Table of contents for Against bioethics / Jonathan Baron.


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2 Bioethics vs. Utilitarianism                            9
2.1 History: Nuremberg and Tuskegee . .   . . . ......  10
2.2 Principles of bioethics .. . ..-.. ...  . . . .   12
2.3  Bioethical principles vs. utilitarianism  .. . . . . ... .  15
2.4 Rules and flowcharts .  . . .  ....     . . ....  20
2.5  Conclusion  . . ...  ..... .......   .   .   .  . .  23
3 Utilitarianism and Decision Analysis                   25
3.1  Utilitarianism      . .  .  . . .      . .  ... .  25
3.2  Intuitive judgments  .   . . . . . . . . .  . . . . .  43
3.3 Multiattribute utility theory (MAUT) .. .. .. . . . .  46
3.4  Attributes and values . . . . . ......         .  48
3.5  Conclusion  . . . . . .     .          .   .  .  .   .  50
4 Going Against Nature                                   51
4 1 Enhancements: genes, drugs, and mind
control  . .  . . . . . . . . . . . . . . . . . . .  . . . . .. .  52
4.2 Deficits and drugs .   . . . . .      .   .  . . . . 64
4.3 Reproduction . .     .. . .             . . . . .... 67
4.4 Extending life  . .   . .                . . . . ............ 77
4 5 Conclusion   . .. ..   , ...                       81
5 Death and the Value of Life                             83
5.i The value of life and health: QALYs .   . ..       84
5.2 Advance directives ........ 89
5.3 Euthanasia and assisted suicide . ...  ..          91
5.4 Organ donation and the definition of death ....    95
5.5  Conclusion  . . . ........       .      . .. .    96
6 Coercion and Consent                                    97
6.1 The value of choice .             .                97
6.2 The flat maximum . . .....                         99
6.3 Coercion        ..  .    .                 . . .  103
6.4 Research on people who cannot consent . . . .. . 106
6 5 Why consent? .........                             09
6.6 Altruism, hope, and consent . .  .     . . . . . 118
6.7 Competence to consent ..  . .      .. .   .  . . .. 120
6.8 Responsibility and the law  . .  ..,    .......   126
6.9  Conclusion  . .  ...  . . .. ......     .  .   . 129
7 Conflict of Interest                                   131
7.1  Ethics  .. ..                        .....   .  132
7.2 Reforming the IRB .....    ..                     138
7.3 Privacy .....150
7.4  Conclusion  . .......     .   ...                154
8 Drug Research                                          155
8.1 Recruiting subjects for drug trials  ..  . .    . 155
8 2 Placebo controls .. .......                       164
8.3  New  drug approval ......... .....       .    .  175
8.4 Conclusion ......             .   ..              177
9 Allocation                                             179
9.1 Allocation heuristics and biases  . ......        180
9.2 Allocation in practice ... .                      188
9.3 What to do about biases .........       .     .   201
9.4  Conclusion  ..   . . ..     .  .     . . . . .   203
10 The Bigger Picture                                     205
10.1 The politics of improving world health ...........  205
10.2 Environment, animals, and future people ......... 208
10.3  Waste  .... ...  ..... .....    ...   ....      210
10.4  Conclusion  ..  ....        .......              212



Library of Congress subject headings for this publication: Medical ethics Philosophy, Medical ethics Decision making, Informed consent (Law)Duress (Law)Bioethics, Bioethical Issues, Decision Making, Ethical Theory