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    Biomedical ethics : a Canadian focus / edited by Johnna Fisher.

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    • Title:Biomedical ethics : a Canadian focus / edited by Johnna Fisher.
    •    
    • Other Contributors/Collections:Fisher, Johnna, 1964-2014.
    • Published/Created:Don Mills, Ont. : Oxford University Press, 2009.

    • Holdings

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    • Library of Congress Subjects:Medical ethics--Canada.
      Bioethics--Canada.
    • Description:xii, 531 p. ; 26 cm.
    • Notes:Includes bibliographical references (pages [519]-523) and index.
    • ISBN:9780195427905 (paper)
      0195427904 (paper)
    • Contents:1. Morality and Ethics
      1.1. Introduction
      1.2. Morality and Ethics
      1.3. Moral Theories
      2. Medical Decision-Making: Patient Self-Determination and Deciding for Others
      2.1. Introduction
      2.2. Who Decides for the Patient? Autonomy, Competence, and Surrogacy
      Standards of Competence / Allen E. Buchanan and Dan W. Brock
      Involving Children in Medical Decisions / Christine Harrison, Nuala P. Kenny, Mona Sidarous and Mary Rowell
      Advance Directives for Resuscitation and Other Life-Saving or life-Sustaining Measures / Canadian Medical Association
      Relational Approach to Autonomy in Health Care / Susan Sherwin
      2.3. Differing Opinions of Patient Best Interest
      Quality Care and the Wounds of Diversity / Kenneth Kipnis
      Ethical Relativism in a Multicultural Society / Ruth Macklin
      2.4. Individual Interests versus Family Interests
      What About the Family? / John Hardwig
      Patient Choices, Family Interests, and Physician Obligations / Thomas A. Mappes and Jane S. Zembaty
      2.5. Cases
      Case 1. Scott Starson: Refusing Treatment While Incompetent
      Case 2. No Chemotherapy for Anael: Surrogate Refusal of Treatment for a Minor Child
      Case 3. Do Everything for Mom: Advance Directives and a Surrogate's Right to Demand Treatment
      Case 4. Teen's Secret Decision to Abort
      Case 5. Current Wishes Conflict with Prior Instructions
      2.6. Study Questions
      2.7. Suggested Further Reading
      3. Management of Medical Information
      3.1. Introduction
      3.2. Privacy and Confidentiality
      Privacy: Human Rights, Public Policy, and Law / Canadian HIV/AIDS Legal Network
      Confidentiality in Medicine: A Decrepit Concept / Mark Siegler
      Genetic Privacy / Lawrence O. Gostin
      3.3. Truth-Telling
      On Telling Truth to Patients / Mack Lipkin
      Telling the Truth to Patients: A Clinical Ethics Exploration / David C. Thomasma
      3.4. Informed Consent
      Concept of Informed Consent / Ruth R. Faden and Tom L. Beauchamp
      Consent, Coercion, and Conflicts of Rights / Ruth Macklin
      Transparency: Informed Consent in Primary Care / Howard Brody
      Culture, Power, and Informed Consent: The Impact of Aboriginal Health Interpreters on Decision-Making / Joseph Kaufert and John O'Neil
      3.5. Cases
      Case 1. Please Don't Tell!: A Case about HIV and Confidentiality / Leonard Fleck and Marcia Angell
      Case 2. John Reibl: Information Disclosure, Comprehension, and Informed Consent
      Case 3. Do Patients Have a Right to the Information in Their Medical Files? Canadian Supreme Court Case of McInerney v. MacDonald (1992)
      Case 4. Breach of Lawyer-Client Confidentiality Appropriate When Poses Public Danger: Canadian Supreme Court Case of Smith v. Jones (1999)
      Case 5. Refusal to Consent to a DNR for a Minor Child: Manitoba Court of Appeal Case Child and Family Services of Central Manitoba v. R. L.
