WEEK 1: 1/8.

INTRODUCTION (BASIC CONCEPTS AND TOOLS)
President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral
Research. "Respecting Self-Determination." [Phl 315 Readings - ERESERVE]
Miller, Bruce. "Autonomy and the Refusal of Life-Saving Treatment."  [Phl 315 Readings - ERESERVE]
Ulrich, LP. "The Patient Self-Determination Act" (1990). [BIOETHICS WEBSITE]
Principles of Bioethics. [BE, 39]
Ulrich, LP. "Ethical  Principles in Healthcare Ethics." [BIOETHICS WEBSITE]
Ulrich, LP. "Ethical  Systems in Healthcare Ethics." [BIOETHICS WEBSITE]

DYNAMICS OF THE CLINICAL ENCOUNTER

Ulrich, LP. "The Physician-Patient Relationship." [BIOETHICS WEBSITE]

PHENOMENOLOGY AND VIRTUES OF THE PATIENT

Ulrich, LP. "The Assertion of Personal Dignity." [BIOETHICS WEBSITE]
Ulrich, LP. "The Role of the Virtues in Conducting the Moral Life." [BIOETHICS WEBSITE]

ETHICAL CODES
"Hippocratic Oath." [BE, 66]
"AMA Code" and "Current Opinions." [BE, 60 and Phl 315 Readings-ERESERVE]
American College of Physicians. Ethics Manual, 4th edition.
Pellegrino, ED. "The Virtuous Physician and the Ethics of Medicine." [BE, 68]

RIGHTS AND DUTIES
"The Language of Rights."[Phl 315 Readings - ERESERVE]
Macklin, Ruth. "Moral Concerns and Appeals to Rights and Duties."  [Phl 315 Readings - ERESERVE]
Feinberg, Joel. "The Rights of Animals and Unborn Generations."  [Phl 315 Readings - ERESERVE]
"AHA Patients' Bill of Rights." [BE, 157]

WEEK 2: 1/15.

INFORMED CONSENT
DUWEL. Katz, Jay "Informed Consent in the Therapeutic Relationship." [Phl 690 Readings-ERESERVE]
President's Commission. "Values Underlying Informed Consent." [BE, 97]
Lidz, CW, Appelbaum, PS, Meisel, A. "Two Models of Implementing Informed Consent."[Phl 315 Readings - ERESERVE]
Meisel, A. and Kuczewski, M. "Legal Myths about Informed Consent."  [Phl 315 Readings - ERESERVE]
Appelbaum, Paul S. and Grisso, Thomas. "Assessing Patients' Capacities to Consent to Treatment."
 [Phl 315 Readings - ERESERVE]
EATOUGH. Canterbury v. Spence 464 F.2d 772 (1972).
FAULKNER. Estate of Leach v. Shapiro 469 469 N.E.2d 1047 (Ohio App. 1984).
Natanson V. Kline 354 P.2d 670.
Schloendorff v. Society of New York Hospital 211 N.Y. 125.

WEEK 3: 1/22. [NO CLASS. MONDAY SCHEDULE FOLLOWED.]

WEEK 4: 1/29.

ASSISTED SUICIDE
HOFMAN & SCHNEIDER. Vacco v. Quill 117 S. Ct. 2293 (1997).
Truog, RD. "Barbiturates in the Care of the Terminally Ill."  [Phl 315 Readings - ERESERVE]
Quill, TE. "Palliative Options of Last Resort."  [Phl 315 Readings - ERESERVE]
JCAHO. "Pain Assessment and Management." [Phl 315 Readings - ERESERVE]
STANLEY. Washington v. Glucksberg, 117 S. Ct. 2302 (1997).
TAYLOR. Compassion in Dying v. Washington, 79 F.3d 790 (9th Cir. 1996).

WEEK 5: 2/5.

ASSISTED SUICIDE
Planned Parenthood v. Casey, 505 U.S. 833 (1992). [BE, 458]
CLEMENS. Quill v. Vacco, 80 F.3d 716 (2d Cir. 1996).
Michgan v. Kevorkian.447 Mich. 436, 527 N.W.2d 714 (1994).
SCHULTZ. Cruzan v. Director, Missouri Dept. of Health, 497 U.S. 261 (1990).
Cruzan, By Cruzan v. Harmon. 760 S.W.2d 408 (Mo. en banc 1988).

