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Cases in Bioethics
Third EditionBette-Jane Crigger©1998
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Table of Contents
PART I. HEALTH CARE PROFESSIONALS' RESPONSIBILITIES AND PATIENTS' RIGHTS
1. Professional Conduct
When the Doctor and Minister Disagree
The Nurse's Appeal to Conscience
The Usual Suspects
Culture, Healing, and Professional Obligation
When the Doctor is on Drugs
2. Informed Consent
Proxy Consent for a Medical Gamble
Faith Healing for Childhood Leukemia
Who Speaks for the Patient with the Locked-In Syndrome?
"Make Me Live": Autonomy and Terminal Illness
3. Privacy and Confidentiality
AIDS and a Duty to Protect
A Duty to Warn, An Uncertain Danger
The Price of Silence
PART II. REPRODUCTIVE RIGHTS AND TECHNOLOGIES
4. Reproductive Rights
Cancer and Maybe a Baby
When a Pregnant Woman Endangers Her Fetus
Live Sperm, Dead Bodies
Maternal Rights, Fetal Harms
When a Mentally Ill Woman Refuses Abortion
Selective Termination of Pregnancy
PART III. DEATH AND DYING
6. Decisions About Death
For Love or Money
Does "Doing Everything" Include CPR?
Surgical Risks and Advance Directives
Nurturing a Defective Newborn
The Second-Hand Suicide Threat
7. Refusal of Life-Sustaining Treatment and Euthanasia
A Demand to Die
Family Wishes and Patient Autonomy
"If I Have AIDS, Then Let Me Die Now!"
Whether "No" Means "No"
"No Feeding Tubes for Me!"
When the Doctor Gives a Deadly Dose
PART IV. RESEARCH WITH LIVING SUBJECTS
8. Consent to Research
Hope and the Limits of Research
For the Benefit of All
Informed Consent in the Developing World
9. Selection of Subjects and Protection of Their Welfare
Can a Research Subject be Too Eager to Consent?
Can a Healthy Subject Volunteer to be Injured in Research?
Nazi Data: Dissociation from Evil
The Heart of the Matter
PART V. DECISION MAKING CAPACITY
10. Involuntary Treatment
The Tracheostomy Tube
"Ain't Nobody Gonna Cut on My Head!"
The Woman Who Died in a Box
Preterm Labor and Prenatal Harm
11. Decisions on Behalf of the Incompetent
WORD OF MOUTH
Sterilizing the Retarded Child
Should Competence be Coerced?
The Forgetful Mourner
PART VI. ALLOCATION AND HEALTH CARE POLICY
12. Allocation of Scarce Resources
How Best Shall We Serve?
Forced Transfer to Custodial Care
The Last Bed in the ICU
Two Cardiac Arrests, One Medical Team
The Doctor, The Patient, and The DRG
The HMO Physician's Duty to Cut Costs
The Noncompliant Substance Abuser
13. Organ Procurement and Transplantation
In Organ Transplants, Americans First?
The Anencephalic Newborn as Organ Donor
Can the Fetus be an Organ Farm?
Health Care Policy
But Is He Genetically Diseased?
My Conscience, Your Money
Who Pays for AZT?
When is Home Care Medically Necessary
Palliation in the Age of Chronic Disease