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Back Issues and Articles
Back Issues and Articles

Table of Contents
Table of Contents
ASLME - [PDF] (Free Download)
Table Of Contents
Letter From the Editor
Letter From The Editor
ASLME - [PDF]

Religions and Cultures of East and West: Perspectives on Bioethics
Symposium Articles
Religions and Cultures of East and West: Perspectives on Bioethics
Robert M. Sade - [PDF]

Religions and Cultures of East and West: Perspectives on Bioethics
Go and Tend the Earth: A Jewish View on an Enhanced World
Laurie Zoloth - [PDF]

In this essay the author considers how one particular faith community, contemporary Judaism, in all its internal diversity, has reflected on the issue of how far the project of genetic intervention ought to go when the subject of the future - embodied, willful, and vulnerable - is at stake. Knowing, naming, and acting to change is not only a narrative of faith traditions; it is a narrative of biological science as well.
"Enhancing Life" - Perspectives from Traditional Chinese Value-Systems
Russell Kirkland - [PDF]

The author explores bioethics and "life enhancing" technology from the perspective of traditional Chinese value systems.
Enhancement Technologies and the Person: Christian Perspectives
Andrew Lustig - [PDF]

Distinctions between therapy and enhancement are difficult to draw with precision, especially in marginal cases. Nevertheless, most recent Christian discussions of enhancement technologies accept the general plausibility of distinctions drawn between therapeutic interventions and enhancement technologies by appealing to general understandings of nature and human nature as available benchmarks. On that basis, a range of religious assess-ments of enhancement technologies can be identified. Those judgments incorporate different interpretations of nature as a source of moral insight, different understand-ings of human responsibility in light of God's purposes, and different assessments of the effects of sin and finitude on human freedom.
"Hindu" Bioethics?
Deepak Sarma - [PDF]

The author offers a commentary on the question, "Are there Hindu bioethics?" After deconstructing the term "Hindu," the author shows that there are indeed no Hindu bioethics. He shows that from a classical and Brahminical perspective, medicine is an inappropriate and impure profession.
Enhancement Technologies and the Person: An Islamic View
Shahid Athar - [PDF]

The availability of newer choices in contemporary bioethics, especially enhancement technologies, poses a challenge for Muslim patients and their care providers in making appropriate decisions. How should they reconcile personal autonomy with ethical guidelines of Islamic Shariah (jurisprudence)? This article discusses such concerns.
Enhancement and Desire: Japanese Qualms about Where Biotechnology is Taking Us
William R. LaFleur - [PDF]

Japan's Buddhists view bodily enhancement neither negatively in terms of sin nor positively as repairing the world. They prefer prudence, however, due to the fact that human desires will be enflamed by proffered new biotech-nologies and ironically increase psycho-social dissatisfac-tion. In spite of great pressures for bodily enhancements within in East Asian societies, bioethicists issue strong cautions.
Independent Articles
Hormone Therapy, Dilemmas, Medical Decisions
Jay Schulkin - [PDF]

The decision for women to go on hormone therapy (HT) remains controversial. An historical oscillation of beliefs exists related in part to expectations of the medicinal value of HT over longer-term use beyond the initial peri-menonpausal period. Studies thought to resolve issues surrounding the efficacy of HT were perhaps overstated as confusion still per-meates the decision making with regard to HT. Overzealous advertising and exaggerated understanding of the results (negative or positive) undermine patient and physician deci-sion making. There remains no magic bullet with regard to HT. What remains is still the possibility of HT longer-term efficacy on diverse end organ systems with pockets of clinical and scientific ambiguity while working to engender reasonable expectations.
The Current State of Medical School Education in Bioethics, Health Law, and Health Economics
Govind C. Persad, Linden Elder, Laura Sedig, Leonardo Flores, Ezekiel J. Emanuel - [PDF]

Current challenges in medical practice, research, and admin-istration demand physicians who are familiar with bioethics, health law, and health economics. Curriculum directors at American Association of Medical Colleges-affiliated medical schools were sent confidential surveys requesting the number of required hours of the above subjects and the years in which they were taught, as well as instructor names. The number of relevant publications since 1990 for each named instructor was assessed by a PubMed search.In sum, teaching in all three subjects combined comprises less than two percent of the total hours in the American medical curriculum, and most instructors have not recently published articles in the fields they teach. This suggests that medical schools should reevaluate their curricula and instruc-tors in bioethics, health law, and health economics.
What Is Medical Ethics Consultation?
Giles R. Scofield - [PDF]

What happens when the field of ethics consultation meets the hermeneutics of suspicion.
The POLST (Physician Orders for Life-Sustaining Treatment) Paradigm to Improve End-of-Life Care: Potential State Legal Barriers to Implementation
Susan E. Hickman, Charles P. Sabatino, Alvin H. Moss, Jessica Wehrle Nester - [PDF]

The Physician Orders for Life-Sustaining Treatment (POLST) Paradigm is designed to improve end-of-life care by convert-ing patients' treatment preferences into medical orders that are transferable throughout the health care system. It was initially developed in Oregon, but is now implemented in mul-tiple states with many others considering its use. An obser-vational study was conducted in order to identify potential legal barriers to the implementation of a POLST Paradigm. Information was obtained from experts at state emergency medical services and long-term care organizations/agencies in combination with a review of relevant state law
LabCorp v. Metabolite Laboratories: The Supreme Court Listens, but Declines to Speak
Roger D. Klein, Maurice J. Mahoney - [PDF]

In the United States, a longstanding legal rule exists against patenting natural phenomena. The Supreme Court recently had an opportunity to help define the boundaries and clarify the implications of this, natural phenomenon doctrine, in Laboratory Corporation of America v. Metabolite Labs., dis-missed as improvidently granted. This article argues that the natural phenomenon doctrine renders both the patent claim at issue in LabCorp, and the patents that directly or indirectly claim biological correlations between genotypes and medical phenotypes, invalid or unenforceable under U.S. patent law.
Race, Religion, and Informed Consent - Lessons From Social Science
Dayna Bowen Matthew - [PDF]

That minority patients have not figured at all in the literature about informed consent is an egregious omission which this article begins to repair. Moreover, the article demonstrates that by addressing identifiable harms which informed con-sent law now causes to racial, religious and ethnic minority patients, the law may also better address many of the concerns legal commentators have been discussing for years with only majority patients in mind. Ironically, the solution to the dis-crimination felt by the excluded members of society may turn out to provide the remedy for the informed consent doctrine as a whole.
Columns
Currents in Contemporary Ethics
Mark A. Rothstein - [PDF]

Currents in Contemporary Ethics
Teaching Health Law
Paul Frisch, Randall L. Hughes, Joan B. Killgore - [PDF]

Teaching Health Law
Reviews in Medical Ethics
Judith F. Daar - [PDF]

Reviews in Medical Ethics
Recent Developments in Health Law
Won Bok Lee, Carmel Shachar, and Peter Chang - [PDF]

Recent Developments in Health Law