last revised: 30 Jun 2004
 

 

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We will use BIOETHICS: HEALTH CARE LAW AND ETHICS (4th ed.) by Furrow et al. as our basic text, plus the 2003 Supplement and handouts, as indicated below.  

Please check the Supplement every day; the only Supplement readings noted below are the longer ones.

Handouts are in PDF (Portable Document Format).  These can be viewed and printed only with an Adobe Reader, which can be downloaded for free from this location.

Class #

Topic

Casebook (& Supp.) pages / handouts

1

Chap. 1:
Introduction to the Study of Bioethics

  1. 1-35;
  2. hypo (be prepared to discuss the hypo in light of the assigned reading); also: read Course Guidelines
2A

 

Chap. 2:
Human Reproduction & Birth
1. When Does Human Life Become a Person?

  1. 36-51 (end of note);
  2. Pub. L. No. 108-212/H.R. 1997 (Apr. 1, 2004);
  3. Tx. SB 319 (2003)
B 2. Medical Intervention in Reproduction
     a. Limiting Reproduction
     contraception, abortion
51-71
3

 

     abortion (cont'd): late-term abortions

 

  1. 71-86;
  2. Pub. L. No. 108-105 (Nov. 5, 2003)
4A      sterilization, tort remedies for failed
     reproductive control
86-102
B

 

     b.  Assisting Reproduction
     artificial insemination, IVF, egg &
     embryo transfer
  1. 102-09, 111-26;
  2. Tex. Fam. Code, subch. H (substitute for 109-11)
  3. Supp. 5-11
5A

     surrogacy

  1. 126-47; 150-51
  2. Supp. 12-16;
  3. Tex. Fam. Code, subch. I (substitute for 148-50)
  4. Lawrence v. Texas
B

 

     cloning
  1. 151-53;
  2. NewsHour with Jim Lehrer;
  3. Washington Post article;  
  4. President's Council on Bioethics, Human Cloning and Human Dignity: An Ethical Inquiry, ch. 8 ("Policy Recommendations");
  5. H.R. 534

PowerPoint presentation (HTML version)

Optional:

  1. New York Times, Feb. 4, 2001, "A Desire to Duplicate," by Margaret Talbot;
  2. webpage for the Godsend Institute;
  3. movie trailer for "Godsend"
6A 3. Fetal-Maternal Decision Making
  1. Jefferson v. Griffin Spalding Co.;
  2. 157-70;
  3. Pemberton v. Tallahassee Mem. Reg. Med. Ctr.
  4. Boston Globe, May 19, 2004, "Court Cases Revive Debate About Rights of Mothers During Childbirth," by David B. Caruso

Optional: Ruth Hubbard, The Politics of Maternal-Fetal Conflict

B

 

 

Ch. 3:
Legal, Social and Ethical Issues in Human Genetics

1. Introduction
2. Privacy, Confidentiality & Discrimination 
    
a. Privacy

171-87
7A

     b. Discrimination
     c. Creating DNA Databases

3. Genetic Screening

  1. 187-98;
  2. Supp. 18-23;
  3. 42 U.S.C.A. § 241(d);
  4. NIH Background Document re: Certificates of Confidentiality
B

 

Ch. 7:
Regulation of Human Research, Ethics Committees & Advisory Committees
1. Regulation of Research Upon Human Subjects

     a. Nuremberg Code & Declaration of
     Helsinki
     b. History of Research Upon Human
     Subjects in the United States

 

410-21

This class will consist of a 60-minute "Nova" (PBS) report about the Tuskegee syphilis study, "The Deadly Deception" (IVS 03212)

8A

     c. Current Regulation of Research
     Upon Human Subjects in the U.S.

421-39 (end of n. 12) 
B

 

     conflicts of interest & safety issues
  1. Seattle Times series (83 pp.) (large print, wide margins);
  2. Bodenheimer op-ed
  3. DHHS: Final guidance document: Financial Relationships and Interests in Research Involving Human Subjects, 69 Fed. Reg. 26393 (May 12, 2004)
9A Ch. 4:
Defining Death
1. Introduction
2. The Development of the 'Brain Death' Definition
199-210
B

 

3. The 'Dead Donor' Rule
4. Religious and Other Objections

 

  1. 210-27
  2. N.Y. Times, April 20, 1997, "Beyond Science: When Death Begins," by Gina Kolata
10 Ch. 5:
Life and Death Decisions
1. Principles of Autonomy & Beneficence
2. The U.S. Constitution and the "Right to Die"
228-46

 

11A

 

This class will consist of an 88-minute "Frontline" (PBS) report, "The Death of Nancy Cruzan" (IVS 02493). I will try to start the film promptly at 6pm. 

 

"My Death"
B

Same

 

 
12A 3. The "Right to Die" -- Patients With Decisional Capacity

 

246-63
B

This class will consist of a 58-minute film about "Dax" Cowart (IVS 03342).

 
13A

4. The “Right to Die” - Patients Without Decisional Capacity 

263-73, 282-83
B

Texas Advance Directives Act: living wills; be prepared to discuss the study questions in the handout

  1. Tx. Advance Directives Act, §§ 166.001-.053
  2. Study questions
14A

Durable power of attorney for health care; Texas Advance Directives Act - medical power of attorney; be prepared to discuss the study questions in the handout

  1. 283-88
  2. Tx. Advance Directives Act §§ 166.151-.166
  3. Study questions
B

Patients without prior directives; futile care

  1. 288-305
  2. Texas medical decision making statute
  3. Tx. Advance Directives Act §§ 166.046 (see handout for Class 13B)
15A

The role of the courts

  1. Schiavo timeline
  2. 305-24
  3. Supp. 26-36
B

DNR orders; patients who have never been competent

  1. 324-32
  2. Tx. Advance Directives Act  §§ 166.081-.101
16A

Children and newborns

  1. 332-46
  2. Supp. 37-43
  3. Miller ex rel. Miller v. HCA
B

Criminal and civil liability in “right to die” cases; physician-assisted death; Physician-assisted suicide 

346-73
17A

Euthanasia, death with dignity initiatives

  1. 373-83
  2. State of Oregon v. Ashcroft
  3. Supp. 43-56
  4. Raich v. Ashcroft
B catch up  
18A

Ch. 6:
Organ Transplantation
1.  Allocation

384-97

Supp. 57-59

B

2.  Increasing the supply

397-407

Supp. 59-61

N.Y. Times, April 13, 1997: "Controversy Erupts Over Organ Removal," by Gina Kolata

N.Y. Times, May 23, 2004: "Tracking the Sale of a Kidney on a Path of Poverty and Hope," by Larry Rohter

Optional: the award-winning "Scenes from a Transplant," from This American Life (NPR), 5/29/98 (requires RealAudio, available for free here)

19 Ch. 7:
Regulation of Human Research, Ethics Committees & Advisory Committees

2. Institutional Ethics Committees
3. National and State
Commissions
and catch-up
440-49
 

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Last updated: 30 June 2004