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Peter Singer is Ira W. DeCamp Professor of Bioethics at the University Center for Human Values, Princeton University. He is the author of Animal Liberation, first published in 1975, and is widely credited with triggering the modern animal rights movement. His Practical Ethics is one of the most widely used texts in applied ethics, and Rethinking Life and Death received the 1995 Australian National Book Council’s Banjo Award for nonfiction. He was the foundation president of the International Association of Bioethics.
Acknowledgments | p. xii |
Introduction | p. 1 |
Before Birth | p. 9 |
Introduction | p. 11 |
Abortion | p. 15 |
Abortion and Health Care Ethics | p. 17 |
Abortion and Infanticide | p. 25 |
A Defense of Abortion | p. 40 |
Why Abortion is Immoral | p. 51 |
Mother-Fetus Conflict | p. 63 |
Are Pregnant Women Fetal Containers? | p. 65 |
Issues in Reproduction | p. 77 |
Introduction | p. 79 |
Assisted Reproduction | p. 85 |
The McCaughey Septuplets: God's Will or Human Choice? | p. 87 |
Surrogate Mothering: Exploitation or Empowerment? | p. 90 |
A Response to Purdy | p. 100 |
The Right to Lesbian Parenthood | p. 104 |
Rights, Interests, and Possible People | p. 108 |
Prenatal Screening, Sex Selection, and Cloning | p. 113 |
Genetics and Reproductive Risk: Can Having Children be Immoral? | p. 115 |
Prenatal Diagnosis and Selective Abortion: A Challenge to Practice and Policy | p. 122 |
Genetic Technology: A Threat to Deafness | p. 137 |
Sex Selection: The Case For | p. 145 |
Conception to Obtain Hematopoietic Stem Cells | p. 150 |
Why We Should Not Permit Embryos to be Selected as Tissue Donors | p. 158 |
The Moral Status of the Cloning of Humans | p. 162 |
The New Genetics | p. 179 |
Introduction | p. 181 |
Gene Therapy and Eugenics | p. 185 |
Questions About Some Uses of Genetic Engineering | p. 187 |
Ethical Issues in Manipulating the Human Germ Line | p. 198 |
The Moral Significance of the Therapy-Enhancement Distinction in Human Genetics | p. 209 |
Should We Undertake Genetic Research on Intelligence? | p. 219 |
Genetic Screening and Counseling | p. 229 |
Lessons from a Dark and Distant Past | p. 231 |
Patient Autonomy and Value-Neutrality in Nondirective Genetic Counseling | p. 237 |
Genetic Dilemmas and the Child's Right to an Open Future | p. 246 |
Life and Death Issues | p. 257 |
Introduction | p. 259 |
The Sanctity of Life | p. 266 |
Declaration on Euthanasia | p. 276 |
Killing and Letting Die | p. 281 |
The Morality of Killing: A Traditional View | p. 283 |
Active and Passive Euthanasia | p. 288 |
Is Killing No Worse Than Letting Die? | p. 292 |
Why Killing is Not Always Worse - and Sometimes Better - Than Letting Die | p. 297 |
Severely Disabled Newborns | p. 301 |
When Care Cannot Cure: Medical Problems in Seriously Ill Babies | p. 303 |
A Modern Myth: That Letting Die is Not the Intentional Causation of Death | p. 315 |
The Abnormal Child: Moral Dilemmas of Doctors and Parents | p. 329 |
Right to Life of Handicapped | p. 334 |
Brain Death | p. 337 |
A Definition of Irreversible Coma | p. 339 |
Is the Sanctity of Life Ethic Terminally Ill? | p. 344 |
Advance Directives | p. 355 |
Life Past Reason | p. 357 |
Dworkin on Dementia: Elegant Theory, Questionable Policy | p. 365 |
Voluntary Euthanasia and Medically Assisted Suicide | p. 375 |
The Note | p. 377 |
When Self-Determination Runs Amok | p. 381 |
When Abstract Moralizing Runs Amok | p. 386 |
Listening and Helping to Die: The Dutch Way | p. 391 |
Resource Allocation | p. 399 |
Introduction | p. 401 |
Micro-Allocation: Deciding Between Patients | p. 405 |
Rescuing Lives: Can't We Count? | p. 407 |
The Allocation of Exotic Medical Lifesaving Therapy | p. 410 |
Should Alcoholics Compete Equally for Liver Transplantation? | p. 421 |
The Value of Life | p. 428 |
How Age Should Matter: Justice as the Basis for Limiting Care to the Elderly | p. 437 |
Macro-Allocation: Dividing Up the Healthcare Budget | p. 449 |
Quality of Life and Resource Allocation | p. 451 |
A Lifespan Approach to Health Care | p. 465 |
Organ Donation | p. 475 |
Introduction | p. 477 |
Why Give to Strangers? | p. 479 |
Organ Donation and Retrieval: Whose Body is it Anyway? | p. 483 |
The Case for Allowing Kidney Sales | p. 487 |
The Survival Lottery | p. 491 |
Experimentation with Human Subjects | p. 497 |
Introduction | p. 499 |
Human Subjects | p. 503 |
Ethics and Clinical Research | p. 505 |
Equipoise and the Ethics of Clinical Research | p. 513 |
The Patient and the Public Good | p. 520 |
The Morality of Clinical Research: A Case Study | p. 525 |
Unethical Trials of Interventions to Reduce Perinatal Transmission of the Human Immunodeficiency Virus in Developing Countries | p. 533 |
We're Trying to Help Our Sickest People, Not Exploit Them | p. 539 |
Human Embryos - Stem Cells | p. 541 |
Question of Respect for Life: What Some [Australian] Members of Parliament Have Said About Embryonic Stem Cell Research in Parliament This Week | p. 543 |
Stem Cells, Sex, and Procreation | p. 545 |
Experimentation with Animals | p. 559 |
Introduction | p. 561 |
Duties Towards Animals | p. 564 |
A Utilitarian View | p. 566 |
All Animals are Equal | p. 568 |
Vivisection, Morals and Medicine: An Exchange | p. 578 |
Ethical Issues in the Practice of Healthcare | p. 589 |
Introduction | p. 591 |
Confidentiality | p. 595 |
Confidentiality in Medicine: A Decrepit Concept | p. 597 |
Truth-Telling | p. 601 |
On a Supposed Right to Lie from Altruistic Motives | p. 603 |
Should Doctors Tell the Truth? | p. 605 |
On Telling Patients the Truth | p. 611 |
Informed Consent and Patient Autonomy | p. 619 |
On Liberty | p. 621 |
From Schloendorff v. New York Hospital | p. 624 |
Amputees by Choice | p. 625 |
Abandoning Informed Consent | p. 636 |
Rational Desires and the Limitation of Life-Sustaining Treatment | p. 646 |
The Doctor-Patient Relationship in Different Cultures | p. 664 |
Special Issues Facing Nurses | p. 677 |
Introduction | p. 679 |
Ethical Dilemmas for Nurses: Physicians' Orders Versus Patients' Rights | p. 682 |
In Defense of the Traditional Nurse | p. 690 |
Ethicists and Ethics Committees | p. 699 |
Introduction | p. 701 |
When Philosophers Shoot from the Hip | p. 703 |
Ethics Consultation as Moral Engagement | p. 707 |
Truth or Consequences: The Role of Philosophers in Policy-Making | p. 715 |
Should the Decisions of Ethics Committees be Based on Community Values? | p. 719 |
Index | p. 725 |
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