The ideal of equality constitutes a criterion for assessing current practice through attention to differences among individuals and groups. Inequality occurs when irrelevant differences are invoked in order to secure power or advantages over others. This book examines health care issues from an egalitarian perspective, focusing particularly on those that affect the lives of women and children. These are some of the most hotly debated, controversial, yet genuinely humanitarianissues of our time. They include gender stereotypes in medicine and in adolescent socialization, fertility curtailment and enhancement, coercive treatment during pregnancy, fetal tissue transplantation, decisions regarding newborns, decision-making by minors, the feminization of poverty and its impact onwomens and childrens health, and the meaning and role of family in health care decisions. The book describes a case-based or feminine model of reasoning as appropriate to the health care setting, but also as a possible rationale for exploitation of women. Different versions of feminism are clearly explained and specifically related to care-based reasoning. To overcome the pitfalls of paternalism and excessive stress on patient autonomy, a concept of parentalism is defended. Anegalitarian perspective, the author claims, involves use of ones power to empower others. Because of the timeliness of the topics discussed, and the depth of detail, this book will be necessary reading for all bioethicists, health-care analysts and policy-makers, and womens studiesresearchers.
An Egalitarian Overview; Sex-Roles and Stereotypes in Health Care; Obstetrics and Gynecology:: A Unique Specialty; Abortion:: Complexity and Conflict; Fertility Curtailment:: Selected Issues; Fertility Enhancement and the Right to Have a Baby; In Vitro Development and Childbirth; Coercive Treatment After Fetal Viability; Fetal Tissue Transplantation — A Slippery Slope?; Decisions Regarding Disabled Newborns; Children and Moral Agency; Gender Socialization and Adolescents; The Feminization of Poverty:: Its Impact on Womens and Childrens Health; The Family and Health Care; Just Caring:: Power for Empowerment;
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