This paper reviews Health Care Ethics: Principles and Problems by Thomas M. Garrett, Harold W. Baillie, and Rosellen M. Garrett. The review surveys the book's treatment of ethical issues in medicine, including death and dying, abortion, reproductive technologies, organ transplantation, and biomedical research. It examines how the authors apply philosophical ethics to professional healthcare practice, with particular attention to patient autonomy, informed consent, confidentiality, and the foundational medical principle of doing no harm. The paper concludes that the book offers practical, clearly articulated guidance for healthcare professionals navigating complex ethical decisions in daily practice.
The ethical issues covered by Thomas M. Garrett, Harold W. Baillie, and Rosellen M. Garrett in their book Health Care Ethics: Principles and Problems are varied, though all can be discussed ultimately in terms of correct treatment for the patient as a human being. The authors note first that ethics is a specific branch of philosophy that determines whether human actions are right or wrong, and it is a philosophy that can be applied to a professional field based on the nature of that profession and the conditions under which it operates. Thus, many of the concepts they discuss have particular application to health care issues, procedures, and relationships β such as issues of death and dying, abortion, new methods of reproduction, transplants, and biomedical research. Other ethical concerns raised involve issues common to many other professions, such as questions of confidentiality and truthfulness, professional standards, and questions of autonomy and informed consent. What most of these issues have in common is the desire to be fair to the patient, to provide the patient with choices, and to follow the first rule of medicine, which is to do no harm.
The book is divided into specific discussions of the different areas noted above and other related areas, all reflecting the same concern for protecting the needs and rights of patients and for giving medical personnel a guide for how to behave, what to protect, and how to be fair. Many of the issues discussed are relatively new and address dilemmas raised by new medical research, the development of new technology, and the implementation of procedures not possible even a few decades β or even a handful of years β ago. Among these are many of the new methods of reproduction, such as in vitro fertilization, surrogate motherhood, issues of death and dying for those kept alive by machines, and organ transplantation.
The underlying ethics for each of these issues are not fundamentally different from what has been applied in the past to various operations, medical and drug procedures, and other medical actions. Many of the chapters relate to medical research as well as medical procedures, with the informed consent issue in particular affecting both human beings involved in medical research and those facing a medical crisis who want to know what their treatment will entail.
"Practical ethical decision-making tools for clinicians"
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