Health Care Ethics, 6th edition
Published by Pearson (September 26, 2012) © 2013
- Harold M. Baillie
- John M. McGeehan
- Thomas M. Garrett University of Scranton
- Rosellen M. Garrett University of Scranton
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Provides students with tools to identify the problems in heath care.
This clear, accessible text/reference explores the full range of contemporary issues in health care ethics from a practical wisdom approach. The authors present the fundamental concerns of modern medical ethics–-autonomy, beneficence, justice, and confidentiality-–and then provide analysis, cases, and insights from professional literature to discuss them. Throughout, the discussion starts with larger issues or concepts and principles and then focuses on specific problems or complications.
Learning Goals
Upon completing this book, readers will be able to:
- Identify the problems in health care ranging from end of life issues to testing and research.
- Develop a more well-rounded understanding of cultural traditions that are not a part of the mainstream discussion of American medical ethics.
- Analyze the various views on health care ethics.
- Clearer explanations of the philosophical reflections that are the basis of the discussion of principles and problems, keeps the focus on ethical issues, rather than on clarifying the philosophical discussion. (ex. p. 201)
- Problems associated with issues surrounding the end of life— Offers a more natural and unified discussion, which makes this sensitive subject more approachable for students. (ex. p. 167)
- Insights from cultural traditions not usually a part of the mainstream discussion of American medical ethics give students an additional perspective for a more well-rounded understanding.
- Brief review of basic ethical theories in Western philosophy bring students up to speed if necessary. (ex. p. 4)
- Practical wisdom approachencourages the case method and use of factual material and makes the text more accessible to instructors with either a classical or contemporary background; reinforces the educational background many students bring to class. (ex. p. 8)
- Unified approach focuses on the problems of medical ethics, with minimal attention to ethical theory making the text coherent forstudents.
- Diverse range of cases and empirical materialfrom the World Wide Web, legal and medical journals, and the media give students and instructors the most up-to-date and relevant material available. (ex. p. 84)
- Coverage of institutional ethics and professional standards alert students to topics that are increasingly important to the development of health care. (ex. p. 137)
- Full chapter coverage of Testing and Screening and on Biomedical Research helps instructors apply the course to areas beyond patient care. (ex. p. 278)
- Written without medical or philosophical jargon; speaks to students in language they can relate to and understand clearly.
- Discusses alternative views so that students can see the diversity of the field.
In this Section:
1) Overall Changes
2) Chapter-by-Chapter Changes
1) Overall Changes
- Up-to-date contenton genetics, end-of-life, physician-assisted suicide, etc. keep students aware of the latest developments in the field. (ex. p. 174)
- All chapters now have a focus question identifying the most fundamental problem or theme of the text. (ex. p. 200)
- Each chapter opens with a boxed key term, which identifies a central issue in the text. (ex. p. 299)
- References to documents that are revised by their sponsoring group have been updated. (ex. p. 328)
- Updated case studies and statistical information.
2) Chapter-by-Chapter Changes
Chapter 1
- Expanded discussions on utilitarianism and Kant.
Chapter 4
- Updated discussion on equity of distribution.
- Discussion of conditions and problems of maternal-fetal conflict has been updated and expanded upon.
Chapter 7
- Updated discussion on physician assisted suicide.
Chapter 12
- A discussion on the distinction between reproductive and therapeutic cloning has been added.
In this Section:
1. Brief Table of Contents
2. Full Table of Contents
Â
1. Brief Table of Contents
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Part 1:Â Â Â Â Â Â Â Â Â Â Â Principles of Health Care Ethics
Chapter 1:Â Â Â Â Ethics, Professional Ethics, and Health Care Ethics
Chapter 2:Â Â Â Â Principles of Autonomy and Informed Consent
Chapter 3:Â Â Â Â Principles of Beneficence and Nonmaleficence
Chapter 4:Â Â Â Â The Ethics of Distribution
Chapter 5:Â Â Â Â Principles of Confidentiality and Truthfulness
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Part 2:Â Â Â Â Â Â Â Â Â Â Â PROBLEMS OF HEALTH CARE ETHICS
Chapter 6:Â Â Â Â Professional Standards and Institutional Ethics
Chapter 7:Â Â Â Â Ethical Problems of Death and Dying
Chapter 8:Â Â Â Â Abortion and Maternal-Fetal Conflict
Chapter 9:Â Â Â Â New Methods of Reproduction
Chapter 10:Â Â The Ethics of Transplants
Chapter 11:Â Â The Ethics of Testing and Screening
Chapter 12:Â Â The Ethics of Biomedical Research
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2. Full Table of Contents
Â
Part 1:Â Â Â Â Â Â Â Â Â Â Â Principles of Health Care Ethics
Chapter 1:Â Â Â Â Ethics, Professional Ethics, and Health Care Ethics
Theories of Ethics
Key issues
Applied Ethics
The Professions and Professional Ethics
