ethical issues in public health

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    Tues. XI. Communication responsibilities of public Robert Valdez, PhD

    Feb 17 health professionals.

    Thurs. XII. Ethical aspects of the genetics revolution. Leslie Rothenberg, JD

    Feb 19

    Tues. XIII. Rationing health care to the elderly - Roberta Malmgren,Feb 24 an epidemiologist's perspective. PhD

    Thurs. XIV. Ethical-legal issues in the AIDS epidemic. David I. Schulman, JD

    Feb 26

    Tues. XV. Aging and ethics Emily Abel, PhD

    March 3

    Thurs. XVI. Quality of life. Patient and/or provider determination. Patricia Ganz, MD

    March 5

    Tues. XVII. The future of Social Security William Shonick, PhD

    March 10

    Thurs. XVIII. End of life decision-making. Right to die, assisted Leslie Rothenberg, JD

    March 12 suicide, advance directives, durable power of attorney.

    Tues. XIX. Discrimination on the basis of race, gender, or disability. Christine Littleton, JD

    March 17

    Thurs. XX. Presentation of student papers.

    March 19

    March 27 FINAL EXAMINATION, 3 -6 PM

    Required: Issue Paper (8-10 pages) on an ethical issue in health care, setting forth an ethical

    problem in health policy, differing points of view, options for solution, and your

    recommendation and reasons, including references. Due February 17. 1998.

    Required Texts: Tom L. Beauchamp and LeRoy Walters, Contemgorarv Issues in Bioethics, 4th

    ed., Wadsworth Publishing Company, Belmont, CA 1994.

    Steven S. Coughlin, Colin L. Soskoline, and Kenneth W. Goodman, Case

    Studies in Public Health Ethics, American Public Health Association,

    Washington, D.C., 1997.

    Optional Texts: Kurt Darr, Ethics in Health Services Management, 2nd ed., Health Professions

    Press, Towson, MD 21204, 1994.

    Cynthia R. Daniels, At Womens Expense: State Power and the Politics of Fetal

    Rights. Harvard University Press, Cambridge, MA 1993.

    Nancy S. Jecker, Aging and Ethics, Philosophical Problems in Gerontology,

    Humana Press, Clifton NJ, 1991.

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    ASSIGNMENTS

    ETHICAL ISSUES IN PUBLIC HEALTH. .

    HS 249L

    Winter Quarter - 1998

    Tues. Framework for ethical issues and public health.

    Jan 13 Beauchamp & Walters, Ch.1, Ethical Theory and Bioethics, especiallypp.22-34.

    Case Studies, Ch. 1 Case Analysis and Moral Reasoning.

    Thurs. History of medical and public health ethics.

    Jan 15 Case Studies, Ch. 2, Case 2 a, Case 2 c.

    Tues. Management of medical and public health information. Tension between

    Jan 20 confidentiality and public health. Reporting requirements. Research needs.

    Beauchamp & Walters, Ch. 3 Management of Medical Information.

    Case Studies, Ch. 4, Case 4 c, Ch. 7, Case 7 c.

    Thurs. Ethical-legal issues in use of pharmaceuticals.

    Jan22

    Tues. Economic support and access to care.

    Jan 27 Beauchamp & Walters, Ch. 10, Justice in the Distribution of Health Care.

    Case Studies, Ch. 16, Case 16 c.

    Thurs. Ethical issues in administration of health services. Dilemmas in managed care.

    Jan 29 Beauchamp & Walters, Ch. 10, justice in the Distribution of Health Care.

    Case Studies, Ch. 16, Case 16 a.

    Tues. Ethical problems in welfare, Medicaid, and impacts on vulnerable populations.Feb 3 Beauchamp & Walters, Ch. 10.

    Case Studies, Ch. 16, Case 16 b.

    Thurs. Patient rights. Ethical aspects of reproductive health.

    Feb 5 Beauchamp & Walters, Ch. 4, Reproductive Technologies and Surrogate

    Parenting Arrangements; Ch. 5, Abortion and Maternal-Fetal Relations.

    Case Studies, Ch. 3, Case 3 c.

    Tues. The ethics of prevention and health education.

    Feb 10 Case Studies, Ch. 11, Case 11 a, Case 11 c.

    Thurs. Ethical issues in measurement of health outcomes.Feb 12 Case Studies, Ch. 13, Case 13 b.

    Tues. Communication responsibilities of public health professionals.

    Feb 17 Beauchamp & Walters, Ch. 2, Professional Relationships to Patients and

    Subjects; Rights and Responsibilities.

    Case Studies, Ch. 10, Case 10 e, Case 10 f.

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    Thurs. Ethical aspects of the genetics revolution.

    Feb 19 Beauchamp & Walters, Ch. 9, Eugenics and Human Genetics.

    Case Studies, Ch. 14, Case 14 a, Case 14b.

    Tues. Rationing health care to the elderly - an epidemiologist's perspective.

    Feb 24 Beauchamp & Walters, Ch. 10, pp. 734-745.

    Case Studies, Ch. 12, Case 12 a.

    Thurs. Ethical-legal issues in the AIDS epidemic.

    Feb 26 Beauchamp & Walters, Ch. 8, The Global Epidemic.

    Case Studies, Ch. 15, Case 15 a. Case 15 b.

    Tues. Aging and ethics.

    March 3

    Thurs. Quality of life. Patient and/or provider determination.

    March 5

    Tues. The future of Social Security.

    March 10

    Thurs. End of life decision-making. Right to die, assisted suicide, advance directives,

    March 12 durable power of attorney.

    Beauchamp & Walters, Ch. 6, The Right to Die and Ch. 7, Active

    Euthanasia and Assisted Suicide.

    Tues. Discrimination on the basis of race, gender, or disability.

    March 17

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