Ethical Issues in Health Care on the Frontiers of the Twenty-First Century (Philosophy and Medicine Book 65)

of UB’s medical school, that UB developed its School of Arts and Sciences, and thus, assumed its place among the other institutions of higher education. Had Fillmore lived throughout UB’s first seventy years, he would probably have been elated by the success of his university, and he should have been satisfied and pleased that UB remained intrinsically bonded to its community while at the same time engrafting the values and standards important to higher education’s mission in the region. UB and its medical school have undergone many challenging transitions since 1846. Included among them were: (1) the completion of an academic campus in the far northeast comer of the City of Buffalo while leaving its medical, dental and law schools firmly situated in the core of downtown Buffalo; (2) the eventual relocation, after the second world war, of the law school to the newer campus in Amherst, and the medical and dental school to the original academic campus: and (3) the merger with the State University of New York System in 1962. Despite these significant transitions, any one of which could have changed the intrinsic integrity of UB and disrupted the bonding between community and university, that did not happen. To this day, the ties between community and academe persist. Fillmore and White should celebrate their success and important contribution to Buffalo and Western New York. Keynote Address: Bioethics at the End of the Millennium: Fashioning Health-Care Policy in the Absence of a Moral Consensus....Pages 1-16 Front Matter....Pages 17-17 The Dilemma of Funding Health Care....Pages 19-24 Toward Multiple Standards of Health Delivery: Taking Moral and Economic Diversity Seriously....Pages 25-33 A Preventive Ethics Approach to the Managed Practice of Medicine: Putting the History of Medical Ethics to Work....Pages 35-63 Saving Lives, Saving Money: Shepherding the Role of Technology....Pages 65-112 Front Matter....Pages 113-113 The Human Genome, Difference, and Disease: Nature, Culture, and New Narratives for Medicine’s Future....Pages 115-126 Concepts of Disease After the Human Genome Project....Pages 127-154 From Promises of Progress to Portents of Peril: Public Responses to Genetic Engineering....Pages 155-170 PKU and Procreative Liberty: Historical and Ethical Considerations....Pages 171-190 Everybody’s Got Something....Pages 191-196 Front Matter....Pages 197-197 The Physician/Paitient Relationship....Pages 199-204 A Medicine of Neighbors....Pages 205-219 Trust, Institutions, and the Physician-Patient Relationship: Implications for Continuity of Care....Pages 221-240 Can Relationships Heal — At a Reasonable Cost?....Pages 241-257 Values and the patient-physician relationship....Pages 259-274 Ethical Issues In Health Care On The Frontiers Of The Twenty-first Century / Stephen Wear, James Bono, Gerald And Adrianne Mcevoy -- Bioethics At The End Of The Millennium / H. Trinstram Engelhardt -- Dilemma Of Funding Health Care / Stephen Wear -- Toward Multiple Standards Of Health Care Delivery / H. Tristram Engelhard -- Preventive Ethics Approach To The Managed Prectice Of Medicine / Laurence B. Mccullough -- Saving Lives, Saving Money / E. Haavi Morreim -- Human Genome, Difference, And Disease / James J. Bono -- Concepts Of Disease After The Human Genome Project / Eric Juengst -- From Promises To Progress To Portents Of Peril / Dorothy Nelkin -- Pku And Precreative Liberty / Dianne B. Paul -- Everybody's Got Something / Jonathan D. Moreno -- Physician/patient Relationship / Gerald Logue -- Medicine Of Neighbors / Kathryn Montgomery -- Trust, Institutions, And The Physician-patient Relationship / Julie Rothstein Rosenbaum -- Can Relationships Heal / Howard Brody -- Values And The Physician-patient Relationship / Scott Devito. Edited By Stephen Wear ... [et Al.]. Includes Index. General Bibliography: Pages 275-318. Includes Bibliographical References And Index. This volume focuses on issues that will have a fundamentally pivotal character as we move into the new millennium, and its individual contributions all have a decidedly futuristic approach, i.e., they identify the nature of the choices or dilemmas these issues will present to us in the future, and the various resolutions that might be made regarding them. The three main topic areas in this volume are: (1) the dilemma of funding health care (H. Tristram Engelhardt, Jr., Lawrence McCullough, and E. Haavi Morreim); (2) the human genome project (Eric Juengst, Jonathan Moreno, Dorothy Nelkin, and Diane Paul, and (3) the physician/patient relationship (Scott Devito, Kathryn Montgomery, Julie Rothstein, and Howard Brody). This edition thus focuses on (1) the most fundamental unit of care, i.e., the physician/patient relationship, (2) what may well be the area of medical science and research that most radically affects the nature of that care in the foreseeable future, i.e., the human genome project, and (3) the societal options for financing and distributing that care, i.e., the dilemma of funding health care