CONTENTES

PART I - REFLECTIONS FROM THE LATIN AMERICAN CONTEXT

1   The Historical Setting of Latin American Bioethics, 3
      Diego Grácia Guillén

2   The Discourses of Bioethics in Latin America, 21
     José Alberto Mainetti

3   A Personal History of Bioethics in Latin America: The Current Challenge to
     the Medical Profession and the Influence of Pharmaceutical Companies, 29
     James Drane

4   Bioethics in Latin America and Colombia, 43
     Alfonso Lhano Escobar, S.J.

5  The Pan American Health Organization and Latin American Bioethics, 55
     Fernando Lolas Stepke

PART II -  REFLECTIONS FROM PIONEERING VOICES

6   References to Bioethics in Argentina, 63
     José Alberto Mainetti and Marta Lucia Perez

7   Bioethics in Bolivia: Antecedents and Projections, 71
     Javier Luna Orosco Eduardo, M.D.

8   An X-Ray of Bioethics in Brazil: Pioneering Voices, Institutional and 
     Educational Programs and Perspectives, 89
     Leo Pessini and Christian de Paul de Barchifontaine

9   Bioethics in Chile, 107
     Miguel Kottow

10 Evolution of Bioethics en Costa Rica: A Recent History, 117
      Daniel Bustos-Montero

11 Bioethics in Cuba: responsibility and Solidarity, 125
     José Ramón Acosta Sariego

12 The History of Bioethics in the Dominican Republic, 141
     Miguel Angel Suazo

13 Historical Aspects of the Development of Bioethics in Ecuador, 149
      Katya Rodriguez

14 A Survey of the Development of Mexican Bioethics: Genomic Medicine as 
     One of Its Greatest Challenges, 159
      Gerardo Jiménez-Sanchez, Cesar Francisco Lara-Álvarez, and Alberto
      Arellano-Méndez

15  The History of Bioethics en Panama, 175
       Claude Vergès

16  The History and Development of Bioethics in Paraguay, 193
       Maria Ascurra

17  Bioethcs in Peru, 207
      Roberto Llanos Zuloaga

18  Bioethics in Portugal, 223
      Jorge Biscaia and Walter

19  Historical Development of Bioethics in Puerto Rico, 233
      Leonides Santos y Vargas

20  The Dynamics of the Bioethical Dialogue in Spain, 245
       Francesc Abel and Núria Terribas

21  Bioethics in Venezuela: First Pathways, 261
      Ludwig Schmidt H.

PART III - SPECIAL TOPICS IN BIOETHICS

22   Bioethics and Religion in Latin America, 285
       Márcio Fabri dos Anjos

23   Bioethics and Women in Latin America:
       A Biographical and Genealogical Essay, 297
       Debora Diniz and Dirce Guilhem

24   The Environment and Bioethics: A Brazilian Perspective, 309
        José Roque Jungues and Lucilda Selli

25   Human Vulnerability, 321
       José Eduardo de Siqueira and Marco Segre

 26   Ethics of Research Involving Human Subjects: The Brazilian Experience, 333
       William Saad Hossne and Corina Bontempo Duca  de Freitas                                                                        

PART IV -  THE FUTURE OF IBERO-AMERICAN BIOETHICS

27   A Prospective Examination for Discovering Challenges from the Hispano-
       American Historical Context, 345
       Hubert Lepargneur

28   A Critical Reading of Latin American Bioethics, 359
       Germán Calderón Legarda

29   What Kind of Future Awaits Us? Some Challenging Questions for the     
       Future of Bioethics in Ibero-America, 369
       Leo Pessini and Christian de Paul de Barchifontaine

PART V POSTSCRIPT

30   The Many Beginnings of Bioethics: A Comparison of American and Ibero-
        American Bioethics and the Possibility of a Global Bioethics, 379
       Jennifer A. Bulcock