WEEK 6: 2/12.

ADVANCE DIRECTIVES [LIVING WILLS/DURABLE POWERS OF ATTORNEY]
DUWEL. Bartling v. Superior Court, 163 Cal.App.3d 186; 209 Cal.Rptr. 220 (1984).
EATOUGH. Brophy v. New England Sinai Hospital, Inc., 398 Mass. 417, 497 N.E.2d 626 (1986).
FAULKNER. In re Storar (In re Eichner), N.Y., 420 N.E.2d 64 (1981).
Brock, DW. "Surrogate Decision Making for Incompetent Adults: An Ethical Framework" (BE, 350)
Mappes, TA. "Some Reflections on Advance Directives." (BE 356)
Ulrich, LP. "Advance Directives." [Phl 315 Readings-SPECIAL PAGE]
"Ohio Law on Advance Directives." Ohio Revised Code.
Individual States --- Student Analyses
www.choices.org
Ulrich, LP. "A Model Advance Directive." [BIOETHICS WEBSITE]

WEEK 7: 2/19.

TREATMENT REFUSALS
Engelhardt, HT. "Tractatus Artis Bene Moriendi Vivendique: Choosing Styles of Dying and Living."
 [Phl 315 Readings - ERESERVE]
Basic Distinctions in Euthanasia and Assisted Suicide. Beauchamp, Tom. "Introduction" to Intending
Death. [Phl 315 Readings - ERESERVE]
Callahan, D. "Killing and Allowing to Die." [BE, 402]
Kant, I. "Suicide." [BE, 388]
Brandt, RB. "The Morality and Rationality of Suicide." [BE, 391]
Quill, TE., Cassel, CK., Meier, DE. "Care of the Hopelessly Ill: Proposed Clinical Criteria for
Physician-Assisted Suicide." [BE, 421]
Ulrich, LP. "The Right to Refuse Treatment." [BIOETHICS WEBSITE]
HOFMAN. Bouvia v. Superior Court, 179 Cal.App.3d 1127; 225 Cal.Rptr. 297 (Apr.1986).
SCHNEIDER. In re President and Directors of Georgetown College, Inc., 331 F.2d 1000 (1964).
SCHULTZ. In re Osborne. 294 A.2d 372, (D.C. App) 1972.

WEEK 8: 2/26.

EUTHANASIA AND WITHHOLDING OR WITHDRAWING TREATMENT
Weir, RF and Gostin, JD. "Decisions to Abate Life-Sustaining Treatment for Nonautonomous Patients." [Phl 690 Readings-ERESERVE]
Ruark, JE. et al. "Initiating and Withdrawing Life Support." [Phl 315 Readings - ERESERVE]
American Medical Association, Council on Ethical and Judicial Affairs. "Guidelines for the
Apporopriate Use of Do-Not-Resiscitate Orders."  [Phl 315 Readings - ERESERVE]
Wanzer, SH. et al. "The Physician's Responsibility Toward Hopelessly Ill Patients."[Phl 315 Readings - ERESERVE]
Schneiderman, LJ. "Medical Futility: Its Meaning and Ethical Implications." [Phl 315 Readings - ERESERVE]
Kapp, MB. "Futile Medical Treatment: A Review of Ethical Arguments and Legal Holdings."  [Phl 690 Readings-ERESERVE]
Ethics Committee of the Society of Critical Care Medicine. "Consensus Statement of the Society of Critical Care Medicine's Ethics Committee Regarding Futile and Other Possibly Inadvisable Treatments." Crit Care Med 1997;25:887-891 [Phl 315 Readings - ERESERVE]
AMA, Council on Ethical and Judicial Affairs. "Medical Futility in End-of-Life Care." [Phl 315 Readings - ERESERVE]
AMA, Council on Ethical and Judicial Affairs.Code of Mecial Ethics. "Medical Futility in End-of-Life Care." [Phl 315 Readings - ERESERVE]
"Futility Policy: A Sample of the Possible."[BIOETHICS WEBSITE]
Ulrich, LP. "Clinical Futility." [BIOETHICS WEBSITE]
Ulrich, LP. "Demands for Treatment."[BIOETHICS WEBSITE]
STANLEY. In re Dinnerstein, 6 Mass. App.Ct. 466 (1978).
TAYLOR. In re Quinlan, 70 N.J. 10, 355 A.2d 647 (1976).
In re Spring, Mass., 405 N.E.2d 115 (1980).
CLEMENS. Barber v. Superior Court, 147 Cal.App.3d 1006; 195 Cal.Rptr. 484 (1983).
DUWEL. In re Colyer, 660 P.2d 738 (Wash. 1983).

