James Lindemann Nelson is Professor of Philosophy at the University of Tennessee Medical Center in Knoxville. Hilde Lindemann Nelson is Director of the Center for Applied and Professional Ethics at the University of Tennessee, Knoxville, and is editor of Feminism andFamilies (Routledge 1997). They are the authors of ThePatient in the Family (Routledge 1995) and Alzheimer's:Answers to Hard Questions for Families (1996).

"Two distinctive and welcome voices in bioethics are once again performing as a duet. James Nelson and Hilde Nelson's new volume, Meaning and Medicine, will appeal especially to readers and teachers who hunger for a creative integration of the old and the new in bioethics. This volume brings together many fine and familiar standards from the bioethics literature with some striking new voices and new themes. Add to these pieces the Nelsons' interpretive essays, and you have a fine new contribution to bioethics, as well as a strong candidate text for advanced undergraduate and graduate courses in bioethics." -- Thomas H. Murray, Center for Biomedical Ethics, Case Western Reserve University School of Medicine

• TABLE OF CONTENTS Section I. Metaphysics Introduction Readings 1: On the Distinction Between Disease and Illness,Christopher Boorse Chapter 2: The Disease of Masturbation: Values and the Concept of Disease, H. Tristram Englehardt Chapter 3: Free Will and the Genome Project, P. S. Greenspan Chapter 4: (In)Equality, (Ab)Normality and the ADA, Anita Silvers Chapter 5: Dworkin on Dementia: Elegant Theory, Questionable Policy, Rebecca Dresser Section II. Epistemology Introduction Readings 6: Knowing and Acting in Medical Practice: The Epistemological Politics of Outcomes Research, Sandra Tanenbaum Chapter 7: Clinical Judgment, Expert Programs, and Cognitive Style: A Counter-Essay in the Logic of Diagnosis, Marx Wartofsky Chapter 8: The Role of Decision Analysis in Informed Consent: Choosing Between Intuition and Systematicity, P.A. Ubel and G. Lowenstein Chapter 9: Incommensurability: Its Implications for the Patient/Physician Relationship, Robert Veatch and William Stempsey Chapter 10: Knowledge at the Bedside: A Feminist View of What's Happening to This Patient, Hilde Lindemann Nelson Section III. Ethics Introduction Readings Chap 11: How Medicine Saved the Life of Ethics, Stephen Toulmin Chapter 12: Getting Down to Cases: The Revival of Casuistry in Bioethics, John Arras Chapter 13: The 'Four-principles' Approach, Tom Beauchamp Chapter 14: , A Critique of Principlism, K. Danner Clouser andBernard Gert Chapter 15: Moving Forward in Bioethical Theory: Theories, Cases and Specified Principlism, David DeGrazia Chapter 16: From the Ethicist's Point of View: The Literary Nature of Ethical Inquiry, Tod Chambers Chapter 17: Why a Feminist Approach to Bioethics?, Margaret Little Section IV. Social Philosophy Introduction Readings 18: Health Care Needs and Distributive Justice, Norman Daniels Chapter 19: Moral Justice and Legal Justice in Managed Care: The Ascent of Contributive Justice, E. Havvi Morreim Chapter 20: Meeting the Challenge of Justice and Rationing, Norman Daniels, Frances Kamm, Eric Rakowski, John Broome, Mary Anne Bailey Chapter 21: Justice in the Allocation of Health Care Resources: A Feminist Account, Hilde Lindemann Nelson and James Lindemann Nelson Section V. Postmodernity Introduction Readings 22: Medical Practice and Social Authority, Robert B. Pippin Chapter 23: Christian Science, Rational Choice and Alternative World Views, Peggy DesAutels Chapter 24: 'Ambiguous Sex' or Ambivalent Medicine? Ethical Issues in The Treatment of Intersexuality, Alice Domurat Dregner Chaper 25: Keeping Moral Spaces Open, Margaret Walker Chapter 26: Letting the Deaf Be Deaf: Reconsidering the Use of Cochlear Implants in Prelingually Deaf Children, Robert A. Crouch Chapter 27: Research Bioethics in the Ugandan Context: A Program Summary, Sana Loue, David Okello, Medi Kawuma

James Lindemann Nelson is Professor of Philosophy at the University of Tennessee Medical Center in Knoxville. Hilde Lindemann Nelson is Director of the Center for Applied and Professional Ethics at the University of Tennessee, Knoxville, and is editor of Feminism andFamilies (Routledge 1997). They are the authors of ThePatient in the Family (Routledge 1995) and Alzheimer's:Answers to Hard Questions for Families (1996).

