- Notes on the Contributors
- Methods in Bioethics
- The Way We Reason Now: Reflective Equilibrium in Bioethics
- Mental Disorder, Moral Agency, and the Self
- ‘Reinventing’ the Rule of Double Effect
- Policy‐Making in Pluralistic Societies
- Tiers Without Tears: the Ethics of a Two‐Tier Health Care System
- Justice and the Elderly
- Organ Transplantation
- For Dignity or Money: Feminists on the Commodification of Women's Reproductive Labour
- The Definition of Death
- The Aging Society and the Expansion of Senility: Biotechnological and Treatment Goals
- Death is a Punch in the Jaw: Life‐Extension and its Discontents
- Precedent Autonomy, Advance Directives, and End‐of‐Life Care
- Physician‐Assisted Death: the State of the Debate
- Abortion Revisited
- Moral Status, Moral Value, and Human Embryos: Implications for Stem Cell Research
- Therapeutic Cloning: Politics and Policy
- Population Genetic Research and Screening: Conceptual and Ethical Issues
- Genetic Interventions and The Ethics of Enhancement of Human Beings
- Pharmacogenomics: Ethical and Regulatory Issues
- Clinical Equipoise: Foundational Requirement or Fundamental Error?
- Research on Cognitively Impaired Adults
- Research in Developing Countries
- Animal Experimentation
- The Implications of Public Health for Bioethics
- Global Health
- Bioethics and Bioterrorism
Abstract and Keywords
At its core, public health introduces tensions between individuals' autonomy and the need to account for the perspectives and needs of communities and populations. It further raises social justice issues, including fair allocation of limited resources. This article examines and elaborates on these tensions and their resolutions using specific public health examples. Experiences in the 1980s and 1990s with HIV/AIDS provide a particularly rich collection of issues that brought ethical issues in public health to the public's attention, and in so doing challenged previously held assumptions about the appropriate consideration of individual rights in the context of population health objectives. Lastly, the article examines some of the ethical challenges arising in public health applications of recent science and technology advances, specifically the emerging area of public health genomics and the large scale collection and analysis of health information.
Jeffrey Kahn is the Maas Family Endowed Chair in Bioethics and Director of the Center for Bioethics at the University of Minnesota. He holds additional faculty appointments in the university's Medical School, School of Public Health, and Department of Philosophy. He has published over seventy‐five articles in both the bioethics and medical literature, serves on numerous state and federal advisory panels, and speaks nationally and internationally on a range of bioethics topics. From 1998 to 2002 he also wrote the bi‐weekly column ‘Ethics Matters’ on CNN.com.
Anna Mastroianni is Associate Professor at the School of Law and Institute for Public Health Genetics at the University of Washington. She holds additional faculty appointments in the University's School of Public Health and Community Medicine and Medical School. She has held a number of legal and federal policy positions in the United States and has served on several national advisory panels concerning issues of biomedicine and health policy. She has published numerous articles in the legal and bioethics literature, with specific interests in the legal, ethical, and policy issues related to human subjects research, public health, and the use of genetic technologies.
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