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Toward a Virtue-Based Normative Ethics for the Health Professions
Virtue is the most perdurable concept in the history of ethics, which is understandable given the ineradicability of the moral agent in the events of the moral life. Historically, virtue enjoyed normative force as long as ...
Proxy Decision Making for Incompetent Patients: An Ethical and Empirical Analysis
Conclusions: The recent trend has been to rely on proxy decision making for incompetent patients. Support for proxy decision making has failed to acknowledge the growing body of ethical and empirical research suggesting that ...
Double Jeopardy and the Use of QALYs in Health Care Allocation
The use of the Quality Adjusted Life-Year (QALY) as a measure of the benefit obtained from health care expenditure has been attacked on the ground that it gives a lower value to preserving the lives of people with a ...
The Illusion of Patient Choice in End-of-Life Decisions
Over the past two decades a societal consensus has developed around the principle that decisions about life-sustaining treatment should be guided by patient self-determination. According to the President's Commission, ...
Living Related Donation in Lung Transplantation: Ethical Considerations
Lung transplantation has become an established rescue therapy for patients with end-stage disease. The major problem, however, is the shortage of organ donors. Living related donation has been successful in kidney and liver ...
The PSDA: A Long-Term Care View
Conclusion: The PSDA [Patient Self-Determination Act] is a welcome development for nursing facilities, as well as residents and families. For years, many residents, families, and facilities have not confronted the issue of ...
Global Approaches to the Promotion of Women's Health
Easing the Burden of Decisionmaking in Futile Situations
The prolongation of human life, that is devoid of quality, creates significant financial and emotional burdens for patients, families, medical care providers, and society. Healthcare providers acknowledge that there ...