After all, other than the one brief question to answer when renewing one's driver's license every several years, who really sits down to think about what will be done with their body after they die? Who stops to consider whether or not they want to be organ donors?
The Gift of Life: Ethical and Social Consequences of Organ Donation |
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Ethical, Legal And Health Economic Aspects Of Neonatal Screening
P Riis at the Council of Europe, Protocol Group for Biomedical Research in Man, 7 Nerievej, DK-2900 Hellerup, Denmark. Publisher: Taylor & Francis Health Sciences, part of the Taylor & Francis Group
Issue: Volume 88, Supplement 432/1999, Pages: 96 - 98
The spectrum of the title of this work is wide, but necessarily so,
because of the increasing interaction of the three key components
- ethics, law and health economy - in all parts of health systems.
Although by nature the key components are different, they are still
interdependent. Ethics, as the overall term for values, norms
and attitudes of democratic societies, is the basic reference for
our controlling of our personal lives, our lives with each other,
and our lives with society institutions in the broadest sense. Ethics
is the cambrium for control with our general behavior, but is at the
same time the cambrium for the control mechanisms of societies, as
expressed in national laws. Health economics is often considered a
necessary but value-free part of the spectrum, in accordance with
money's very material nature. And yet economics and other resource
elements (as organs for transplantation or numbers of special experts)
have a strong link to ethics via so-called distributional ethics ("we
are able to do more than we can afford"). The main theme for this
introduction is ethics. In neonatal screening it relates to two different
aspects: one linked to the neonate as an individual who can benefit
from early diagnosis of treatable diseases, the other to the neonate
as a member of a family line, enabling geneticists later to use the
results for genetic mapping of a whole family or of large societal
groups.
Ethical, Legal And Health Economic Aspects Of Neonatal Screening |
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Ethical Justifications for Voluntary Active Euthanasia
Bernadette Spina
The topic of euthanasia gives rise to a host of ethical questions including those regarding the quality of life, beneficence, and the responsibilities of physicians toward their patients. While there are many kinds of cases in which euthanasia may be considered, such as those involving severely handicapped newborns and patients with debilitating but not fatal conditions, this paper focuses on the situation of late-state terminally ill patients who are suffering and want active euthanasia as an option for ending their pain. This paper explains why, under such circumstances, voluntary active euthanasia may be ethically justified.
Ethical Justifications for Voluntary Active Euthanasia |
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Bioethics Update:"Human Rights and Bioethics: Medicolegal Intersections"
Audio Presentation at the 21st Annual Health Law Teachers Conference, June 8-10, 2000
George J. Annas, J.D., MPH.
The program is designed to provide participants with updates on issues at the forefront of law and medicine concerning human rights and bioethics.
http://www.aslme.org/welcome/index.html |
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Teaching and assessing ethics and law within medical education: a model for the UK core curriculum
Consensus statement by teachers of medical ethics and law in UK medical schools
Journal of Medical Ethics, June 1998; 9 pages
In this document, teachers of medical ethics and law in medical schools throughout the UK offer their consensus statement about issues, concepts, arguments, skills and attitudes all medical students should understand and know how to apply in practice by the time they qualify. This consensus proposes a minimal core undergraduate programme of work through which students will acquire a knowledge and understanding of "ethical and legal issues relevant to the practice of medicine" and an "ability to understand and analyse ethical problems so as to enable patients, their families, society and the doctor to have proper regard to such problems in reaching decisions". Topics in the core programme include Informed Consent and Refusal of Treatment, Confidentiality and Good Clinical Practice, and Death, Dying and Killing.
Teaching and assessing ethics and law within medical education: a model for the UK core curriculum |
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Whistleblowing as A Failure Of Organizational Ethics
Online Journal of Issues in Nursing, December 31, 1998
James
J. Fletcher, Jeanne
M. Sorrell, and Mary
Cipriano Silva
The authors provide an analysis of whistleblowing in health care organizations
and make the case it represents ethical failure at the organizational
level. They argue that neither the codes of professional nursing associations
nor the standards of the Joint
Commission on the Accreditation of Healthcare Organizations (JCAHO)
provide, in their current forms, mechanisms to overcome the need for
whistleblowing. They believe that JCAHO is in a unique position to
require health care organizations to address concerns of organizational
ethics in ways that go beyond mere compliance related to business
practices. The article concludes with recommendations to refine approaches
to organizational ethics and to protect staff who speak out in the
defense of patient health and welfare.