WEEK 9: 3/5.

BRAIN DEATH
Harvard University Ad Hoc Committee. "A Definition of Irreversible Coma." [Phl 315 Readings - ERESERVE]
President's Commission. "Why 'Update' Death." [BE, 307]
Engelhardt, HT. "Medicine and the Concept of Person"  [Phl 315 Readings - ERESERVE]
Benjamin, M. "Pragmatism and the Determination of Death.[BE 316]
Truog, RD. "Is It Time to Abandon Brain Death?"  [Phl 315 Readings - ERESERVE]

WEEK 10: 3/12 MIDTERM BREAK --- NO CLASS.

WEEK 11: 3/19.

CPR/DNR --- NUTRITION AND HYDRATION
American Medical Association, Council on Scientific Affairs and Council on Ethical and Judicial
Affairs. "Persistent Vegetative State and the Decision to Withdraw or Withhold Life Support."  [Phl 315 Readings - ERESERVE]
American Academy of Neurology on "Position on Certain Aspects of the Care and Management of the
Persistent Vegetative State Patient." [Phl 315 Readings - ERESERVE]
The Multi-Society Task Force on PVS. "Medical Aspects of the Persistent Vegetative State." [In Two Parts] N Engl J Med 1994;330:1499-1508 and 1572-1579. [Phl 315 Readings - ERESERVE]
Lynn, J., Childress, JF. "Must Patients Always be Given Food and Water." [Phl 315 Readings - ERESERVE]
Gillick, "Rethinking the Role of Tube Feeding in Patients with Advanced Dementia."N Engl J Med 2000;342:206-210. [Phl 315 Readings - ERESERVE]
Howsepian, AA. "Philosophical Reflections on Coma." [Phl 315 Readings - ERESERVE]
EATOUGH. In re Conroy, 188 N.J.Super. 523 (1983).
FAULKNER. In re Jobes, 108 N.J. 394 (1987).
In re Sue Ann Lawrance, 579 N.E.2d 32 (Ind. 1991).

WEEK 12: 3/26

CONFIDENTIALITY
Winston, ME. "AIDS, Confidentiality, and the Right to Know" [Phl 315 Readings - ERESERVE]
HOFMAN. Tarasoff v. Regents of California, 131 Cal.Rptr. 14 (1976). [BE, 208 & 212]

HEALTH AND DISEASE
Engelhardt, HT. "Human Well-Being and Medicine: Some Basic Value-Judgments in the Biomedical
Sciences [Phl 690 Readings-ERESERVE]
Majority Opinion in O'Connor V. Donaldson, 422 U.S. 563.95 S.Ct. 2486 (1975).
SCHNEIDER. Superintendent of Belchertown State School v. Saikewicz, Mass., 370 N.E.2d 417 (1977).

WEEK 13: 4/2.

CARE OF THE ELDERLY
Macklin,R. "The Geriatric Patient: Ethical Issues in Care and Treatment." [Phl 690 Readings-ERESERVE]
Kapp, M. "Medical Empowerment of the Elderly." [Phl 690 Readings-ERESERVE]

CARE OF DEFECTIVE NEWBORNS
McCormick, RA. "To Save or Let Die: The Dilemma of Modern Medicine."[Phl 315 Readings - ERESERVE]
Members of The Hastings Center Research Project on the Care of Imperiled Newborns. "Standards of Judgment for Treatment of Imperiled Newborns." [BE 375]
In re Custody of a Minor, Mass., 434 N.E.2d 601 (1982).