The Health Care Professions
Summary
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Chapter 2:Â Â Â Â Principles of Autonomy and Informed Consent
General Formulation
Patient Autonomy: Informed Consent
Paternalism: Weak and Strong
The Consent of Children, Adolescents, and Incompetent Patients
Exceptions in Emergencies
The Right to Refuse Treatment
Problems Areas
Summary
Cases for Analysis
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Chapter 3:Â Â Â Â Principles of Beneficence and Nonmaleficence
Introduction
Specifications of Beneficence
Specifications of Nonmaleficence
The Patient’s Obligation
The Health Care Provider’s Obligation
The Surrogate’s Obligation
Summary
Cases for Analysis
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Chapter 4:Â Â Â Â The Ethics of Distribution
Introduction
A Definition of Health and Disease
Theories and Their Limits
Microallocation: Individual and Institutional Rationing
Summary
Cases for Analysis
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Chapter 5:Â Â Â Â Principles of Confidentiality and Truthfulness
Introduction
Truthfulness
Confidentiality
Summary
Cases for Analysis
                 Â
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Part 2:Â Â Â Â Â Â Â Â Â Â Â PROBLEMS OF HEALTH CARE ETHICS
Chapter 6:Â Â Â Â Professional Standards and Institutional Ethics
Introduction
Judging Quality
The Obligation to Police
Institutional Ethics
Ethics Committees
Competition and Institutional Ethics
Summary
Cases for Analysis
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Chapter 7:Â Â Â Â Ethical Problems of Death and Dying
Introduction
Ethics of the Patient
Health Care Providers and the Ethics of the Death of a Patient
Physician Initiatives
Cooperation with Active Suicide and Euthanasia
Surrogates and the Termination of Treatment
Summary
Cases for Analysis
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Chapter 8:Â Â Â Â Abortion and Maternal-Fetal Conflict
Introduction
Does the Fetus Have Rights: U.S. Law
The Definition and Types of Abortion
The Moral Status of the Fetus
The Autonomy of the Pregnant Woman
The Ethics of Abortion as a Social Phenomenon
Abortion and the Health Care Provider
Maternal-Fetal Conflict
Summary
Cases for Analysis
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Chapter 9:Â Â Â Â New Methods of Reproduction
Introduction
Artificial Insemination and the General Problem of Assisted Reproduction
In Vitro Fertilization
Surrogate Mothers
The Charge of Artificiality
The Ethics of the Health Care Provider
A Question of Distributive Justice
Summary
Cases for Analysis
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Chapter 10:Â Â The Ethics of Transplants
Introduction
The Ethics of Organ Donation
The Ethics of the Recipient
The Ethics of the Health Care Team
The Health Care Provider’s Ethics of Distribution
The Society’s Ethics of Distribution
Summary
Cases for Analysis
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Chapter 11:Â Â The Ethics of Testing and Screening
Introduction
Testing
Ethical Problems of Mass Screening
Summary
Cases for Analysis
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Chapter 12:Â Â The Ethics of Biomedical Research
Introduction
The Ethics of the Researcher
The Ethics of the User of Research Results
Fetal Research
Genetic Therapy
Reproductive and Therapeutic Cloning
Summary
Cases for Analysis
Dr. Harold W. Baillie is the Provost and Vice President for Academic Affairs and a Professor of Philosophy at the University of Scranton. He has been a visiting professor at a variety of international universities, including the University of Trnava, Slovakia, the State Medical University in Tbilisi, Republic of Georgia, and Capital University of Economics and Business, Beijing, China. Domestically, he has been a visiting professor at the Yale University School of Medicine, and Ashland University. He is a co-author of the book Health Care Ethics: Principles and Problems, and co-editor, and contributing author, of Is Human Nature Obsolete? Genetics, Bioengineering and the Human Condition, from The MIT Press. He has authored articles on subjects ranging from healthcare ethics to metaphysics and political philosophy, and currently works as a medical ethics consultant with several local health care facilities. He received his A.B. from Yale University, and his M.A. and Ph.D. from Boston College.
John F. McGeehan, MD, is the Associate Dean for Student Affairs and Admissions at the Cooper Medical School of Rowan University (CMSRU). Prior to joining CMSRU, Dr. McGeehan participated in the development of another new medical school, The Commonwealth Medical College in Scranton, PA. where, among many roles, he was course director for The Profession of Medicine in which he taught medical ethics. He has also been a course director at Temple University School of Medicine, and was Director of Medical Education and Chair of the Department of Medicine at Mercy Hospital in Scranton.
Dr. McGeehan received his MD from the University of Pennsylvania School of Medicine, and completed a residency in Internal Medicine at Pennsylvania Hospital. He created the Ethics Committee at Mercy Hospital in Scranton which he chaired for many years and currently is on the Ethics Committee at Cooper University Hospital where he does ethics consults.
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