About the Authors |
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xi | |
Preface and Acknowledgments |
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xiii | |
1 Introduction to Ethics |
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1 | (20) |
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6 | (3) |
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9 | (4) |
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1.2.1 Legal and Moral Rights |
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12 | (1) |
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13 | (2) |
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15 | (6) |
2 Ethical Theory |
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21 | (16) |
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21 | (2) |
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23 | (2) |
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25 | (4) |
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29 | (1) |
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30 | (4) |
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31 | (1) |
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31 | (1) |
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2.5.3 Respect for Autonomy |
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31 | (1) |
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32 | (2) |
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34 | (3) |
3 Basics of Bioethics |
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37 | (22) |
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3.1 History and Scope of Bioethics |
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37 | (4) |
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3.2 Who Can Claim to be a Bioethicist? |
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41 | (2) |
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3.3 Organizations and Journals |
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43 | (1) |
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43 | (2) |
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3.5 Common Arguments in Bioethics |
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45 | (1) |
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46 | (1) |
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3.7 Unnatural and Abnormal |
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47 | (1) |
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48 | (3) |
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3.9 Nazi Arguments in Bioethics |
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51 | (2) |
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3.10 Slippery-Slope Arguments |
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53 | (2) |
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3.11 Treating Someone as a Means |
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55 | (4) |
4 Moral Standing: What Matters |
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59 | (10) |
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4.1 Moral Standing and Moral Status |
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59 | (1) |
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60 | (2) |
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62 | (2) |
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64 | (1) |
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64 | (1) |
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65 | (1) |
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66 | (3) |
5 Beginning of Life |
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69 | (22) |
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69 | (1) |
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5.2 Ethical Arguments about Reproductive Rights and Responsibilities |
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70 | (4) |
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5.2.1 Reproductive Autonomy and the Right to Reproduce |
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70 | (1) |
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5.2.2 Consequentialism and Procreative Beneficence |
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71 | (1) |
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5.2.3 'Do No Harm' and the Person-Affecting Restriction |
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72 | (1) |
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5.2.4 The Non-Identity Problem |
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72 | (1) |
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73 | (1) |
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73 | (1) |
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5.3 Issues in Assisted Reproduction |
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74 | (5) |
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5.3.1 Genetic Relatedness: How Important Is It? |
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75 | (2) |
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5.3.2 Issues of Selection in Reproduction |
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77 | (2) |
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5.4 Embryos, Fetuses and Abortion |
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79 | (12) |
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80 | (1) |
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5.4.2 Judith Jarvis Thomson and the Violinist |
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81 | (1) |
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5.4.3 The 'Future-Like-Ours' Argument |
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81 | (1) |
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5.4.4 The Impairment Argument Against Abortion |
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82 | (1) |
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82 | (1) |
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5.4.6 Abortion and Fetal Transplants |
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83 | (1) |
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84 | (1) |
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5.4.8 Infants and Infanticide |
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85 | (1) |
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5.4.9 Severely Disabled Infants |
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86 | (1) |
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5.4.10 Acts and Omissions |
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87 | (1) |
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88 | (3) |
6 Health Care Professional-Patient Relationship |
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91 | (24) |
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92 | (4) |
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96 | (1) |
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97 | (5) |
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6.3.1 Deciding for Others: Advance Directives |
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97 | (1) |
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6.3.2 Deciding for Others: Patients Who Never Had Capacity |
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98 | (1) |
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6.3.3 Deciding for Others: Incapacitated Patients without Advance Directives |
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99 | (3) |
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102 | (3) |
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105 | (2) |
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107 | (3) |
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110 | (5) |
7 Research Ethics |
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115 | (20) |
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7.1 Elements of Ethical Research |
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117 | (1) |
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7.2 Clinical Research: The Basics |
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118 | (2) |
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120 | (1) |
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121 | (1) |
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7.5 Trial-Related Injuries |
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122 | (2) |
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124 | (1) |
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125 | (2) |
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7.8 Ethical Issues Affecting Clinical Research Involving the Catastrophically III |
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127 | (3) |
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130 | (5) |
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7.9.1 Utility of Research Question |
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130 | (1) |
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131 | (4) |
8 Genetics |
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135 | (24) |
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8.1 Genetics and Genomics |
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135 | (5) |
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8.1.1 Introduction - Genetics, Genomics and Bioethics: Is Genetics Special? |
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135 | (2) |
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8.1.2 Issues in Clinical Genetics: Genetic Testing and Counseling |
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137 | (3) |
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8.1.2.1 Non-Directiveness |
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137 | (1) |
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138 | (1) |
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8.1.2.3 Genetic Screening |
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139 | (1) |
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8.1.2.4 Direct-to-Consumer Testing |
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139 | (1) |
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8.2 Gene Therapy: Somatic and Germline |
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140 | (6) |
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8.2.1 Is There a Need for Germline Gene Therapy? |
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142 | (1) |
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8.2.2 Risks and Irreversible Consequences |
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142 | (1) |
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8.2.3 Future Generations and Lack of Consent |
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143 | (1) |
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8.2.4 The Iconic Significance of the Germline |
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143 | (1) |
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144 | (2) |
