Cases in Bioethics

  Preface
    
PART I. HEALTH CARE PROFESSIONALS' RESPONSIBILITIES AND PATIENTS' RIGHTS
    
  Introduction
    
  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
    
  Selected Bibliography
    
PART II. REPRODUCTIVE RIGHTS AND TECHNOLOGIES
    
  Introduction
    
  4. Reproductive Rights
    Cancer and Maybe a Baby
    When a Pregnant Woman Endangers Her Fetus
    Live Sperm, Dead Bodies
    Maternal Rights, Fetal Harms
    
  5. Abortion
    When a Mentally Ill Woman Refuses Abortion
    Selective Termination of Pregnancy
    
  Selected Bibliography
    
PART III. DEATH AND DYING
    
  Introduction
  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
    
  Selected Bibliography
    
PART IV. RESEARCH WITH LIVING SUBJECTS
    
  Introduction
    
  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
    
  Selected Bibliography
    
PART V. DECISION MAKING CAPACITY
    
  Introduction
    
  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
    
INTRODUCTION
    
  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
    
  Selected Bibliography
  Glossary