In the Wake of Terror: Medicine and Morality in a Time of Crisis

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Jonathan D. Moreno
MIT Press, 2004 - Computers - 229 pages

Timely and provocative essays on bioethical questions brought to the forefront by the bioterrorist threat.

The war on terrorism and the threat of chemical and biological weapons have brought a new urgency to already complex moral and bioethical questions. In the Wake of Terror presents thought-provoking essays on many of the troubling issues facing American society, written by experts from the fields of medicine, health care policy, law, political science, history, philosophy, and theology. One of the first potential casualties of catastrophic circumstances is civil liberties. In the past, medical experiments conducted for national security purposes have violated ethical standards, and this book questions whether current policy provides sufficient safeguards against further abuses. It also focuses on public health issues, offering contrasting views on the extent to which civil authorities should be allowed to restrict freedom of movement in the name of national security and debating whether aggressive public health interventions improve public confidence and cooperation or detract from them. A major area of concern is preparedness for future terrorist attacks. Chapters are devoted to ethical issues involved in the development, distribution, and rationing of vaccines and antidotes; resource allocation and medical triage; the moral duties of emergency health workers and other first responders; and the obligations of private entities such as managed care organizations and pharmaceutical companies.

Contributors also address the implications of terrorism for our health insurance system and the role of genetic advances in bioterrorism. Underlying all of these issues, the authors argue, is the need to maintain a spirit of social solidarity, which can in turn only be achieved if preparations are publicly acknowledged and generally regarded as both prudent and fair.

 

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In the wake of terror: medicine and morality in a time of crisis

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In this timely book, Moreno (director, Ctr. for Biomedical Ethics, Univ. of Virginia; Undue Risk: Secret State Experiments on Humans) gathered philosophers, lawyers, and medical doctors to provide ... Read full review

Contents

Of Utmost National Urgency The Lynchburg Colony Hepatitis Study 1942
3
Protecting the Publics Health in an Era of Bioterrorism The Model State Emergency Health Powers Act
17
Terrorism and Human Rights
33
Rights and Dangers Bioterrorism and the Ideologies of Public Health
51
Resource Allocation
75
Triage in Response to a Bioterrorist Attack
77
Overwhelming Casualties Medical Ethics in a Time of Terror
95
Health Care Workers
109
Emergency Medicine Terrorism and Universal Access to Health Care A Potent Mixture for Erstwhile KnightsErrant
133
Industry Obligations
147
The Rightful Goals of a Corporation and the Obligations of the Pharmaceutical Industry in a World with Bioterrorism
149
After the Terror Health Care Organizations the Health Care System and the Future of Organization Ethics
167
Research and Genetics
183
Research Involving Victims of Terror Ethical Considerations
185
Genetics and Bioterrorism Challenges for Science Society and Bioethics
199
Index
219

Emergency Health Professionals and the Ethics of Crisis
111

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About the author (2004)

Jonathan D. Moreno is David and Lyn Silfen University Professor of Ethics and Professor of Medical Ethics and of the History and Sociology of Science at the University of Pennsylvania

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