Ethical health care / Patricia Illingworth, Wendy E. Parmet.

Format:

Book

Author/Creator:

Illingworth, Patricia M. L., 1954-

Contributor:

Parmet, Wendy E.

Language:

English

Subjects (All):

Medical ethics.

Public health--Moral and ethical aspects.

Public health.

Bioethics.

Ethics, Medical.

Bioethical Issues.

Public Health--ethics.

Medical Subjects:

Ethics, Medical.

Bioethical Issues.

Public Health--ethics.

Physical Description:

xiv, 606 pages : illustrations ; 24 cm

Place of Publication:

Upper Saddle River, N.J. : Pearson Prentice Hall, [2006]

Summary:

The factors that determine the health and well-being of individuals and communities are complex and multi-faceted, ranging from the competency of health care providers to social policies that affect the distribution of resources between nations. The same is true of the ethical questions that arise in the context of both the provision of health care and the determination of public polices that affect human health. Ethical Health Care identifies and addresses these diverse and compelling questions that relate to the health of individuals, communities and nations. Broadening the scope of traditional bioethics by integrating the social, economic, public policy and legal influences on health care, and incorporating the insights of diverse fields including ethics, law, and especially public health. Ethical Health Care reframes the agenda and approach to bioethics, offering a broader perspective to our understanding of the struggle for human health and freedom.

Contents:

Chapter 1 Bioethics: Expanding Our Horizons 1

A Shifting Paradigms 1

B The Bioethical Perspective 2

C Questions of Justice 7

D The History of Public Health 9

E The Population Perspective 12

Chapter 2 The Building Blocks of Health 17

A What Is Health? 17

"Health and Creative Adaptation" / Rene Dubos 17

"The WHO Definition of Health" / Daniel Callahan 25

B What Makes Us Healthy? 34

"Sick Individuals and Sick Populations" / Geoffrey Rose 37

"Long Live Community: Social Capital as Public Health" / Ichiro Kawachi, Bruce P. Kennedy, Kimberly Lochner 45

C The Economics of Health Care 50

"The American Health Care System- Expenditures" / John K. Iglehart 52

"Rationing Health Care and the Need for Credible Scarcity: Why Americans Can't Say No" / Wendy K. Mariner 60

Chapter 3 The Health of Individuals 74

A What and Why Autonomy? 74

"Autonomy and Informed Consent" / Gerald Dworkin 79

"The Origins and Consequences of Patients Autonomy: A 25-Year Retrospective" / David J. Rothman 91

Shine v. Vega 98

"'Culture of Life' Politics at the Bedside- The Case of Terri Schiavo" / George J. Annas 103

"The Tragedy of the Commons" / Garrett Hardin 109

B Individual Responsibility for the Health of Others 119

Jacobson v. Massachusetts 122

In re A.C. 127

Ferguson v. City of Charleston 137

"HIV Sufferers Have a Responsibility" / Amitai Etzioni 140

"AIDS Prevention-Sexual Ethics and Responsibility" / Ronald Bayer 142

C The Implications of Autonomy 146

"The Privatization of Risk" / Beverly Rockhill 148

"Taking Risks, Assessing Responsibility" / Gerald Dworkin 155

"Drawing the Ethical Line between Organ Transplantation and Lifestyle Abuse" / Eike-Henner Kluge 163

Chapter 4 The Ethical Obligations of Health Care Providers 169

A The Ethical Obligations of Physicians and Other Providers 169

The Hippocratic Oath 173

"Medical Professionalism in Society" / Matthew K. Wynia et al. 173

"Nursing: An Ethic of Caring" / Dena S. Davis 181

"Clinical Ethics and Nursing: 'Yes' to Caring, But 'No' to a Female Ethics of Care" / Helga Kuhse 189

B The Obligations of Physicians to Provide Quality Care 197

Helling v. Carey 203

"Sounding Board: Informed Demand for 'Non-Beneficial' Medical Treatment" / Steven H. Miles 206

"The Case of Helga Wanglie: A New Kind of 'Right to Die' Case" / Marcia Angell 210

"Disability and Life-Ending Decisions" / Jerome E. Bickenbach 213

Washington v. Glucksberg 221

C The Obligation of Confidentiality 227

Whalen v. Roe 231

"HIV Testing of Infants: Privacy and Public Health" / Amitai Etzioni 234

"If I Am Only for Myself, What Am I? A Communitarian Look at the Privacy Stalemate" / Helena Gail Rubinstein 245

