Public Health Policy and Ethics
Public Health Policy and Ethics brings together philosophers and practitioners to address the foundations and principles upon which public health policy may be advanced. What is the basis that justifies public health in the first place? Why should individ
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INTERNATIONAL LIBRARY OF ETHICS, LAW, AND THE NEW MEDICINE Founding Editors DAVID C. THOMASMA† DAVID N. WEISSTUB, Université de Montréal, Canada THOMASINE KIMBROUGH KUSHNER, University of California, Berkeley, U.S.A.
Editor DAVID N. WEISSTUB, Université de Montréal, Canada
Editorial Board TERRY CARNEY, University of Sydney, Australia MARCUS DÜWELL, Utrecht University, Utrecht, the Netherlands SØREN HOLM, University of Cardiff, Wales,United Kingdom GERRIT K. KIMSMA, Vrije Universiteit, Amsterdam, the Netherlands DAVID NOVAK, University of Toronto, Canada EDMUND D. PELLEGRINO, Georgetown University, Washington D.C., U.S.A. DOM RENZO PEGORARO, Fondazione Lanza and University of Padua, Italy DANIEL P. SULMASY, Saint Vincent Catholic Medical Centers, New York, U.S.A. LAWRENCE TANCREDI, New York University, New York, U.S.A.
VOLUME 19 The titles published in this series are listed at the end of this volume.
PUBLIC HEALTH POLICY AND ETHICS
Edited by
Michael Boylan Professor of Philosophy, Marymount University, Arlington, U.S.A.
KLUWER ACADEMIC PUBLISHERS NEW YORK, BOSTON, DORDRECHT, LONDON, MOSCOW
eBook ISBN: Print ISBN:
1-4020-2207-7 1-4020-1762-6
©2005 Springer Science + Business Media, Inc.
Print ©2004 Kluwer Academic Publishers Dordrecht All rights reserved
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This volume is dedicated to David C. Thomasma, in memoriam.
TABLE OF CONTENTS Preface: What is Public Health? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix Introduction: Michael Boylan, “The Moral Imperative to Maintain Public Health” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xvii D. Micah Hester, “Professing Public Health: Practicing Ethics and Ethics as Practice” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 Edmund D. Pellegrino and David C. Thomasma, “The Good of Patients and the Good of Society: Striking a Moral Balance” . . . . . . . . . . . . . . .17 Rosemarie Tong, “Taking on ‘Big Fat’: The Relative Risks and Benefits of the War Against Obesity” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 Deryck Beyleveld and Shaun D. Pattinson, “Individual Rights, Social Justice, and the Allocation of Advances in Biotechnology” . . . . . . . . . . . . . . . .59 Rosamond Rhodes, “Justice in Allocations for Terrorism, Biological Warfare, and Public Health” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 Jacquelyn Ann K. Kegley, “A New Bioethics Framework for Facilitating Better Decision-Making About Genetic Information” . . . . . . . . . . . . . .91 Mary B. Mahowald, “Sanctity of Life vs. Quality of Life in Maternal-Fetal Surgery: Personal and Pub
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