"Two distinctive and welcome voices in bioethics are once again performing as a duet. James Nelson and Hilde Nelson's new volume, Meaning and Medicine, will appeal especially to readers and teachers who hunger for a creative integration of the old and the new in bioethics. This volume brings together many fine and familiar standards from the bioethics literature with some striking new voices and new themes. Add to these pieces the Nelsons' interpretive essays, and you have a fine new contribution to bioethics, as well as a strong candidate text for advanced undergraduate and graduate courses in bioethics." -- Thomas H. Murray, Center for Biomedical Ethics, Case Western Reserve University School of Medicine

• TABLE OF CONTENTS Section I. Metaphysics Introduction Readings 1: On the Distinction Between Disease and Illness,Christopher Boorse Chapter 2: The Disease of Masturbation: Values and the Concept of Disease, H. Tristram Englehardt Chapter 3: Free Will and the Genome Project, P. S. Greenspan Chapter 4: (In)Equality, (Ab)Normality and the ADA, Anita Silvers Chapter 5: Dworkin on Dementia: Elegant Theory, Questionable Policy, Rebecca Dresser Section II. Epistemology Introduction Readings 6: Knowing and Acting in Medical Practice: The Epistemological Politics of Outcomes Research, Sandra Tanenbaum Chapter 7: Clinical Judgment, Expert Programs, and Cognitive Style: A Counter-Essay in the Logic of Diagnosis, Marx Wartofsky Chapter 8: The Role of Decision Analysis in Informed Consent: Choosing Between Intuition and Systematicity, P.A. Ubel and G. Lowenstein Chapter 9: Incommensurability: Its Implications for the Patient/Physician Relationship, Robert Veatch and William Stempsey Chapter 10: Knowledge at the Bedside: A Feminist View of What's Happening to This Patient, Hilde Lindemann Nelson Section III. Ethics Introduction Readings Chap 11: How Medicine Saved the Life of Ethics, Stephen Toulmin Chapter 12: Getting Down to Cases: The Revival of Casuistry in Bioethics, John Arras Chapter 13: The 'Four-principles' Approach, Tom Beauchamp Chapter 14: , A Critique of Principlism, K. Danner Clouser andBernard Gert Chapter 15: Moving Forward in Bioethical Theory: Theories, Cases and Specified Principlism, David DeGrazia Chapter 16: From the Ethicist's Point of View: The Literary Nature of Ethical Inquiry, Tod Chambers Chapter 17: Why a Feminist Approach to Bioethics?, Margaret Little Section IV. Social Philosophy Introduction Readings 18: Health Care Needs and Distributive Justice, Norman Daniels Chapter 19: Moral Justice and Legal Justice in Managed Care: The Ascent of Contributive Justice, E. Havvi Morreim Chapter 20: Meeting the Challenge of Justice and Rationing, Norman Daniels, Frances Kamm, Eric Rakowski, John Broome, Mary Anne Bailey Chapter 21: Justice in the Allocation of Health Care Resources: A Feminist Account, Hilde Lindemann Nelson and James Lindemann Nelson Section V. Postmodernity Introduction Readings 22: Medical Practice and Social Authority, Robert B. Pippin Chapter 23: Christian Science, Rational Choice and Alternative World Views, Peggy DesAutels Chapter 24: 'Ambiguous Sex' or Ambivalent Medicine? Ethical Issues in The Treatment of Intersexuality, Alice Domurat Dregner Chaper 25: Keeping Moral Spaces Open, Margaret Walker Chapter 26: Letting the Deaf Be Deaf: Reconsidering the Use of Cochlear Implants in Prelingually Deaf Children, Robert A. Crouch Chapter 27: Research Bioethics in the Ugandan Context: A Program Summary, Sana Loue, David Okello, Medi Kawuma

James Lindemann Nelson is Professor of Philosophy at the University of Tennessee Medical Center in Knoxville. Hilde Lindemann Nelson is Director of the Center for Applied and Professional Ethics at the University of Tennessee, Knoxville, and is editor of Feminism andFamilies (Routledge 1997). They are the authors of ThePatient in the Family (Routledge 1995) and Alzheimer's:Answers to Hard Questions for Families (1996).

