Drugs, Ethics, and Quality of Life

Foreword (Kenneth V. Iserson)
Preface
Acknowledgments
Introduction: Pellegrino on Professionalism: A Human Values Basis for the Healing Arts
Appendix: Principles of Medical Ethics of the American Medical Association (2001)
Special Additional Introduction: Ethics and a Code of Ethics in Pharmacy Practice (Joseph L. Fink III)
Appendix: Code of Ethics for Pharmacists of the American Pharmacists Association (1994)
PART I: FOUNDATIONAL BASICS
Chapter 1. Tobacco and Choices: How Values and Definitions Impact Decision Making
FDA’s 1996 Tobacco Regulations and FDA v. Brown & Williamson
Definitions
Continuing Dilemmas with Tobacco
Chapter 2. COX-2 Inhibitors and Conflict: How Balancing Beneficence and Nonmaleficence Influences Decision Making
COX-2 Inhibitors and Their Effects
The FDA’s Drug Approval Process and VIOXX
A Balancing Act: Beneficence, Nonmaleficence, and Profit and Other Motives
Cost-Benefit Analysis, Stakeholders, and Issues Management Analysis
Continuing Dilemmas with COX-2 Inhibitors
Chapter 3. Marijuana, Individual Liberty, and Police Power: How Autonomy Drives Decision Making
Marijuana
Marijuana Control in the United States
Personal Freedom, Autonomy, and the California Compassionate Use Act
State Police Power and Federalism: Gonzales v. Raich
Continuing Dilemmas with Medical Marijuana
Appendix: Examples of California’s Criminal Statutes Controlling Marijuana Calif. Health & Safety Code §§ 11357 and 11358
Chapter 4. The “Morning-After” Pill and Systematic Ethics and Public Policy Analysis: How Justice Tempers Decision Making
Emergency Contraceptives and Rights
Balancing “Rights”: Ethics and Public Policy
Justice and Conscientious Objection
Conflict and Systematic Ethical Analysis
Continuing Dilemmas with Emergency Contraceptives
PART II: PAIN MEDICINES AND END-OF-LIFE DRUGS
Chapter 5. Pain Medicines and Palliative Care Drugs
Bergman v. Chin
When Will Adequate Pain Control Be the Norm?
Continuing Dilemmas with Pain Medicines and Palliative Care Drugs
Chapter 6. Drugs Used for Assisted Suicide
The Debate about Physician-Assisted Suicide and Euthanasia
The Oregon Death with Dignity Act
Continuing Dilemmas with Assisted Suicide and Euthanasia
Chapter 7. Drug Use in “Dwindling” Patients and in Medically Futile Situations
“Dwindling” Patients and Quality of Life
Medical Futility
Surrogate Medical Decision Making
Continuing Dilemmas Involving Drug Use in “Dwindling” Patients and Medically Futile Situations
Appendix: Tennessee Health Care Decisions Act (2004)
PART III: DRUG EXPERIMENTATION
Chapter 8. Gene Therapy and Experimentation
The Federal Drug Research and Patient Safety Framework
Gelsinger v. University of Pennsylvania
Continuing Dilemmas with Gene Therapy and Experimentation
Afterword (John Lachs)
Appendix 1. Law and Decisions
Objectives
What Does Law Mean?
What Are the Four Primary Sources of Law in the United States?
How Do the People (The Nation’s Citizens) Create Law?
How Do Legislative Bodies Create Law?
How Do Federal and State Administrative Agencies Create Law?
How Do Federal and State Judges Create Law?
Appendix 2. Continuing Dilemmas Involving Drugs, Ethics, and Quality of Life: An Outline for Further Discussion
Topics Related to Drug Use
Topics Related to Professional Virtues
Notes
Index