Ethical Dilemmas In Modern Medicine

A series of essays, written by a practicing physician, on a wide variety of topics in medical ethics, including: clinical uncertainty; moral pluralism; paternalism; AIDS; organ procurement; physicians' involvement in executions; abortion; age as a factor in medical decision-making; sustaining life in a permanently acognitive patient; dementia; disagreement among patient, family, and physician; withholding nutritional support for the hopelessly ill; and the matter of who decides to write a DNR (do not resuscitate) order.

This comprehensive anthology represents the key issues and problems in the field of medical ethics through the most up-to-date readings and case studies available. Each of the book's six parts is prefaced with helpful introductions that raise important questions and skillfully contextualize the positions and main points of the articles that follow.

"Because the discipline of medical ethics has developed with autonomy as its foundation, the field has ignored pediatric ethics. The book is resoundingly successful in its effort to rectify this problem.... [A] pleasure to read." -- Eric D. Kodish, M.D., Director, Rainbow Center for Pediatric Ethics, Case Western Reserve University Using a form of medical ethnography to investigate a variety of pediatric contexts, Richard B. Miller tests the fit of different ethical approaches in various medical settings to arrive at a new paradigm for how best to care for children. Miller contends that the principle of beneficence must take priority over autonomy in the treatment of children. Yet what is best for the child is a decision that doctors cannot make alone. In making and implementing such decisions, Miller argues, doctors must become part of a "therapeutic alliance" with families and the child undergoing medical care to come up with the best solution. Children, Ethics, and Modern Medicine combines strong philosophical argumentation with firsthand knowledge of the issues facing children and families in pediatric care. This book will be an invaluable asset to medical ethicists and practitioners in pediatric care, as well as parents struggling with ethical issues in the care of their children.

A really good collection, a sustained and successful attempt to throw some light on extremely difficult problems...'___ New Society .

A textbook for undergraduates. Some 70 selections (more than half are new to this edition) follow an introductory essay. Current controversies (surrogacy, genetic engineering, proxy consent) are thoroughly covered. Annotation copyrighted by Book News, Inc., Portland, OR