      3.6. Study Questions
      3.7. Suggested Further Reading
      4. End-of-Life Decision-Making
      4.1. Introduction
      4.2. Refusal or Withdrawal of Treatment, Medical Futility, and Terminal Sedation
      Withholding and Withdrawal of Potentially Life-Sustaining Treatment / Health Law Institute, Dalhousie University
      Patient Refusal of Hydration and Nutrition: An Alternative to Physician-Assisted Suicide or Voluntary Active Euthanasia / James L. Bernat, Bernard Gert and R. Peter Mogielnicki
      Medical Futility: A Conceptual and Ethical Analysis / Mark R. Wicclair
      Medical Ethics and Double Effect: The Case of Terminal Sedation / Joseph M. Boyle
      4.3. Voluntary Active Euthanasia and Physician-Assisted Suicide
      Bioethics for Clinicians: Euthanasia and Assisted Suicide / James V. Lavery, Bernard M. Dickens, Joseph M. Boyle and Peter A. Singer
      Active and Passive Euthanasia / James Rachels
      Voluntary Active Euthanasia / Dan W. Brock
      When Self-Determination Runs Amok / Daniel Callahan
      Gender, Feminism, and Death: Physician-Assisted Suicide and Euthanasia / Susan Wolf
      4.4. Rights to Die and Duties to Die
      Is There a Right to Die? / Leon R. Kass
      Is There a Duty to Die? / John Hardwig
      4.5. Cases
      Case 1. Sue Rodriguez: Physician-Assisted Suicide
      Case 2. Dr Nancy Morrison: (Non)Voluntary Active Euthanasia of an Adult
      Case 3. Tracy Latimer: Nonvoluntary Active Euthanasia of a Minor
      Case 4. Mr McCullough: Recommending Voluntary Passive Euthanasia
      Case 5. Elizabeth and Eric MacDonald: Assisted Suicide
      4.6. Study Questions
      4.7. Suggested Further Reading
      5. Moral Status of the Human Fetus and Infant
      5.1. Introduction
      5.2. Positions on Fetal Moral Status: Conservative, Moderate, and Liberal
      Reproductive Technologies: Royal Commission Final Report / Nancy Miller Chenier
      Why Abortion Is Immoral / Don Marquis
      On the Moral and Legal Status of Abortion / Mary Anne Warren
      Defence of Abortion / Judith Jarvis Thomson
      Abortion Through a Feminist Ethics Lens / Susan Sherwin
      5.3. Declining Treatment during Pregnancy and Immediately after Birth
      Pregnant Woman's Decision to Decline Treatment: How Should the Law Respond? / John Seymour
      Decisions Regarding Disabled Newborns / Mary B. Mahowald
      5.4. Cases
      Case 1. Prenatal Diagnosis and Abortion or Infanticide through Declining Treatment
      Case 2. Failed Abortion and Offer of Third-Trimester Abortion
      Case 3. Abortion of Suspected Female Fetus
      Case 4. Ms G and Refusal of Treatment while Pregnant
      Case 5. Endangering Behaviour in a Pregnant Woman
      5.5. Study Questions
      5.6. Suggested Further Reading
      6. Genetic Technology Use
      6.1. Introduction
      6.2. Eugenics
      Eugenics: Some Lessons from the Nazi Experience / Jonathan Glover
      Sterilizing the 'Feeble-Minded': Eugenics in Alberta, Canada, 1929-1972 / Jana Grekul, Harvey Krahn and Dave Odynak
      Population Policy and Eugenics in China / Veronica Pearson
      6.3. Cloning and Stem Cell Usage
      Cloning of Human Beings / Leon R. Kass
      Rose Is a Rose, but Clones Will Differ / John D. Russell and Andrew S. Irvine
      Creating and Sacrificing Embryos for Stem Cells / Katrien Devolder
      6.4. Genetic Treatment and Enhancement
      Genetic Enhancement / Walter Glannon
      Genetic Engineering / Dan W. Brock
      Inevitability of Genetic Enhancement / Francoise Baylis and Jason Scott Robert
      6.5. Genetic Testing
      Implications of Prenatal Diagnosis for the Human Right to Life / Leon R. Kass
      Genetics and Reproductive Risk: Can Having Children Be Immoral? / Laura M. Purdy
      Prenatal Genetic Testing and Screening: Constructing Needs and Reinforcing Inequities / Abby Lippman
      6.6. Cases
      Case 1. Leilani Muir versus the Philosopher King: Eugenics on Trial in Alberta / Douglas Wahlsten
