Principles of Health Care Ethics

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Principles of Health Care Ethics

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150 Book Reviews consistently superb treatment of almost every topic. This is accomplished, in part, by the extraordinary cast of contributors, which is composed of sixty-six world-renowned experts in the field. However, someone wishing to be picayune might question the chap- ter written on medical and surgical treatment of epilepsy (chapter 50) as lacking sub- stance. Whereas the medical aspects of seizure disorders were discussed with sufficient detail, the neurosurgical procedures could have used more elaboration. In conclusion, Principles ofNeurosurgery is a text of the highest caliber that will cer- tainly become a landmark publication among introductory texts in neurosurgery. Indeed, because of the high quality figures that are both informative and visually attractive, as well as the up-to-date and accurate information contained in this volume, this textbook is a worthy addition to the bookshelf of every house officer in the clinical neurosciences. Kendall Lee M.D./Ph.D. Student Yale University School of Medicine PRINCIPLES OF HEALTH CARE ETHICS. Edited by Raanan Gillon and Ann Lloyd. Chichester, John Wiley, 1994. 1200 pp. $295.00. THE ETHICS AND POLITICS OF HUMAN EXPERIMENTATION. By Paul M. McNeill. Cambridge, Cambridge University Press, 1993. 328 pp. $59.95. In 1950, C.P. Snow in his essay Two Cultures parsed the sciences and the humanities into two mutually distinctive cultures. Snow was not speaking of physicians, but he easi- ly could have been. The conquest of polio, the triumph of the antibiotic revolution and the promise of molecular biology fueled American medicine's insularity and self-possession. Medicine's free hand to treat and to investigate was short-lived. In the 1960s and 1970s, outrage over events at Tuskegee and Willowbrook spawned commissions that presided over a shotgun marriage of medicine and ethics. This union has had an eventful march toward the millennium. The patient's rights movement, investigational review boards (IRBs) and the ferment over AIDS and the g

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