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Part I. Physicians and Patients Making Treatment Decisions: 1. Informed consent 2. The ideal of shared decision making between physicians and patients 3. When competent patients make irrational choices (co-authored by Steven A. Wartman) Part II. Life-and-Death Decisions in the Clinic: 4. Moral rights and permissible killing 5. Taking human life 6. Death and dying 7. Forgoing life-sustaining food and water: Is it killing? 8. Voluntary active euthanasia Part III. Life-and-Death Decisions in Health Policy: 9. The value of prolonging human life 10. Quality of life measures in health care and medical ethics 11. The problem of low benefit/high cost health care 12. Justice and the severely demented elderly 13. Justice, health care, and the elderly 14. Truth or consequences: the role of philosophers in policy-making Index.