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Society's Choices: Social and Ethical Decision Making in Biomedicine (1995)

Chapter: Contents

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Suggested Citation: "Contents." Institute of Medicine. 1995. Society's Choices: Social and Ethical Decision Making in Biomedicine. Washington, DC: The National Academies Press. doi: 10.17226/4771.

Content

	EXECUTIVE SUMMARY	1
PART I
1	INTRODUCTION	27
	Defining ''Ethical" Issues,	27
	Sources of Ethical Issues in Biomedicine,	30
2	THE SOCIAL CONTEXT OF BIOETHICAL PROBLEM SOLVING	43
	The American Character,	43
	Actors Shaping the Social Context for Bioethics,	48
	Health Care and Science: Shaping the Social Context for Bioethics,	53
3	SYSTEMATIC APPROACHES TO BIOETHICS	67
	Academic Bioethics,	67
	Scientists and Other Technical Experts,	75
	Health Care Professional Education,	80
4	THE SPECTRUM OF SOCIETAL RESPONSES	87
	Political and Legal Mechanisms,	89
	Professional and Institutional Mechanisms,	115
	Individual and Community Responses,	136

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5	CRITERIA FOR SUCCESS	150
	Intellectual Integrity	153
	Sensitivity To Democratic Values,	155
	Effectiveness	159
6	CONCLUSIONS AND RECOMMENDATIONS	168
	Interpreting the Committee's Charge,	168
	Criteria for Evaluation,	171
	A Multilevel Approach to Bioethics Deliberation,	174
	Recommendations,	176
PART II COMMISSIONED PAPERS
	Moral Epistemology Thomas Nagel	201
	Public Moral Discourse Dan W. Brock	215
	The Value of Consensus Martin Benjamin	241
	Bioethics Commissions: What Can We Learn from Past Successes and Failures? Bradford H. Gray	261
	Limiting Life-Prolonging Medical Treatment: A Comparative Analysis of the President's Commission and the New York State Task Force Baruch A. Brody	307
	The Formulation of Health Policy by the Three Branches of Government Lawrence Gostin	335
	The Role of Religious Participation and Religious Belief in Biomedical Decision Making Charles M. Swezey	358
	Trust, Honesty, and the Authority of Science Steven Shapin	388
	Institutional Ethics Committees: Local Perspectives on Ethical Issues in Medicine Elizabeth Heitman	409

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		The Ethical, Legal, and Social Implications Program of the National Center for Human Genome Research: A Missed Opportunity? Kathi E. Hanna		432
		AIDS, Ethics, and Activism: Institutional Encounters in the Epidemic's First Decade Ronald Bayer		458
		"La Pénible Valse Hésitation"¹: Fetal Tissue Research Review and the Use of Bioethics Commissions in France and the United States R. Alta Charo		477
		APPENDIX PAST COMMISSIONS AND ADVISORY BOARDS		503
		INDEX		521