Who Decides?

1. Front Matter

   Pages i-xiii

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2. Introduction

   1. Introduction

      • Nora K. Bell

      Pages 1-25

3. Patients and Their Healers

   1. Patients and Their Healers

      • Guenter B. Risse

      Pages 27-45

4. Limits of Professional Autonomy

   1. Front Matter

      Pages 47-47

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   2. Goals of Medical Care

      • H. Tristram Engelhardt Jr.

      Pages 49-66

   3. Establishing Limits to Professional Autonomy: Whose Responsibility?

      • Mila Ann Aroskar

      Pages 67-78

   4. Limits to Responsibility and Decision-Making

      • Jay Wolfson

      Pages 79-82

   5. Can Physicians Mind Their Own Business and Still Practice Medicine?

      • Samuel Gorovitz

      Pages 83-93

   6. Allocating Autonomy

      • Sally Gadow

      Pages 95-106

5. Refusing/Withdrawing from treatment

   1. Front Matter

      Pages 107-107

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   2. The Right to Refuse Treatment

      • Thomas Szasz

      Pages 109-118

   3. Refusal of Psychiatric Treatment

      • Ruth Macklin

      Pages 119-131

   4. Consent and Competence

      • James L. Stiver

      Pages 133-136

6. Death and Dying Electing Heroic Measures

   1. Front Matter

      Pages 137-137

      PDF

   2. What is Heroic?

      • James A. Bryan II

      Pages 139-147

   3. The Moral Justification for Withholding Heroic Procedures

      • Tom L. Beauchcamp

      Pages 149-161

   4. Response to Bryan and Beauchamp

      • Kevin Lewis

      Pages 163-166

7. Advancing Reproductive Technology

   1. Front Matter

      Pages 167-167

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   2. Ethics and Reproductive Biology

      • Daniel Callahan

      Pages 169-178

   3. Fathers Anonymous

      • George J. Annas

      Pages 179-192

Many of the demands being voiced for a "humanizing" of health care center on the public's concern that they have some say In determining what happens to the individual in health care institutions. The essays in this volume address fundamental questions of conflicts of rights and autonomy as they affect four selected, controversial areas in health care ethics: the Limits of Professional Autonomy, Refusing! Withdrawing from Treatment, Electing "Heroic" Measures, and Advancing Reproductive Technology. Each of the topics is addressed in such a way that it includes an examination of the locus of responsibility for ethical decision­ making. The topics are not intended to exhaustively review those areas of health care provision where conflicts of rights might be said to be an issue. Rather they constitute an examination of the difficulties so often encountered in these specific contexts that we hope will illuminate similar conflicts in other problem areas by raising the level of the reader's moral awareness. Many books in bioethics appeal only to a limited audience in spite of the fact that their subject matter is of deep personal concern to everyone. In part, this is true because they are frequently written from the perspective of a single discipline or a single profession. As a result, one is often left with the impression that such a book views the philosophical, historical, and! or theological problems as essentially indifferent to clinical, legal, and! or policy-making problems.

• Beauchamp
• Ethics
• Health Care Ethics
• autonomy
• bioethics
• health
• health care
• morality

• Department of Philosophy, University of South Carolina, Columbia, USA

  Nora K. Bell

Policies and ethics