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Bioethics

Bioethics

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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.

The power of new medical technologies, the cultural authority of physicians, and the gendered power dynamics of many patient-physician relationships can all inhibit women's reproductive freedom. Often these factors interfere with women's ability to trust themselves to choose and act in ways that are consistent with their own goals and values. In this book Carolyn McLeod introduces to the reproductive ethics literature the idea that in reproductive health care women's self-trust can be undermined in ways that threaten their autonomy.

The Unspoken Dimensions of Environmental Concern

Virtually everyone values some aspect of the natural world. Yet many people are surprisingly unconcerned about environmental issues, treating them as the province of special interest groups. Seeking to understand how our appreciation for the beauty of nature and our indifference to its destruction can coexist in us, Shierry Weber Nicholsen explores dimensions of our emotional experience with the natural world that are so deep and painful that they often remain unspoken.

Philosophical, Theological, and Scientific Perspectives

The last decade saw the arrival of a new player in the creation/evolution debate—the intelligent design creationism (IDC) movement, whose strategy is to act as "the wedge" to overturn Darwinism and scientific naturalism. This anthology of writings by prominent creationists and their critics focuses on what is novel about the new movement. It serves as a companion to Robert Pennock's Tower of Babel, in which he criticizes the wedge movement, as well as other new varieties of creationism.

Learning to Perceive Global Environmental Change

This book shows how to make global environmental problems more tangible, so that they become an integral part of everyday awareness. At its core is a simple assumption: that the best way to learn to perceive the biosphere is to pay close attention to our immediate surroundings. Through local natural history observations, imagination and memory, and spiritual contemplation, we develop a place-based environmental view that can be expanded to encompass the biosphere.

Infectious Disease, Environmental Change, and Their Effects on National Security and Development

In recent decades, new pathogens such as HIV, the Ebola virus, and the BSE prion have emerged, while old scourges such as tuberculosis, cholera, and malaria have grown increasingly resistant to treatment. The global spread of disease does not threaten the human species, but it threatens the prosperity and stability of human societies.

Science, Ethics, and Public Policy

Human embryonic stem cells can divide indefinitely and have the potential to develop into many types of tissue. Research on these cells is essential to one of the most intriguing medical frontiers, regenerative medicine. It also raises a host of difficult ethical issues and has sparked great public interest and controversy.

Why It's Time for Health Care Rationing

Although managed health care is a hot topic, too few discussions focus on health care rationing—who lives and who dies, death versus dollars. In this book, physician and bioethicist Peter A. Ubel argues that physicians, health insurance companies, managed care organizations, and governments need to consider the cost-effectiveness of many new health care technologies. In particular, they need to think about how best to ration health care.

Pain, although very common, is little understood. Worse still, according to Valerie Gray Hardcastle, both professional and lay definitions of pain are wrongheaded—with consequences for how pain and pain patients are treated, how psychological disorders are understood, and how clinicians define the mind/body relationship.

Edited by Alan M. Garber

This important series presents timely economic research on health care and health policy issues. Each volume contains approximately five papers from an annual conference held in Washington, D.C. Topics covered include the effects of health policy reforms, changes in health care organization and management, measurement of health outcomes, health care output and productivity, the role of health-related behavior, health and aging, health and children, and health care financing.

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