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February 2006
6 x 9, 248 pp., 6 illus.
$31.00/£22.95 (CLOTH)
Short

ISBN-10:
0-262-02596-5
ISBN-13:
978-0-262-02596-6

Other Editions
Paper (2007)
Series
Basic Bioethics
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Against Bioethics
Jonathan Baron

Series Foreword
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ix
Preface
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xi
1Introduction
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1
    1.1What this book tries to do4
2Bioethics vs. Utilitarianism9
    2.1History: Nuremberg and Tuskegee10
    2.2Principles of bioethics12
    2.3Bioethical principles vs. utilitarianism15
    2.4Rules and flowcharts20
    2.5Conclusion23
3Utilitarianism and Decision Analysis25
    3.1Utilitarianism25
    3.2Intuitive judgments43
    3.3Multiattribute utility theory (MAUT)46
    3.4Attributes and values48
    3.5Conclusion50
4Going Against Nature51
    4.1Enhancements: genes, drugs, and mind control52
    4.2Deficits and drugs64
    4.3Reproduction67
    4.4Extending life77
    4.5Conclusion81
5Death and the Value of Life83
    5.1The value of life and health: QALYs84
    5.2Advance directives89
    5.3Euthanasia and assisted suicide90
    5.4Organ donation and the definition of death95
    5.5Conclusion95
6Coercion and Consent97
    6.1The value of choice97
    6.2The flat maximum99
    6.3Coercion103
    6.4Research on people who cannot consent106
    6.5Why consent?108
    6.6Altruism, hope, and consent117
    6.7Competence to consent119
    6.8Responsibility and the law125
    6.9Conclusion129
7Conflict of Interest131
    7.1Ethics132
    7.2Reforming the IRB138
    7.3Privacy150
    7.4Conclusion154
8Drug Research155
    8.1Recruiting subjects for drug trials155
    8.2Placebo controls164
    8.3New drug approval175
    8.4Conclusion176
9Allocation179
    9.1Allocation heuristics and biases180
    9.2Allocation in practice188
    9.3What to do about biases201
    9.4Conclusion203
10The Bigger Picture
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205
    10.1World health and the politics of improving it205
    10.2Environment, animals, and future people208
    10.3Waste210
    10.4Conclusion212
References
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215
Index
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233
 
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