As a society, we are faced with a series of dilemmas—abortion, euthanasia, genetic engineering, organ transplant allocation, support or non-support of the elderly and fragile—that seem to offer no resolution. How do we choose between the needy and the ailing? Choices must be made in both the world of law and the realm of medical ethics. What we need is what we do not have—a perspective in the larger sense of the word—a view that makes apparent the sweep of the issues at hand. The failure of perspective in bioethics and medical decision making is absolute. It results from the limits of an 18th century philosophy and philosophical method. Simply, current methods of examining these issues can not resolve them because the method itself is limited.
Answers are possible. They require, Koch argues, a new approach. In it, principle is the goal, not the mechanism of solution. Its parts must be defined and their application considered in context. This is demonstrated using two distinct contemporary problems. The first: Who gets available organ transplants? How do we decide between the equally needy when there are not enough organs for all? The second: The problem of Baby K, the care or non-care of brain stem, anencephalic babies. These problems are defined using multicriterion approach and resolved through a series of focus group discussions that involve medical and lay personnel. What results is a new, more inclusive view of medicine and a new, more complex understanding of what consensus may mean in an evolving, twenty-first century society. This is must reading for lay people, medical personal, and policymakers concerned with bioethics and medical philosophy issues.
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TOM KOCH is a research associate in bioethics, The Hospital for Sick Children, Toronto. He is the author of eight other books, including Mirrored Lives: Aging Children and Elderly Parents (Praeger, 1990) and A Place in Time: Caregivers for Their Elderly (Praeger, 1993).
Les informations fournies dans la section « A propos du livre » peuvent faire référence à une autre édition de ce titre.
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Hardcover. Etat : Very Good. Etat de la jaquette : Very Good. 1st Edition. Tom Koch's examination of some of the most difficult questions in modern medical ethics: how individuals, physicians, institutions, and societies make life-and-death decisions when ethical principles collide with limited resources, competing rights, and differing concepts of personhood and obligation. Koch considers issues including allocation of organs and tissues, end-of-life decision making, anencephaly, euthanasia, care of vulnerable patients, and the broader moral assumptions underlying medical decision making. Rather than treating ethical principles as simple rules capable of resolving every dilemma, he examines their limits when applied to complex clinical and social circumstances. First edition, first printing. The copyright page states "First published in 1998" and displays a complete number line ending in 1. Condition: Very Good in Very Good original dust jacket. Hardcover binding appears sound and square with light shelf wear. Interior is clean and securely bound in the pages examined. Front free endpaper bears a previous owner's ink signature dated 2002. No other significant writing or highlighting observed. Original glossy black dust jacket is complete and attractive with light-to-moderate rubbing and surface scratching, modest edge and corner wear, and minor creasing/wear at the spine extremities. Please refer to photographs for condition. A useful first-edition copy of a specialized work at the intersection of medicine, bioethics, health policy, philosophy, disability studies, and medical decision making. Particularly relevant to collections concerned with organ allocation, end-of-life ethics, medical scarcity, and the ethical treatment of vulnerable patients. Book will be carefully packed and protected for shipment. USPS Media Mail available for domestic orders. Returns accepted in accordance with AbeBooks' 30-day return policy. SCI 3a. N° de réf. du vendeur ABE-1786653571846
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