WEEK 14: 4/9.

ABORTION AND THE STATUS OF THE FETUS
Engelhardt, HT. "Medicine and the Concept of Person."  [Phl 315 Readings - ERESERVE]
Warren MA. "On the Moral and Legal Status of Abortion." [BE, 434]
Griswold v. Connecticut. 381 U.S. 479, 85 S.Ct. 1678, 14. L. Ed. 2d 510 (1965).
Roe v. Wade. 410 U.S. 113, 93 S.Ct. 705 (1973). [BE 478]
SCHULTZ. Webster v. Reproductive Health Services, 109 S.Ct. 3040 (1989).
STANLEY. U.S. Supreme Court. Planned Parenthood v. Casey, 505 U.S. 833 (1992). [BE, 482]
TAYLOR. U.S. Supreme Court. Stenberg v. Carhart. 192 F.3d 1142 (2000).

MATERNAL-FETAL CONFLICT
CLEMENS. In re A.C. 573 A.2d 1235 D.C. Appeals (1990).
Nelson, LJ, Milliken, N. "Compelled Medical Treatment of Pregnant Women: Life, Liberty, and Law
in Conflict." [Phl 690 Readings-ERESERVE]
Murray, T. "Moral Obligations to the Not-Yet Born: The Fetus as Patient." [BE, 490]

WEEK 15: 4/16 [CASE STUDIES DUE ON APRIL 19 AT 9:00 A.M.].

PRESENTATIONS ON EMERGING REPRODUCTIVE TECHNOLOGIES AND SURROGATE PARENTING
DUWEL. In the Matter of Baby M, 109 N.J. 396 (1988).
EATOUGH. Davis v. Davis. Circuit Court for Blount County Tennessee. Lexis 641. (1989).
FAULKNER. Kass v. Kass. 91 N.Y.2d 554 (1998).
Steinbock, B. "Surrogate Motherhood as Prenatal Adoption." [BE, 553]
The New York State Task Force on Life and the Law. "Ethical Debates about Infertility and Its Treatment." [BE 527]
GENETIC DISEASE AND REPRODUCTION
Purdy, LM. "Genetics and Reproductive Risk: Can Having Children Be Immoral." [BE, 520]
Singer, P. "Creating Embryos." [BE, 534]
Murray, TH. "Families, the Marketplace and Values: New Ways of Making Babies." [BE, 546]
National Bioethics Advisory Commission. "Report on Cloning Human Beings (1997), Chapter 4: Ethical Considerations, Chapter 5: Legal and Policy Considerations."
Human Genome Project. National Human Genome Research Institute. Ethical, Legal, and Social Implications of Human Genetic Research.

WEEK 16: 4/23 [LAST CLASS].

SOCIAL JUSTICE AND THE ALLOCATION OF HEALTH CARE RESOURCES
HOFMAN. Wickline v. State of California. 192 Cal.App.3d 1630 (Cal. 1987).
President's Commission. "An Ethical Framework for Access to Health Care." [Phl 690 Readings-ERESERVE]
AMA, Council on Ethical and Judicial Affairs. "Ethics of Managed Care." [Phl 315 Readings - ERESERVE]
Auerback, ML. "Will Managed Care Alter the Art and Soul of Medicine?" [ [Phl 315 Readings - ERESERVE]
Emanuel, EJ. and Bret, A.S. "Managed Competition and the Patient-Physician Relationship."  [Phl 315 Readings - ERESERVE]
Christensen, KT. "Ethically Important Distinctions Among Managed Care Organizations." [BE 650]
Callahan, D. "Aging and the Ends of Medicine." [BE, 627]
Appelbaum, PS. "Legal Liability and Managed Care." [Phl 690 Readings-ERESERVE]
Daniels, N. "Is the Oregon Rationing Plan Fair?" [BE, 634]

SCHNEIDER, SCHULTZ, STANLEY, TAYLOR, CLEMENS. "The Intersection of Ethics and the Law in Medical Practice."