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Originally published in 1999, this classic textbook includes twenty-six cases with commentary and bibliographic resources designed especially for medical students and the training of ethics consultants. The majority of the cases reflect the day-to-day moral struggles within the walls of hospitals typically described as community hospitals; as a result, the cases do not focus on esoteric, high-tech dilemmas--viz., genetic engineering or experimental protocols--but rather on fundamental problems that are pervasive in basic healthcare delivery in the United States: where to send a frail, elderly patient who refuses to go to a nursing home; what role the family should play in making a treatment decision; what a hospital should do when it is getting stuck with too many unpaid bills. This thoroughly revised and updated second edition includes thirteen new cases, five of which are designated as "skill builder" cases aimed specifically for those participants in the Neiswanger Institute for Bioethics' web-based instructional program. This edition has also been restructured for teachability, and will feature reformatted and revised commentaries.

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Although still a young field, bioethics has become an influential part of our society's health care debates. It has helped to frame issues about moral values as part of an effort to find consensus about some of the most perplexing questions of our time. But why is it thought that a moral consensus is important, or that it deserves respect? This study tackles these questions from philosophical, historical and social scientific viewpoints.

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À l'heure où plusieurs établissements songent à implanter un comité d'éthique clinique, au moment où les avancées technologiques bousculent les valeurs traditionnelles et en cette époque de foisonnement d'informations, ce livre propose une réflexion pratique et théorique sur la pertinence de tels comités. Il suggère des moyens et des orientations possibles pour faire de ces comités des lieux d'interface de la réflexivité éthique. Il offre des perspectives pratiques que les auteurs souhaitent voir retenues et discutées non seulement par les professionnels du milieu hospitalier, mais aussi par les citoyens, 'profanes' ou 'avertis'.

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