The New Medicine And The Old Ethics

Jonsen (medical history and ethics, U. of Washington Medical School) addresses the conflict between altruism and self-interest, which he believes is built into the structure of medical care and woven into the fabric of physicians' lives. Ranging through history from the mythical Asclepius to the lat

Smith has packed an incredible amount of information into this relatively short and clearly written book. His erudition is unquestionable, and his knowledge of current trends in medical technology and the ethical issues surrounding them is obvious on every page. P. Jenkins, Choice George P. Smith is one of the world s leading experts on the legal and ethical issues raised by modern medicine. His book is a wide-ranging and deeply informed and considered analysis of those issues, with particular emphasis on the inequality with which the benefits of modern medicine are bestowed on the sick. Knowledgeable as well about the technical aspects of the biomedical revolution, Smith writes with insight and authority, and offers a perspective that will influence the policy debates. Richard A. Posner, United States Court of Appeals for the Seventh Circuit and University of Chicago Law School, US While much has been written about the various issues addressed in this book genetics, cloning, informed consent, organ donation Smith s book moves beyond traditional legal analysis, tying these issues together by examining them through the lens of distributive justice. He thus provides the reader with a unique and valuable perspective on this important area. Distributive Justice and the New Medicine will be of interest to all those interested in health law and bioethics and in particular for those interested in distributive justice. Belinda Bennett, Journal of Law, Social Justice and Global Development Professor George P. Smith s Distributive Justice and the New Medicine is a major new work by one of the world s leading medical lawyers. This book brings important new insights into the complex area of rationing health care resources and should be read by anyone interested in seeking to create a just society. Jonathan Herring, Exeter College, University of Oxford, UK Is the advancement of scientific knowledge and the development of biomedical technologies known as the New Medicine desirable? George P. Smith asks this fundamental question while also confronting the distribution of these scarce medical resources. Law, economics, medical science, philosophy and ethics all coalesce in this discussion of how to structure normative standards of conduct that will improve the quality of human life. The author begins by examining various economic constructs as aids for achieving a fair and equitable delivery of health care services. He then assesses their level of practical application and evaluates the costs and benefits to society of pursuing the development and use of the New Medicine . The book ends with a case study of organ and tissue transplantation that illustrates the implementation of distributive justice. The author concludes that as long as clinical medicine maintains its focus on healing and alleviating suffering among patients, a point of equilibrium will be reached that advances the common good. This timely and compelling exploration will be a must-read for scholars, researchers, policymakers and all those interested in advances in medical technology and the issues surrounding access to health care.

A physician says, "I have an ethical obligation never to cause the death of a patient," another responds, "My ethical obligation is to relieve pain even if the patient dies." The current argument over the role of physicians in assisting patients to die constantly refers to the ethical duties of the profession. References to the Hippocratic Oath are often heard. Many modern problems, from assisted suicide to accessible health care, raise questions about the traditional ethics of medicine and the medical profession. However, few know what the traditional ethics are and how they came into being. This book provides a brief tour of the complex story of medical ethics evolved over centuries in both Western and Eastern culture. It sets this story in the social and cultural contexts in which the work of healing was practiced and suggests that, behind the many different perceptions about the ethical duties of physicians, certain themes appear constantly, and may be relevant to modern debates. The book begins with the Hippocratic medicine of ancient Greece, moves through the Middle Ages, Renaissance and Enlightenment in Europe, and the long history of Indian 7nd Chinese medicine, ending as the problems raised modern medical science and technology challenge the settled ethics of the long tradition.

With the increasing growth of the elderly population, geriatric care is becoming eminently important not only to medical professionals but also to all those involved in caring for the elderly including social workers, nursing home staff, and relatives. This timely work confronts in a clear and systematic manner the many ethical issues concerning care for elderly persons. For instance, what is sound ethical decision-making in relation to life-sustaining medical treatment for elderly patients? At a time when aging of the population is increasing the demand for health care, is age-rationing a justified means of cost control? How can investigators satisfy ethical requirements in relation to medical or social-scientific research with elderly subjects, and what special precautions are needed when elderly persons are ill, demented, dependent on social services, and/or institutionalized? What are the responsibilities of adult children toward frail elderly parents? How can professionals and relatives determine whether paternalism toward an elderly person is ethically justified? In an accessible way, this book explains the ethical and conceptual issues at stake. Several key examples are presented and each chapter ends with an extensive case study and analysis. Ethics and the Elderly will be a valuable resource for all those involved in geriatric care and to many in the field of bioethics.

A collection of readings on topics such as abortion, organ transplantation, and HIV. Valuable for practitioners, and students of medical ethics.

