Before Bioethics: A History of American Medical Ethics from the Colonial Period to the Bioethics Revolution

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OUP USA, Sep 19, 2013 - History - 476 pages
Before Bioethics narrates the history of American medical ethics from its colonial origins to current bioethical controversies over abortion, AIDS, animal rights, and physician-assisted suicide. The first history of American medical ethics published in more than a half century, Before Bioethics tracks the evolution of American medical ethics from colonial midwives and physicians' oaths, to medical society codes and bioethical principles. Applying the concept of "morally disruptive technologies," it analyzes the impact of the stethoscope on conceptions of fetal life and the criminalization of abortion, and the impact of the ventilator on our conception of death and the treatment of the dying. The narrative offers tales of those whose lives were affected by the medical ethics of their era: unwed mothers executed by puritans because midwives found them with stillborn babies; the unlikely trio-an Irishman, a Sephardic Jew and in-the-closet gay public health reformer-who drafted the American Medical Association's code of ethics but received no credit for their achievement, and the founder of American gynecology celebrated during his own era but condemned today because he perfected his surgical procedures on un-anesthetized African American slave women. The book concludes by exploring the reasons underlying American society's empowerment of a hodgepodge of ex-theologians, humanist clinicians and researchers, lawyers and philosophers-the bioethicists-as authorities able to address research ethics scandals and the ethical problems generated by morally disruptive technologies.
 

Contents

Introduction On Medicine Ethics and Morality
1
Midwives Oaths of Fidelity and Diligence
19
The Medical Ethics of Gentlemanly Honor
36
The Lecturers Samuel Bard and Benjamin Rush
62
Oaths and Codes of Medical Police and Ethics 18061846
94
A National Code of Medical Ethics
131
Professional Medical Ethics 18481875 Abortion Inquisition and Exclusion
168
The AntiCode Revolt LaissezFaire Medical Ethics 18761979
199
American Research Ethics 18001946
232
Explaining the Birth of Bioethics 19471999
274
Notes
319
Bibliography
383
Index
431
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About the author (2013)

Robert Baker is William D. Williams Professor of Philosophy at Union College and Director of the Union Graduate College-Mount Sinai School of Medicine Bioethics Program. A four-time National Endowment for the Humanities awardee, Baker is founding chair of the Affinity Group on the History of Medical Ethics of the American Society for Bioethics and Humanities. He has authored, co-authored, edited or co-edited numerous scholarly articles, reports and books, including the American Medical Ethics Revolution and The Cambridge World History of Medical Ethics. Both books were awarded a citation by Choice, the journal of academic libraries, as an "outstanding book in the health sciences" for their respective years. Baker also co-authored a 2008 report on African American physicians and organized medicine that prompted the board of the AMA to apologize publicly for its past treatment of African American physicians.

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