CONTENTS

Preface, iX

Preface to the second edition, Xi

Abbreviations, Xiii

1 What is bioethics?, 1

Introduction, 1

History, 2

What about the law?, 8

Methods, 11

Applications, 14

How to use this book, 16

Resources and further reading, 16

2 Moral theories, 18

Introduction, 18

Counting the consequences, 21

Doing one’s duty, 26

Being a good person – virtue ethics, 33

Brotherhood and sisterhood – communitarianism, 39

Live free or die – libertarianism, 42

A balancing act – the four principles, 44

Resources and further reading, 48

Exercise, 48

3 Perspectives, 50

Introduction, 50

Gendered agendas – feminist approaches, 51

To care or not to care?, 57

Culture and religion, 59

Conclusion, 79

Resources and further reading, 79

Exercises, 80

4 Clinical ethics, 83

Introduction, 83

The clinical relationship – a conspiracy against the laity? , 83

Life before birth, 92

Transplantation and regenerative medicine, 101

Mental health, 104

The end of life, 106

After death, 113

Conclusions, 117

Resources and further reading, 117

Exercises, 118

5 Research, 120

Introduction, 120

Research ethics, 121

Research integrity, 131

Research and the future, 135

Conclusion, 140

Resources and further reading, 141

Exercises, 142

6 Justice, 144

Introduction, 144

Public health ethics , 145

Fair access and the paradox of health care, 149

Global inequity in health, 167

Global survival, 171

Resources and further reading, 174

Exercises, 174

Appendix , 177

Glossary, 180

References, 191