Tarasoff v. Regents of the University of California 259

D The Physician-Patient Relationship in the Era of Managed Care 269

"Bluffing, Puffing and Spinning in Managed-Care Organizations" / Patricia Illingworth 271

"The Doctor's Master" / Norman G. Levinsky 281

"Managed Care, Cost Control, and the Common Good" / John J. Paris, Stephen G. Post 284

Chapter 5 The Ethical Obligations of Health Care Institutions 296

A The Ethical Obligations of Hospitals 296

Darling v. Charleston Community Memorial Hospital 300

"Safe Health Care: Are We Up to It? We Have to Be" / Lucian L. Leape, Donald M. Berwick 303

Utah County v. Intermountain Health Care, Inc. 305

B The Ethical Obligations of Managed Care Organizations 318

"Business vs. Medical Ethics: Conflicting Standards for Managed Care" / Wendy K. Mariner 322

"Moral Justice and Legal Justice in Managed Care: The Ascent of Contributive Justice" / E. Haavi Morreim 338

Pegram v. Herdrich 357

"Disclosure of Operating Practices by Managed-Care Organizations to Consumers of Healthcare: Obligations of Informed Consent" / Vikram Khanna, Henry Silverman, Jack Schwartz 366

C The Ethical Obligations of Pharmaceutical Companies 372

"The Pharmaceutical Industry-To Whom Is It Accountable?" / Marcia Angell 375

"Good Science or Good Business?" / David Healy 379

Chapter 6 Individuals, Society, and Health 387

A The Obligations of the State 387

Constitution of the World Health Organization 392

"Universal Declaration of Human Rights" / General Assembly of the United Nations 395

"Justice, Fair Procedures, and the Goals of Medicine" / Norman Daniels 397

"Health Care and the Constitution: Public Health and the Role of the State in the Framing Era" / Wendy E. Parmet 400

"Justice Is Good for Our Health" / Norman Daniels, Bruce Kennedy, Ichiro Kawachi 409

B Obligations to Other Societies 421

"Global Disparities in Health and Human Rights: A Critical Commentary" / Solomon R. Benatar 425

"Famine, Affluence, and Morality" / Peter Singer 433

"Developing Drugs for the Developing World: An Economic, Legal, Moral, and Political Dilemma" / David B. Resnick 443

"The Dilemma of Intellectual Property Rights for Pharmaceuticals: The Tension Between Ensuring Access of the Poor to Medicines and Committing to International Agreements" / Jillian Clare Cohen, Patricia Illingworth 455

C Are Health Care Ethics Culturally Specific? 468

"Globalisation or Westernisation? Ethical Concerns in the Whole Bio-Business" / Godfrey B. Tangwa 471

"Towards a Feminist Global Bioethics: Addressing Women's Health Concerns Worldwide" / Rosemarie Tong 476

"Female Genital Circumcision and Conventionalist Ethical Relativism" / Loretta M. Kopelman 484

Chapter 7 Individuals, Society, and Biomedical Science: Emerging and Reemerging Issues 500

A Human Subjects in Medical Research 500

Nuremberg Code 505

"Declaration of Helsinki" / World Medical Association 506

Grimes v. Kennedy Krieger Institute, Inc. 510

"The Ethics of Clinical Research in the Third World" / Marcia Angell 523

"HIV Vaccine Trial Participation in South Africa-An Ethical Assessment" / Keymanthri Moodley 527

B Science and Society 538

"Human Cloning and Human Dignity: An Ethical Inquiry" / The President's Council on Bioethics 542

"Too Much of a Good Thing: How Splendid Technologies Can Go Wrong" / Daniel Callahan 557

C Bioterrorism and Emerging Infections 562

"Public Health in an Age of Bioterrorism: Rethinking Individual Rights and Common Goods; In Defense of a Model Act that Was Written to Bring Public Health Law into the Modern Age" / Lawrence O. Gostin 566

"Bioterrorism, Public Health, and Human Rights: Taking Human Rights Seriously Is Our Best Defense against Bioterrorism and Fosters Both the Federalization and Globalization of Public Health" / George J. Annas 577

"Bioterrorism: Public Health Perspectives" / Wendy E. Parmet 580

"Medicine and Public Health, Ethics and Human Rights" / Jonathan M. Mann 583.

Notes:

Includes bibliographical references and index.

ISBN:

0130453013

OCLC:

57750580