Readings in Health Care Ethics provides a wide-ranging selection of important and engaging contributions to the field of health care ethics. The second edition adds a chapter on health care in Canada, and the introduction has been expanded to include discussion of a new direction in feminist naturalized ethics. The book presupposes no prior knowledge, only an interest in the bioethical issues that are shaping our world.

Recent discussions of genetic information have highlighted the need for ethical disclosure guidelines. For instance, the (Canadian) Royal Commission on New Reproductive Technologies points out the range of third-party interests in genetic information and the lack of clear ethical and professional guidelines governing its dissemination. Among the more worrying interests are those of insurance companies and prospective employers. However, also worrisome is the problem of negotiating the first-party interest in privacy (from which the professional obligation of confidentiality arises) and strong (...) third-party claims from family members. The survey by Knoppers and Laberge of consent forms currently used in DNA testing in Canada shows that fewer than half mention access by family members, and only three out of 20 alert subjects to the possibility of finding nonpaternity. Both the Royal Commission and the Knoppers research group recommend integrated, national consent standards, with the Knoppers group explicitly approving a standard of disclosure. While endorsing the call for integrated consent guidelines, in this paper I intend to raise some doubts about the adequacy of the reasonable person standard in light of gender differences in reproductive burden and risk perception. (shrink)

If You're an Egalitarian, How Come You're So Rich? is a persuasive extension of Cohen's critique of Rawls's egalitarianism, embedded in reflections on the inadequacies of Marxist theory, on the rationality of "nurtured" beliefs, on Cohen's own personal and intellectual journey, and, finally, on the issue named in the title, the responsibility of the wealthy just in an unjust society. It is an uneven, but highly readable, book. Based on Cohen's 1996 Gifford Lectures, the book is divided into a Prospectus (...) and ten Lectures, one of which was apparently a multimedia sing-along on the "lighter side of the problem of evil" and could not be reproduced! (shrink)