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146 | (4) |
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8.3.1 The Human Genome Project |
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146 | (1) |
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147 | (2) |
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8.3.3 Feedback of Findings |
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149 | (1) |
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8.4 Personalized Medicine |
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150 | (5) |
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8.4.1 Human Cloning - Therapeutic Cloning |
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151 | (2) |
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8.4.2 Reproductive Cloning |
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153 | (2) |
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8.5 Other Issues in Genetics and Genomics |
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155 | (4) |
9 Enhancement |
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159 | (22) |
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159 | (1) |
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9.2 Enhancement and Superhumans |
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159 | (2) |
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9.3 The Meaning of Enhancement |
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161 | (2) |
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9.3.1 Enhancement and Improvement |
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161 | (2) |
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9.4 Alternatives to the 'Improvement' Account |
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163 | (3) |
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9.4.1 Therapy-Enhancement Distinction |
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163 | (1) |
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9.4.2 Species-Normal Functioning |
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164 | (1) |
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9.4.2.1 Quantitative Account of Enhancement |
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164 | (1) |
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9.4.3 Enhancement: The Umbrella View |
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165 | (1) |
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166 | (4) |
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9.5.1 Is Enhancement Necessary? |
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166 | (1) |
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9.5.2 Enhancement is Inevitable |
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167 | (1) |
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9.5.3 A Compromise Position? |
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168 | (1) |
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169 | (1) |
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9.5.5 The Habermasian Concern |
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169 | (1) |
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9.6 Social Inequalities and Social Justice |
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170 | (3) |
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9.6.1 Consequences for the Future of Humans |
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171 | (2) |
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173 | (3) |
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9.8 Cognitive Enhancement |
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176 | (5) |
10 Mental Health |
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181 | (14) |
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182 | (2) |
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184 | (2) |
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10.3 Autonomy and Capacity |
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186 | (1) |
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10.4 Least Restrictive Option |
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187 | (1) |
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188 | (1) |
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10.6 Treatment and Detention |
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189 | (6) |
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10.6.1 Detention for the Good of the Service User |
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189 | (2) |
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10.6.2 Detention for the Protection of Others |
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191 | (4) |
11 End of Life |
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195 | (22) |
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11.1 Do You Want to Live Forever? |
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195 | (6) |
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201 | (2) |
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11.3 Case for the Decriminalization of Assisted Dying |
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203 | (4) |
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11.4 The Case Against the Decriminalization of Assisted Dying |
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207 | (6) |
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11.4.1 In-Principle Reasons Against Assistance in Dying |
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207 | (1) |
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11.4.2 Slippery-Slope Reasons Against Assistance in Dying |
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208 | (10) |
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11.4.2.1 Pereira v. Downie |
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210 | (3) |
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11.5 Violation of Health Care Professional Values and Traditions |
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213 | (4) |
12 Justice and Health Care |
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217 | (18) |
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217 | (1) |
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218 | (4) |
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12.2.1 Justice and Discrimination |
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218 | (1) |
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12.2.2 Justice in Distribution |
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219 | (1) |
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12.2.3 Procedural Justice |
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220 | (1) |
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12.2.4 Justice and Exploitation |
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220 | (2) |
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12.3 The Concept of Justice and its Connection With Equality |
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222 | (3) |
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12.3.1 Justice and Equality: Equal Treatment and Equal Consideration |
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222 | (1) |
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12.3.2 Justice, Deserving and Personal Responsibility |
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223 | (2) |
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12.3.3 Justice is Giving People What They Need |
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225 | (1) |
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225 | (7) |
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12.4.1 Utility and Well-Being |
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225 | (3) |
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12.4.2 Respect for Persons: Rights to Health and Health Care |
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228 | (1) |
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12.4.3 John Rawls and Norman Daniels |
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229 | (2) |
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12.4.4 The Capabilities Approach |
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231 | (1) |
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232 | (3) |
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12.5.1 Personalized Medicine and Justice |
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233 | (2) |
13 Population Health |
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235 | (26) |
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13.1 Global Health Issues |
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235 | (1) |
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13.2 Health Aid Obligations |
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236 | (4) |
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13.2.1 Allocation Priorities |
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238 | (2) |
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13.3 Population Health and Public Health |
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240 | (3) |
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13.4 Communicable Disease Control Challenges |
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243 | (10) |
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13.4.1 Take One: Michael Johnson is Not Culpable |
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245 | (1) |
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13.4.2 Take Two: Michael Johnson is Culpable |
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245 | (1) |
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13.4.3 Take Three: Shared Responsibility |
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246 | (1) |
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246 | (1) |
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13.4.5 Private Acts and Social Consequences |
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247 | (1) |
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13.4.6 Novel Coronavirus Pandemic |
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248 | (3) |
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251 | (2) |
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13.5 Public Health Promotion |
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253 | (8) |
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13.5.1 Communicable Disease: HIV |
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254 | (2) |
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13.5.2 Non-Communicable Disease: Obesity |
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256 | (5) |
Bibliography |
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261 | (26) |
Further Reading |
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287 | (8) |
Index |
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295 | |