- 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
This article focuses on the access of people in developing countries to medications and medical services that are readily available to inhabitants of industrialized countries. There are, of course, other critical dimensions of public health that require action on a global scale. These include relief for large numbers of people who are starving or living at nearly subsistence levels; provision of a supply of clean, potable water for populations deprived of that essential resource; and the consequences for local agricultural production in countries in which globalization has led to deforestation of vast portions of the land. The focus here on access to health services and needed medications is not intended to minimize the importance of these other areas of global health.
Ruth Macklin is Professor of Bioethics at Albert Einstein College of Medicine in the Bronx, New York. She is the author or editor of twelve books and has published more than 200 articles in scholarly and professional journals. She is an elected member of the Institute of Medicine of the National Academies of Science, chairs the External Ethics Committee of the Centers for Disease Control and Prevention, Atlanta, Georgia, and serves as an adviser to the World Health Organization and the Joint United Nations Programme on HIV/AIDS. Her latest book is Double Standards in Medical Research in Developing Countries (Cambridge University Press, 2004).
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