1st Edition

Drugs, Ethics, and Quality of Life Cases and Materials on Ethical, Legal, and Public Policy Dilemmas in Medicine and Pharmacy Practice

Edited By Bruce White Copyright 2007

    Weigh pivotal healthcare ethics, law, and public policy issues that resulted in tipping-point legal actions

    Weighing the ethical considerations in healthcare and drug issues can be emotionally difficult and mentally challenging. Drugs, Ethics, and Quality of Life: Cases and Materials on Ethical, Legal, and Public Policy Dilemmas in Medicine and Pharmacy Practice is a fascinating casebook that clearly discusses the most contentious ethical conflicts that resulted in legal actions. This easy-to-read text provides all sides of controversial real-life cases that provoke spirited debate while teaching the fundamentals of pharmacy law and ethics. The book is a unique exploration into the basic principles of bioethics, end of life care, and drug research.

    Drugs, Ethics, and Quality of Life explains in detail the concepts of ethics, quality of life, beneficence, nonmaleficence, autonomy, and justice. Recent cases provide illuminating backdrops for the exploration of these concepts, making them easily understood. A special introduction includes important information about ethics and the pharmaceutical code of ethics. Two appendixes provide further opportunities for discussion and the examination of law and decisions, and resources about drug use decisions and situations. This thought-provoking textbook plainly shows the crucial role ethics plays in today’s society.

    Ethical topics explored in Drugs, Ethics, and Quality of Life includes legal cases on:

    • tobacco
    • COX-2 inhibitors
    • medical marijuana
    • the “morning after” pill and other emergency contraceptives
    • pain medications and palliative care drugs
    • physician-assisted suicide
    • drug use in medically futile situations
    • gene therapy

    Drugs, Ethics, and Quality of Life is valuable, insightful reading as well as a good adjunct text for pharmacy students, pharmacists, medical students, physicians, bioethicists, students interested in bioethics, institutional ethics committee members, and anyone interested in bioethics.

    • Foreword (Kenneth V. Iserson)
    • Preface
    • Acknowledgments
    • Introduction: Pellegrino on Professionalism: A Human Values Basis for the Healing Arts
    • Appendix: Principles of Medical Ethics of the American Medical Association (2001)
    • Special Additional Introduction: Ethics and a Code of Ethics in Pharmacy Practice (Joseph L. Fink III)
    • Appendix: Code of Ethics for Pharmacists of the American Pharmacists Association (1994)
    • PART I: FOUNDATIONAL BASICS
    • Chapter 1. Tobacco and Choices: How Values and Definitions Impact Decision Making
    • FDA’s 1996 Tobacco Regulations and FDA v. Brown & Williamson
    • Definitions
    • Continuing Dilemmas with Tobacco
    • Chapter 2. COX-2 Inhibitors and Conflict: How Balancing Beneficence and Nonmaleficence Influences Decision Making
    • COX-2 Inhibitors and Their Effects
    • The FDA’s Drug Approval Process and VIOXX
    • A Balancing Act: Beneficence, Nonmaleficence, and Profit and Other Motives
    • Cost-Benefit Analysis, Stakeholders, and Issues Management Analysis
    • Continuing Dilemmas with COX-2 Inhibitors
    • Chapter 3. Marijuana, Individual Liberty, and Police Power: How Autonomy Drives Decision Making
    • Marijuana
    • Marijuana Control in the United States
    • Personal Freedom, Autonomy, and the California Compassionate Use Act
    • State Police Power and Federalism: Gonzales v. Raich
    • Continuing Dilemmas with Medical Marijuana
    • Appendix: Examples of California’s Criminal Statutes Controlling Marijuana Calif. Health & Safety Code §§ 11357 and 11358
    • Chapter 4. The “Morning-After” Pill and Systematic Ethics and Public Policy Analysis: How Justice Tempers Decision Making
    • Emergency Contraceptives and Rights
    • Balancing “Rights”: Ethics and Public Policy
    • Justice and Conscientious Objection
    • Conflict and Systematic Ethical Analysis
    • Continuing Dilemmas with Emergency Contraceptives
    • PART II: PAIN MEDICINES AND END-OF-LIFE DRUGS
    • Chapter 5. Pain Medicines and Palliative Care Drugs
    • Bergman v. Chin
    • When Will Adequate Pain Control Be the Norm?
    • Continuing Dilemmas with Pain Medicines and Palliative Care Drugs
    • Chapter 6. Drugs Used for Assisted Suicide
    • The Debate about Physician-Assisted Suicide and Euthanasia
    • The Oregon Death with Dignity Act
    • Continuing Dilemmas with Assisted Suicide and Euthanasia
    • Chapter 7. Drug Use in “Dwindling” Patients and in Medically Futile Situations
    • “Dwindling” Patients and Quality of Life
    • Medical Futility
    • Surrogate Medical Decision Making
    • Continuing Dilemmas Involving Drug Use in “Dwindling” Patients and Medically Futile Situations
    • Appendix: Tennessee Health Care Decisions Act (2004)
    • PART III: DRUG EXPERIMENTATION
    • Chapter 8. Gene Therapy and Experimentation
    • The Federal Drug Research and Patient Safety Framework
    • Gelsinger v. University of Pennsylvania
    • Continuing Dilemmas with Gene Therapy and Experimentation
    • Afterword (John Lachs)
    • Appendix 1. Law and Decisions
    • Objectives
    • What Does Law Mean?
    • What Are the Four Primary Sources of Law in the United States?
    • How Do the People (The Nation’s Citizens) Create Law?
    • How Do Legislative Bodies Create Law?
    • How Do Federal and State Administrative Agencies Create Law?
    • How Do Federal and State Judges Create Law?
    • Appendix 2. Continuing Dilemmas Involving Drugs, Ethics, and Quality of Life: An Outline for Further Discussion
    • Topics Related to Drug Use
    • Topics Related to Professional Virtues
    • Notes
    • Index

    Biography

    Bruce D. White