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Bioethics

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Medical Underwriting and Social Policy

Insurance companies routinely use an individual's medical history and family medical history in determining eligibility for life insurance; this is part of the process of medical underwriting. Insurers have also long used genetic information, often derived from family history, in underwriting. But rapid advances in gene identification and genetic testing are changing the way we look at genetic information. Should the results of genetic testing (which might identify a predisposition toward disease not related to medical history) be available to life insurance medical underwriters?

This textbook for instruction in biomedical research ethics can also serve as a valuable reference for professionals in the field of bioethics. The 149 cases included in the book are grouped in nine chapters, each of which covers a key area of debate in the field. Some of the case studies are classics, including the famous cases of the Tuskegee Syphilis Study (in which subjects with syphilis were not given treatment) and the Willowbrook hepatitis studies (in which institutionalized subjects were intentionally exposed to hepatitis).

The idea of the gene has been a central organizing theme in contemporary biology, and the Human Genome project and biotechnological advances have put the gene in the media spotlight. In this book Lenny Moss reconstructs the history of the gene concept, placing it in the context of the perennial interplay between theories of preformationism and theories of epigenesis. He finds that there are not one, but two, fundamental—and fundamentally different—senses of "the gene" in scientific use—one the heir to preformationism and the other the heir to epigenesis.

Edited by Glenn McGee

Modern scientific and medical advances bring new complexity and urgency to ethical issues in health care and biomedical research. This book applies the American philosophical theory of pragmatism to such bioethics. Critics of pragmatism argue that it lacks a universal moral foundation. Yet it is this very lack of a metaphysical dividing line between facts and values that makes pragmatism such a rigorous and appropriate method for solving problems in bioethics.

Medicine and Morality in a Time of Crisis

The war on terrorism and the threat of chemical and biological weapons have brought a new urgency to already complex moral and bioethical questions. In the Wake of Terror presents thought-provoking essays on many of the troubling issues facing American society, written by experts from the fields of medicine, health care policy, law, political science, history, philosophy, and theology.

Philosophical Psychopathology is a benchmark volume for an emerging field where mental disorders serve as the springboard for philosophical insights. It brings together innovative, current research by Owen Flanagan, Robert Gordon, Robert Van Gulick, and others on mental disorders of consciousness, self-consciousness, emotions, personality, and action and belief as well as general methodological questions about the study of mental disorder.

What role can philosophers play in helping to resolve the moral and political dilemmas faced by environmental activists and policymakers? Moving away from environmental philosophy's usual focus on abstractions such as nonanthropocentrism and the intrinsic value of nature, this book focuses on environmental practice as the starting point for theoretical reflection. Philosophical thinking, it argues, need not be divided into the academic and the practical. Philosophy can take a more publicly engaged approach.

The End of Natural Evolution

Throughout history, we have selected and manipulated the genomes of plants, animals, and even ourselves. Until now, however, such control could be exerted only at the level of the entire organism. Scientific and technological advances now allow us to manipulate genomes directly at the level of single genes and their constituents, with a speed and precision that far exceed what natural evolution has been able to achieve over the past 3.5 billion years. These advances open new possibilities for medicine, biotechnology, and society as a whole.

This book is an essay on how people make sense of each other and the world they live in. Making sense is the activity of fitting something puzzling into a coherent pattern of mental representations that include concepts, beliefs, goals, and actions. Paul Thagard proposes a general theory of coherence as the satisfaction of multiple interacting constraints, and discusses the theory's numerous psychological and philosophical applications.

The Challenge of Equity

Engendering International Health presents the work of leading researchers on gender equity in international health. Growing economic inequalities reinforce social injustices, stall health gains, and deny good health to many. In particular, deep-seated gender biases in health research and policy institutions combine with a lack of well-articulated and accessible evidence to downgrade the importance of gender perspectives in health.

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