In this book Paul Carrick charts the ancient Greek and Roman foundations of Western medical ethics. Surveying 1500 years of pre-Christian medical moral history, Carrick applies insights from ancient medical ethics to developments in contemporary medicine such as advance directives, gene therapy, physician-assisted suicide, abortion, and surrogate motherhood. He discusses such timeless issues as the social status of the physician; attitudes toward dying and death; and the relationship of medicine to philosophy, religion, and popular morality. Opinions of a wide range of ancient thinkers are consulted, including physicians, poets, philosophers, and patients. He also explores the puzzling question of Hippocrates' identity, analyzing not only the Hippocratic Oath but also the Father of Medicine's lesser-known works. Complete with chapter discussion questions, illustrations, a map, and appendices of ethical codes, Medical Ethics in the Ancient World will be useful in courses on the medical humanities, ancient philosophy, bioethics, comparative cultures, and the history of medicine. Accessible to both professionals and to those with little background in medical philosophy or ancient science, Carrick's book demonstrates that in the ancient world, as in our own postmodern age, physicians, philosophers, and patients embraced a diverse array of perspectives on the most fundamental questions of life and death.

"Because the discipline of medical ethics has developed with autonomy as its foundation, the field has ignored pediatric ethics. The book is resoundingly successful in its effort to rectify this problem.... [A] pleasure to read." -- Eric D. Kodish, M.D., Director, Rainbow Center for Pediatric Ethics, Case Western Reserve University Using a form of medical ethnography to investigate a variety of pediatric contexts, Richard B. Miller tests the fit of different ethical approaches in various medical settings to arrive at a new paradigm for how best to care for children. Miller contends that the principle of beneficence must take priority over autonomy in the treatment of children. Yet what is best for the child is a decision that doctors cannot make alone. In making and implementing such decisions, Miller argues, doctors must become part of a "therapeutic alliance" with families and the child undergoing medical care to come up with the best solution. Children, Ethics, and Modern Medicine combines strong philosophical argumentation with firsthand knowledge of the issues facing children and families in pediatric care. This book will be an invaluable asset to medical ethicists and practitioners in pediatric care, as well as parents struggling with ethical issues in the care of their children.

`This second edition, which has also been edited by Samson Katz, utilizes around half of the original text, of which a significant portions has been revised and updated. The remainder comprises new material reflecting both the changes in attitudes generally towards death and dying, and also designed to meet the needs of students undertaking the revised curriculum of the K260. This book will stimulate thinking and challenge the personal views of both academics and those in practice. ...[A] valuable tool for both those new to the area of palliative and cancer care and those experienced professionals searching for a new angle on several key topics in relation to ethical issues occurring in this speciality... [A]n excellent balance of theoretical contents and moving prose... [T]his book is directed towards all professionals working in health and social care. ...This book is a must for pre-registration students wishing to gain greater understanding of the psychosocial issues faced by those with a terminal illness and their significant others' - Nurse Education Today The fully revised and updated edition of this bestselling collection combines academic research with professional and personal reflections. Death, Dying and Bereavement addresses both the practical and the more metaphysical aspects of death. Topics such as new methods of pain relief, guidelines for breaking bad news, and current attitudes to euthanasia are considered, while the mystery of death and its wider implications are also explored. A highly distinctive interdisciplinary approach is adopted, including perspectives from literature, theology, sociology and psychology. There are wide-ranging contributions from those who come into professional contact with death and bereavement - doctors, nurses, social workers and councellors. In addition there are more intimate personal accounts from carers and from bereaved people. Death, Dying and Bereavement is the Course Reader for The Open University course Death and Dying, which is offered as part of The Open University Dilpoma in Health and Social Welfare. Praise for the First Edition: `The book does give a broad overview of many of the issues around death, dying and bereavement. It raises the reader's awareness and encourages deeper investigation at every level. It is easy to reda and therefore accessible to a wide audience' - Changes `Provides a richly woven tapestry of personal, professional and literary accounts of death, dying and bereavement' - Health Psychology Update `Offers a unique collection of fascinating information, research, stories, poems and personal reflections. It is unusual to experience such a diversity of writings in one book' - Nursing Times `It brings together the knowledge and skills from a multi-occupational group and thereby offers and opportunity, to whoever reads it, to enable better experiences for those who are dying and bereaved' - Journal of Interprofessional Care `For those trying to help the dying and bereaved, this volume will inspire and move you as much as it will inform and guide your work' - Bereavement Care `Provides a unique overview, and in many areas, penetrating insights into various aspects of death, dying and bereavement. One of it's major strengths is that it brings together a wide and varied discourse on death across cultures and through time' - British Journal of Sociology