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Personalized healthcare-or what the award-winning author Donna Dickenson calls "Me Medicine"-is radically transforming our longstanding "one-size-fits-all" model. Technologies such as direct-to-consumer genetic testing, pharmacogenetically developed therapies in cancer care, private umbilical cord blood banking, and neurocognitive enhancement claim to cater to an individual's specific biological character, and, in some cases, these technologies have shown powerful potential. Yet in others they have produced negligible or even negative results. Whatever is behind the rise of Me Medicine, it isn't just science. So why is Me Medicine rapidly edging out We Medicine, and how has our commitment to our collective health suffered as a result? In her cogent, provocative analysis, Dickenson examines the economic and political factors fueling the Me Medicine phenomenon and explores how, over time, this paradigm shift in how we approach our health might damage our individual and collective well-being. Historically, the measures of "We Medicine," such as vaccination and investment in public-health infrastructure, have radically extended our life spans, and Dickenson argues we've lost sight of that truth in our enthusiasm for "Me Medicine." Dickenson explores how personalized medicine illustrates capitalism's protean capacity for creating new products and markets where none existed before-and how this, rather than scientific plausibility, goes a long way toward explaining private umbilical cord blood banks and retail genetics. Drawing on the latest findings from leading scientists, social scientists, and political analysts, she critically examines four possible hypotheses driving our Me Medicine moment: a growing sense of threat; a wave of patient narcissism; corporate interests driving new niche markets; and the dominance of personal choice as a cultural value. She concludes with insights from political theory that emphasize a conception of the commons and the steps we can take to restore its value to modern biotechnology.

Sociology of health --- Professional ethics. Deontology --- biotechnologie --- bio-ethiek (medische, biomedische ethiek, bio-ethische aspecten) --- Medicine, Preventive --- Patient-centered health care --- Biotechnology --- Precision Medicine --- Public Health Practice --- Social Justice. --- Common Good --- Justice --- Obligations of Society --- Good, Common --- Justice, Social --- Medical care --- Disease prevention --- Diseases --- Prevention of disease --- Preventive medicine --- Pathology --- Preventive health services --- Preventive medicine physicians --- Public health --- bioéthique (éthique médicale, biomédicale, aspects bioéthiques) --- Moral and ethical aspects. --- ethics. --- Prevention --- Individualized Medicine --- precisiegeneeskunde --- gepersonaliseerde gezondheidszorg --- médecine de précision --- soins de santé personnalisés --- Social Justice --- ethics

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Droits des femmes --- Emancipatie van de vrouw --- Emancipation de la femme --- Emancipation of women --- Femmes [Droits des ] --- Femmes--Emancipation --- Rechten van de vrouw --- Rights of women --- Vrouwen--Emancipatie --- Vrouwenemancipatie --- Vrouwenrechten --- Women's liberation --- Women's rights --- Women--Emancipatie --- Women--Rights of women --- Women --- Social conditions --- Legal status, laws, etc. --- Economic conditions

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Ethics is commonly assumed to be the one realm in which luck and risk do not intrude. It has been said that 'While one can be lucky in one's business, in one's married life, and in one's health, one cannot, so it is commonly assumed, be subject to luck as far as one's moral worth is concerned.' But although we do not normally hold people responsible for outcomes beyond their control, a serious examination of the role of luck and risk may lead us to conclude that very few outcomes are really within people's control. This is the paradox of 'moral luck'. Risk and Luck in Medical Ethics examines the 'moral luck' paradox in greater detail, relating it to Kantian, consequentialist, and virtue-based approaches to ethics. Dickenson applies the paradoxes of risk and luck to medical ethics, including timely discussion of risk and luck in the allocation of scarce health care resources, informed consent to treatment, decisions about withholding life-sustaining treatment, psychiatry, reproductive ethics, genetic testing, and medical research and evidence-based medicine. The book concludes with an examination of the relevance of risk and luck in a medical context to the study of global ethics. If risk and luck are taken seriously, it would seem to follow that we cannot develop any definite moral standards at all, that we are doomed to moral relativism. However, Dickenson offers strong counter-arguments to this view that enable us to think in terms of universal standards for judging ethical systems. This claim has direct practical relevance for practitioners as well as philosophers.

Fortune. --- Medical ethics. --- Risk. --- Uncertainty. --- moraalfilosofie --- bio-ethiek (medische, biomedische ethiek, bio-ethische aspecten) --- risicomanagement (risico-evaluatie, risicobeheer) --- veiligheid --- geluk (onzekerheid) --- aansprakelijkheid --- verantwoordelijkheid (verantwoordingsplicht, verantwoording) --- ethiek (ethische aspecten) --- philosophie morale --- bioéthique (éthique médicale, biomédicale, aspects bioéthiques) --- évaluation du risque (gestion du risque) --- sécurité (principe de sécurité) --- chance (incertitude) --- responsabilité --- responsabilité (imputabilité, obligation de rendre compte) --- ethique (aspects ethiques) --- Fortune --- Medical ethics --- Risk --- Uncertainty --- Reasoning --- Economics --- Probabilities --- Profit --- Risk-return relationships --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Luck --- Opportunity --- Moral and ethical aspects

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This book brings together an unusually broad range of experts from reproductive medicine, medical ethics and law to address the important ethical problems in maternal-fetal medicine which impact directly on clinical practice. The book is divided into parts by the stages of pregnancy, within which the authors cover four main areas: • the balance of power in the doctor-patient relationship and the justifiable limits of paternalism and autonomy • the impact of new technologies and new diseases • disability and enhancement (the 'designer baby') • difference - to what extent should the clinician respect the tenets of other faiths in a multicultural society, even when the doctor believes requested interventions or non-interventions to be morally wrong? The aim throughout is to unite analytic philosophy and actual practice. This is an important text not only for clinicians involved in human reproduction, but also philosophers and lawyers.

Human reproductive technology --- Perinatology --- Medical ethics. --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Medicine, Perinatal --- Perinatal medicine --- Obstetrics --- Pediatrics --- Moral and ethical aspects. --- Moral and ethical aspects --- General ethics

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Bereavement. --- Death --- Medical ethics --- Terminal care --- Social aspects