Contents -- Series Foreword -- Preface -- Acknowledgments -- Chapter 1: Laying the Foundations -- My Catholic Heritage -- Swimming -- Coming Up Out of the Water and into Philosophy -- Sidney -- Preparing to Be an Academic Philosopher -- Ethics from the Perspective of an Ideal Observer -- An Antidote to Analytic Philosophy -- George Berkeley -- Deriding Wisdom -- Twin Brothers -- What Ethics Requires -- Chapter 2: My Own 1960s -- My First Book -- Upsetting the Theological Apple Cart -- Liberal Political Policies and Conservative Social Values -- Fomenting Dissent -- Commonweal -- The Contraception Struggle -- A Waning Faith -- Is Religion Necessary for Morality? -- The Insight of Tony Judt -- The Failure of Left and Right -- Taking On the Abortion Issue, and Learning Something about Advocates -- Abortion as a Moral Problem, Not Just "Personal Choice" -- Wariness about Advocates -- What I Think I Learned from Examining Abortion -- The Population Council -- Chapter 3: Giving Birth to a Center -- Our Log Cabin Days -- The University Dilemma -- Ethics -- Our First Grants, by Way of Some Wayward Children -- Creating an Institution, Legitimating a Field -- A Helpful Social Style -- Choosing Our Initial Topics -- Two Early and Eventually Divergent Bioethics Streams -- On a Fast Track -- The Karen Ann Quinlan Case -- End-of-Life Care -- Genetics -- The Philosophers Arrive, Displacing the Theologians -- The Impact of the Philosophers -- The Belmont Report and the Four Ethical Principles -- Does Bioethics Require an Underlying Ethical Theory? -- Try as I Might, I Could Not Take the Theory Debate with Due Seriousness -- Ethics from the Bottom Up -- Yes, There Is Much Agreement, at a Certain Level, on Moral Truth -- Chapter 4: Coping with Success -- A Marital Struggle and a Broken Promise -- The Golden Year: 1981 -- The Eastern and Central European Opening.

Human Subject Research -- Autonomy and Responsibility -- How Important Is the Biological Relationship? -- The Lure of Enhancement -- Parental Obligations -- The Drift of Choice to Social Coercion -- The Pluralism Puzzle -- What Are the Moral Duties of an Ethics Research Center? -- The Liberal Bias -- The Advent of John Rawls -- Euthanasia and Physician-Assisted Suicide -- Death: A Technological, Not Biological, Failure -- Assessing Rationalizations -- Chapter 5: The Routinization of Charisma -- Opening a Door -- Resistance to Thinking about the Unthinkable -- For Doctors: A Fearful Topic -- Resisting the Reciprocal Obligations of Young and Old -- What Will I Do? -- The Unconstrained Pursuit of Progress -- The Missing Topic for End-of-Life Care: Death Itself -- Straying from Bioethics -- Character Development and Ethical Analysis -- The Senate Code -- Ethics and Emotions -- Stepping Down -- Chapter 6: Opening the Floodgates -- The Outbreak of the Culture Wars -- Meeting with the President and Karl Rove -- The Attack on Kass -- The Goals of Medicine and Sustainable Health Care -- Medicine and the Market -- The Failure of Competition -- The Oregon Rationing Plan -- Priority Setting in Research -- The Research Imperative -- Technology and Health Care Costs -- The Seductive Myths of Technology -- Taming the Beloved Beast -- The Timeless Failure to Control Costs -- Editing a Blog on Cost Control -- Chapter 7: The Future of Bioethics -- The Influence of Bioethics -- The Intellectual Status of Bioethics -- The Glamour Fades, the Field Grows -- The Progress of Bioethics -- A Lack of Rigor? -- What Are We Trying to Do? -- Aiming for Influence -- Enduring Issues -- The Culture of Medicine -- Changes in the Meaning and Scope of Health and Disease -- Changes in the Way We Live Our Lives -- Longer Life Spans -- Behavior Control in a New Key.

Pregnancy and Childbearing -- The Culture of Bioethics -- The Methods of Bioethics -- Empirical Bioethics and the Humanities -- Ethics and Policy -- Assessing New Technologies -- Chapter 8: Unraveling the Puzzle of Ethics -- Understanding Ethics -- Philosophy: Just What Is It All About? -- We Can Live without Ethical Theory -- Alasdair MacIntyre and Amelie Rorty -- Moral Theories as Ensembles -- Ethics and Ideological Contaminants -- General Rules and Discrete Individuals -- The Influence of Culture -- The Troubled Marriage of Commerce and Medicine -- Bioethics as Loyal Dissent -- Chapter 9: Reaching the Finish Line -- Ethics and Medicine: Art and Science -- Index -- Color Plates.