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In recent decades, we have seen five perilous and interlocking trends dominate global discourse: irreversible climate change, extreme food and water shortages, rising chronic illnesses, and rampant obesity. Why can?t we make any progress in counteracting these problems, despite vast expenditures of intellectual, institutional, and societal capital? What makes these global emergencies the "wicked problems" that resist our best efforts and only grow more daunting? Daniel Callahan, noted author and the nation?s preeminent scholar in bioethics, takes a cross-cutting look at these global problems and shines a light on the institutions, practices, and actors that block major change. We see partisan political and ideological forces, old fashioned hucksters, and trumped up scientific disagreements, but also the problem of modern progress itself. Obesity, anthropocentric climate change, wasting illnesses, ecological degradation, and global famine are often the unintended consequences of unchecked industrial growth, reckless eating habits, and artificially extended lifespans. Only through well-crafted political, regulatory, industrial, and cultural counterstrategies can we change enough minds to check these threats. Big thinking on issues that are usually evaluated separately, this book is sure to scramble partisan divides and provoke unusual, heated debate

Drawing on his own experience, and on literature, philosophy, and medicine, Daniel Callahan offers great insight into how to deal with the rewards of modern medicine without upsetting our perception of death. He examines how we view death and the care of the critically ill or dying, and he suggests ways of understanding death that can lead to a peaceful acceptance. Callahan's thoughtful perspective notably enhances the legal and moral discussions about end-of-life issues

Laying the foundations: 1930-1961 -- My own 1960s: a decade of transformation -- Giving birth to a center: 1969-1979 -- Coping with success: 1980-1986 -- The routinization of charisma: 1986-1996 -- Opening the flood gates: 1996-2010 -- The future of bioethics -- Unraveling the puzzle of ethics -- Reaching the finish line

Daniel Callahan's life time work in bioethics has again and again returned to the root problems of health, progress, technology, and death. How we think about each of them individually and in relation to each other will shape the way we approach and deal with the most common dilemmas of modern medicine. They are at the roots of the field.

Daniel Callahan's life time work in bioethics has again and again returned to the root problems of health, progress technology, and death. How we think about each of them individually and in relation to each other will shape the way we approach and deal with the most common dilemmas of modern medicine. They are at the roots of the field

Assessments of efficacy in biomedicine : the turn toward methodological pluralism / Kenneth F. Schaffner -- CAM and cultural diversity : ethics and epistemology converge / David J. Hufford -- The role of science in assessing conventional, complementary, and alternative medicines / Loretta M. Kopelman -- Personal experience, popular epistemology, and complementary and alternative medicine research / Bonnie B. O'Connor -- The placebo effect : implications for the study and practice of complementary and alternative medicine / Howard Brody -- Spirituality in clinical care : a brief review of patient desire, physician response, and research opportunities / David B. Larson and Susan S. Larson -- Interpreting results from randomized clinical trials of complementary/alternative interventions : the role of trial quality and pre-trial beliefs / Asbjørn Hróbjartsson and Stig Brorson -- Evidence, ethics, and the evaluation of global medicine ; Appendix. A clinical example of causality applied longitudinally to chronic conditions / Wayne B. Jonas -- The nature of evidence in complementary and alternative medicine : ideas from trials of homeopathy in chronic headache / Tom Whitmarsh -- Medical culture and CAM culture : science and ritual in the academic medical center / Paul Root Wolpe -- The quest for holism in medicine / Alfred I. Tauber

Technological innovation is deeply woven into the fabric of American culture, and is no less a basic feature of American health care. Medical technology saves lives and relieves suffering, and is enormously popular with the public, profitable for doctors, and a source of great wealth for industry. Yet its costs are rising at a dangerously unsustainable rate. The control of technology costs poses a terrible ethical and policy dilemma. How can we deny people what they may need to live and flourish? Yet is it not also harmful to let rising costs strangle our health care system, eventually harming

Technological innovation is deeply woven into the fabric of American culture, and is no less a basic feature of American health care. Medical technology saves lives and relieves suffering, and is enormously popular with the public, profitable for doctors, and a source of great wealth for industry. Yet its costs are rising at a dangerously unsustainable rate. The control of technology costs poses a terrible ethical and policy dilemma. How can we deny people what they may need to live and flourish? Yet is it not also harmful to let rising costs strangle our health care system, eventually harming.

The origins of medicine and the market: from Adam Smith to HMOs -- A tale of two cultures: Canada and the United States -- The endurance of solidarity: universal health care in Western Europe and elsewhere -- The market in developing countries: an ongoing experiment -- The market wild card: pharmaceuticals -- The value of the market: what does the evidence show? -- The future of the market in health care: undercurrents from the past, rip tides from the future.