Tom Koch's previous works explore the intricate relationship between medical ethics and the practice of medicine. He delves into how bioethics has become an integral part of modern healthcare, examining its impact on both physicians' practices and patients' decisions. His analyses often highlight the tension between scientific advancement and fundamental human values.
Ethics in Everyday Places argues persuasively that mapping, far from simply
being a value neutral tool, is fundamentally intertwined with moral theory and
practice. Drawn and analyzed wisely, maps can illuminate the ethical
implications of problems ranging from tobacco use and graft organ
transplantation, to poverty and its consequences, education funding, and
transportation systems, among other matters. A groundbreaking and innovative
book! - Walter Wright, Professor Emeritus of Philosophy, Clark University
Focusing on the intersection of mapping technology and public health, this book argues that maps transcend mere spatial representation. It explores how medical mapping serves as a tool for understanding the complex relationships between viral and bacterial communities, human hosts, and their environments. By highlighting the role of mapping in combating disease, it presents a fresh perspective on how spatial analysis can inform health strategies and improve our understanding of disease dynamics.
Bioethics emerged in the 1960s from a conviction that physicians and researchers needed the guidance of philosophers in handling the issues raised by technological advances in medicine. It blossomed as a response to the perceived doctor-knows-best paternalism of the traditional medical ethic and today plays a critical role in health policies and treatment decisions. Bioethics claimed to offer a set of generally applicable, universally accepted guidelines that would simplify complex situations. In this book the author contends that bioethics has failed to deliver on its promises. Instead, he argues, bioethics has promoted a view of medicine as a commodity whose delivery is predicated not on care but on economic efficiency. At the heart of bioethics, he writes, is a "lifeboat ethic" that assumes scarcity of medical resources is a natural condition rather than the result of prior economic, political, and social choices. The idea of natural scarcity requiring ethical triage signaled a shift in ethical emphasis from patient care and the physician's responsibility for it to neoliberal accountancies and the promotion of research as the preeminent good. The solution to the failure of bioethics is not a new set of simplistic principles. Here the author points the way to a transformed medical ethics that is humanist, responsible, and defensible. -- From publisher's website.
Annotation We call it lifeboat ethics: When there is not enough of this or that scarce good, who should die that others might survive? Born in the 19th century, when shipwrecks were frequent and lifeboats scarce, it has become a 21st century dilemma. Who should get the last hospital bed, the scarce medical drug, the limited educational doctor, the needed transplantable human heart? Tom Koch considers both lifeboat ethics and its modern application to the distribution of transplantable human organs in the United States. He shows that the scarcity of organs is exacerbated where not created by racial and regional inequalities inherent in the American health care and transplant system. The real question, he concludes, is not "who should die" when there is not enough to go around, but the reasons why scarcity pervades at all
The book explores complex societal dilemmas such as abortion, euthanasia, and genetic engineering, highlighting the challenges of making ethical decisions in law and medicine. It argues that the lack of a broader perspective hinders our ability to address these issues effectively. The author critiques the limitations of 18th-century philosophical methods, suggesting that they are inadequate for resolving contemporary bioethical challenges. A call for a new perspective is emphasized as essential for navigating the moral landscape of medical decision-making.