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The Human Side of The Human Side of MedicineMedicine
James G. Anderson, Ph.D.James G. Anderson, Ph.D.
Dept. of Sociology & Dept. of Sociology & AnthropologyAnthropology
Purdue UniversityPurdue University
Biomedical Ethics Biomedical Ethics and the Transformation and the Transformation
of Medical Decision of Medical Decision MakingMaking
Strangers at the BedsideStrangers at the Bedside
• 1945-1946 Nuremberg Trials1945-1946 Nuremberg Trials• 1962 Kidney Dialysis1962 Kidney Dialysis• 1965 Medicare and Medicaid1965 Medicare and Medicaid• 1966 NEJM Article on Abuses in 1966 NEJM Article on Abuses in
Human ExperimentationHuman Experimentation• 1967 Heart Transplants1967 Heart Transplants
Strangers at the Strangers at the BedsideBedside
• 1970 Tuskagee Experiments1970 Tuskagee Experiments• 1973 NEJM Article on Withholding 1973 NEJM Article on Withholding
Life-Support from NewbornsLife-Support from Newborns• 1973 Roe vs. Wade1973 Roe vs. Wade• 1975 Karen Ann Quinlan Case1975 Karen Ann Quinlan Case• 1994 Oregon Euthanasia Act1994 Oregon Euthanasia Act
Choices in Human Choices in Human ReproductionReproduction
IssuesIssues
• Long-Acting ContraceptivesLong-Acting Contraceptives• Abortion Abortion • IVFIVF• SurrogacySurrogacy• Post-Menopausal PregnancyPost-Menopausal Pregnancy
Decisions about Death Decisions about Death and Dyingand Dying
IssuesIssues
• Assisted Suicide.Assisted Suicide.• Withholding Treatment from Withholding Treatment from
Newborns with Birth Defects.Newborns with Birth Defects.• Withholding of Food and Water from Withholding of Food and Water from
Dying Patients.Dying Patients.• Withholding the Truth form Dying Withholding the Truth form Dying
Patients.Patients.
HIV: A Global, National and HIV: A Global, National and Local EpidemicLocal Epidemic
IssuesIssues
• Sexual Contact Tracing.Sexual Contact Tracing.• Duty to Treat HIV Patients.Duty to Treat HIV Patients.• Restrictions on HIV-Positive Restrictions on HIV-Positive
PhysiciansPhysicians• Screening of Pregnant Women.Screening of Pregnant Women.
Human/Animal Human/Animal ExperimentationExperimentation
IssuesIssues
• Use of Animals in ExperimentationUse of Animals in Experimentation• Sham Surgery.Sham Surgery.• Conducting Research in Cyberspace.Conducting Research in Cyberspace.• Human Experimentation in Third Human Experimentation in Third
World Countries.World Countries.
Organ TransplantsOrgan Transplants
IssuesIssues
• Xenotransplants.Xenotransplants.• Use of Anencephalic Fetuses.Use of Anencephalic Fetuses.• Market in Body Parts.Market in Body Parts.• Social Criteria for Organ Allocation.Social Criteria for Organ Allocation.
The Doctor/Patient The Doctor/Patient RelationshipRelationship
IssuesIssues
• Refusal of Medical Treatment on Refusal of Medical Treatment on Religious GroundsReligious Grounds
• Futile TreatmentFutile Treatment• The Impact of the InternetThe Impact of the Internet
Genetic Testing and Genetic Testing and ResearchResearch
IssuesIssues
• Use of Genetic Information.Use of Genetic Information.• Pre-Implantation Genetic Testing.Pre-Implantation Genetic Testing.• Stem Cell Research.Stem Cell Research.• Human Cloning.Human Cloning.