      Case 2. Changing Socially Undesirable Characteristics
      Case 3. Predictive Testing for Criminal Behaviour: Genes and Environment
      Case 4. Testing for Late-Onset Genetic Disorders in Children
      6.7. Study Questions
      6.8. Suggested Further Reading
      7. Access to Health Care
      7.1. Introduction
      7.2. Macroallocation: Is There a Right to Health Care?
      Right to a Decent Minimum of Health Care / Allen E. Buchanan
      Managing Care the Canadian Way / Pat Armstrong
      Restoring the Status of an Icon: A Talk with Canada's Minister of Health / John K. Inglehart
      Sustaining Medicare: The Commission on the Future of Health Care in Canada / Roy Romanow
      Autonomy, Equality, and a Just Health Care System / Kai Nielson
      7.3. Cases
      Case 1. Belinda Stronach Travels to California for Health Care
      Case 2. BC Physicians 'Cherry-Picking' Patients for Ease of Care, Refusing Those in Need
      Case 3. Refusal of life-Saving Treatment
      Case 4. Universal Care: Less Time, Less Efficacy
      Case 5. Multiple Transplants
      7.4. Study Questions
      7.5. Suggested Further Reading
      8. Allocation of Scarce Medical Resources
      8.1. Introduction
      8.2. Microallocation: The Necessity of Rationing
      Allocation of Exotic Medical Life-Saving Therapy / Nicholas P. Rescher
      Allocating Resources to the Elderly / Daniel Callahan
      Voluntary Risks to Health: The Ethical Issues / Robert Veatch
      8.3. Increasing Resources through Commodification
      Commodification of Medical and Health Care: The Moral Consequences of a Paradigm Shift from a Professional to a Market Ethic / Edmund D. Pellegrino
      Human Organs, Scarcities, and Sale: Morality Revisited / R. R. Kishore
      Keeping an Eye on the Global Traffic in Human Organs / Nancy Scheper-Hughes
      Debate over Online Recruitment of Organ Donors / Wayne Kandro
      8.4. Cases
      Case 1. No Lungs for Linda
      Case 2. Rationing Services to an Elder Who Is Responsible for His Medical Condition
      Case 3. Buying a Kidney in India but Requesting Canadian After-Care
      8.5. Study Questions
      8.6. Suggested Further Reading
      9. Research with Humans
      9.1. Introduction
      9.2. Dark History of Human Research
      Tuskegee Study / Gregory E. Pence
      Dr Ewen Cameron / Colin A. Ross
      Biomedical Conflicts of Interest: A Defence of the Sequestration Thesis - Learning from the Cases of Nancy Olivieri and David Healy / Arthur Schafer
      Dancing with the Porcupine: Rules for Governing the University-Industry Relationship / Stephen Lewis, Patricia Baird, Robert G. Evans, William A. Ghali, Charles J. Wright, Elaine Gibson and Francoise Baylis
      9.3. Codes and Guidelines
      Nuremburg Code / Nuremburg Military Tribunal
      Declaration of Helsinki / World Medical Association
      Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans / Canadian Institutes oj Health Research
      9.4. Use of Children and Noncompetent Patients in Research
      Ethical and Human-Rights Issues in Research on Mental Disorders that May Affect Decision-Making Capacity / Alexander M. Capron
      Child as Research Subject / Lainie Freidman Ross
      Baby Fae: The 'Anything Goes' School of Human Experimentation / George J. Annas
      9.5. Cases
      Case 1. Stanley Milgram: Lies and Invalid Consent a Necessary Part of the Research
      Case 2. Mr Halushka: Human Research and Harm to Participants
      Case 3. Nonclinical Research on Alzheimer's Patients
      9.6. Study Questions
      9.7. Suggested Further Reading.
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