http://www.nursingworld.org/ojin/topic8/topic8_3.htm |
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Organizational Ethics in Health Care: Toward a Model for Ethical Decision Making by Provider Organizations
American Medical Association, Institute for Ethics, National Working Group on Health Care Organizational Ethics
David Ozar, Jessica Berg, Patricia H. Werhane, Linda Emanuel
While there is a well-developed literature on professional ethics regarding individual patient-physician encounters, such is not the case regarding health care organizations. Yet these organizations present unique issues, in part because they must integrate business, professional, and patient concerns. In addition, although some similar concerns may be shared by any organization dealing with multiple stakeholders, the fact that these organizations provide health care (a basic need) to ill people (a vulnerable population) is of particular importance. Thus, general theories of institutional morality or institutional obligations (e.g., stakeholder theory) may not provide a full theory for the ethics of health care organizations. The Institute for Ethics National Working Group on Organizational Ethics in Health Care was appointed to study the interactions between professional and business ethics and to begin the development of a coherent theory of health care organizational ethics. Participants included representatives from clinical ethics, business ethics, institutional ethics, health care organization administration, and government regulatory agencies. This white paper outlines the Working Group's theory and is available in PDF format.
http://www.ama-assn.org/ama/pub/category/2735.html |
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Links/Websites |
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The Hastings Center
Center explores fundamental ethical questions in health care, biotechnology, and the environment. Founded in 1969 as an independent, nonprofit, nonpartisan organization, the Center is the oldest research institute of its kind in the world.
http://www.thehastingscenter.org/ |
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Center for the Study of Bioethics, Medical College of Wisconsin
The Center has been committed to helping health care professionals, students, policy makers and community members explore the challenging ethical questions that have accompanied scientific advances and changes in our health care delivery system. Issues about which we write, teach, and research include many that surround the beginning of life and many that surround its end, questions about conducting human subjects research and reaping the benefits of its success, and concerns relating to transformations of relationships between doctors and their patients, progenitors and their offspring, and individuals and their communities. Links page provides over 50 links to bioethics sites.
http://www.mcw.edu/bioethics/links.html |
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Bioethics Discussion Pages
This site posts questions and responses to bioethical issues are located. The general public as well as ethicists should get involved and express what they think. Participants may write about any of the topics or invite discussion with a new topic. I post these responses here and update the responses frequently.
http://www-hsc.usc.edu/~mbernste/ |
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Medical Ethics: Where Do You Draw the Line?
New developments in medicine and health care raise many ethical questions. Learn about current research and explore your own beliefs about these controversial issues.
http://www.learner.org/exhibits/medicalethics/ |
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Issues in Medical Ethics
Issues in Medical Ethics |
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Ethics of Using Medical Data From Nazi Experiments
Discusses the scientific reliability of medical experiments conducted by doctors in the Third Reich on Jews and other prisoners.
http://www.jlaw.com/Articles/NaziMedEx.html |
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Medical College of Wisconsin - Bioethics Online Service
http://www.mcw.edu/bioethics/ |
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Institute of Human Values in Health Care
Interdisciplinary and inter-campus program in ethics and health policy.
http://www.values.musc.edu |
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University of Buffalo Center for Clinical Ethics and Humanities in Health Care
University of Buffalo Center for Clinical Ethics and Humanities in Health Care |
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Institute for Chiropractic Ethics
Forum for chiropractors to explore the ethical issues, which challenge the practicing doctor.
http://www.chiroethics.org/ |
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Scientific and Medical Aspects of Human Cloning
From The National Academy of Sciences
Review of research on human cloning and related issues regarding scientific and medical ethics.
Scientific and Medical Aspects of Human Cloning |
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Bioethics Resources on the Web
Links to information on human participants, medical and healthcare ethics, and the implications of genetics and biotechnology.
http://www.nih.gov/sigs/bioethics/ |
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American Society of Law, Medicine & Ethics
Within this site you will find information about our two nationally
acclaimed peer reviewed journals, The Journal of Law, Medicine
& Ethics and The American Journal of Law & Medicine.
You will be able to search for information from the hundreds of articles
that have been published.
http://www.aslme.org/welcome/index.html |
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The Office of Research Integrity (ORI)
Promotes integrity in biomedical and behavioral research supported
by the Public Health Service (PHS) at about 4,000 institutions worldwide.
ORI monitors institutional investigations of research misconduct and
facilitates the responsible conduct of research through educational,
preventive, and regulatory activities. Organizationally, ORI is located
in the Office of Public
Health and Science (OPHS) within the Office
of the Secretary of Health and Human Services (OS).
http://www.values.musc.edu |
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American Industrial Hygienists Association
AIHA promotes, protects, and enhances industrial hygienists and other occupational health, safety and environmental professionals. Occupational health, safety and environmental professionals are concerned primarily with the control of environmental health hazards that arise out of the workplace or the community. Included on the website is the Code of Ethics for the Professional Practice of Industrial Hygiene.
American Industrial Hygienists Association |
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