"Two distinctive and welcome voices in bioethics are once again performing as a duet. James Nelson and Hilde Nelson's new volume, Meaning and Medicine, will appeal especially to readers and teachers who hunger for a creative integration of the old and the new in bioethics. This volume brings together many fine and familiar standards from the bioethics literature with some striking new voices and new themes. Add to these pieces the Nelsons' interpretive essays, and you have a fine new contribution to bioethics, as well as a strong candidate text for advanced undergraduate and graduate courses in bioethics." -- Thomas H. Murray, Center for Biomedical Ethics, Case Western Reserve University School of Medicine

• TABLE OF CONTENTS Section I. Metaphysics Introduction Readings 1: On the Distinction Between Disease and Illness,Christopher Boorse Chapter 2: The Disease of Masturbation: Values and the Concept of Disease, H. Tristram Englehardt Chapter 3: Free Will and the Genome Project, P. S. Greenspan Chapter 4: (In)Equality, (Ab)Normality and the ADA, Anita Silvers Chapter 5: Dworkin on Dementia: Elegant Theory, Questionable Policy, Rebecca Dresser Section II. Epistemology Introduction Readings 6: Knowing and Acting in Medical Practice: The Epistemological Politics of Outcomes Research, Sandra Tanenbaum Chapter 7: Clinical Judgment, Expert Programs, and Cognitive Style: A Counter-Essay in the Logic of Diagnosis, Marx Wartofsky Chapter 8: The Role of Decision Analysis in Informed Consent: Choosing Between Intuition and Systematicity, P.A. Ubel and G. Lowenstein Chapter 9: Incommensurability: Its Implications for the Patient/Physician Relationship, Robert Veatch and William Stempsey Chapter 10: Knowledge at the Bedside: A Feminist View of What's Happening to This Patient, Hilde Lindemann Nelson Section III. Ethics Introduction Readings Chap 11: How Medicine Saved the Life of Ethics, Stephen Toulmin Chapter 12: Getting Down to Cases: The Revival of Casuistry in Bioethics, John Arras Chapter 13: The 'Four-principles' Approach, Tom Beauchamp Chapter 14: , A Critique of Principlism, K. Danner Clouser andBernard Gert Chapter 15: Moving Forward in Bioethical Theory: Theories, Cases and Specified Principlism, David DeGrazia Chapter 16: From the Ethicist's Point of View: The Literary Nature of Ethical Inquiry, Tod Chambers Chapter 17: Why a Feminist Approach to Bioethics?, Margaret Little Section IV. Social Philosophy Introduction Readings 18: Health Care Needs and Distributive Justice, Norman Daniels Chapter 19: Moral Justice and Legal Justice in Managed Care: The Ascent of Contributive Justice, E. Havvi Morreim Chapter 20: Meeting the Challenge of Justice and Rationing, Norman Daniels, Frances Kamm, Eric Rakowski, John Broome, Mary Anne Bailey Chapter 21: Justice in the Allocation of Health Care Resources: A Feminist Account, Hilde Lindemann Nelson and James Lindemann Nelson Section V. Postmodernity Introduction Readings 22: Medical Practice and Social Authority, Robert B. Pippin Chapter 23: Christian Science, Rational Choice and Alternative World Views, Peggy DesAutels Chapter 24: 'Ambiguous Sex' or Ambivalent Medicine? Ethical Issues in The Treatment of Intersexuality, Alice Domurat Dregner Chaper 25: Keeping Moral Spaces Open, Margaret Walker Chapter 26: Letting the Deaf Be Deaf: Reconsidering the Use of Cochlear Implants in Prelingually Deaf Children, Robert A. Crouch Chapter 27: Research Bioethics in the Ugandan Context: A Program Summary, Sana Loue, David Okello, Medi Kawuma