Rethinking Health Care Ethics
Intro -- Preface -- Contents -- List of Text Boxes -- Chapter 1 A Brief Introduction -- Abstract -- The Dominance of Bioethics -- The Lens of Social Science -- Limitations -- Chapter Summary -- References -- Chapter 2 The Limitations of Bioethics: A Personal History -- Abstract -- Social Controls and the Medical Profession -- The Birth of a Pilot Project on Teaching Medical Ethics -- Perceptions and Misperceptions -- Self-Interest -- Need for Externally Imposed Ethical and Legal Constraints -- Traditional Codes of Medical Ethics as Self-Serving and Self-Protective -- Ethical Problems in Clinical Medicine Are So Difficult and Complex That Their Resolution Requires Application of Ethical Theory and Ethical Principles -- Need for the Ethics Expertise of Philosophers and Theologians -- Two Vignettes -- Ethical Confusion -- Ethics Anxiety -- Bioethics and Ethical Self-Doubt -- The More Things Change, the More They Remain the Same -- References -- Chapter 3 The Rise of Bioethics: A Historical Overview -- Abstract -- Modest Beginnings -- The Hastings Center and Kennedy Institute of Ethics -- The Rise of Scientific Medicine -- Patient Rights and Consumer Rights -- Applied Ethics and the Consolidation of Bioethics -- American Bioethics and Its (European) Discontents -- The Universal Declaration on Bioethics and Human Rights -- References -- Chapter 4 Theory and Practice: From the Top Down -- Abstract -- From Rights to Principles -- Discontinuities with Clinical Thinking and Practice -- Vignette: Dilemmas and the Quest for Closure -- Ethics Expertise: What It Is and Isn't -- References -- Chapter 5 The Elusiveness of Closure -- Abstract -- Vignette: A Morbidly Obese, Developmentally Delayed 14-Year-Old -- Multistep Processes for Achieving Closure -- The Multistep Process of Appeals Courts -- Framing and the Diversity of Perspectives.