Jacob M. Appel – författare

This Element examines three related topics in the field of bioethics that arise frequently both in clinical care and in medico-legal settings: capacity, informed consent, and third-party decision-making. All three of these subjects have been shaped significantly by the shift from the paternalistic models of care that dominated medicine in the United States, Canada, and Great Britain prior to the 1960s to the present models that privilege patient autonomy. Each section traces the history of one of these topics and then explores the major ethics issues that arise as these issues are addressed in contemporary clinical practice, paying particular attention to the role that structural factors such as bias and social capital play in their use. In addition, the volume also discusses recent innovations and proposals for reform that may shape these subjects in the future in response both to technological advances and changes in societal priorities.

This Element examines three related topics in the field of bioethics that arise frequently both in clinical care and in medico-legal settings: capacity, informed consent, and third-party decision-making. All three of these subjects have been shaped significantly by the shift from the paternalistic models of care that dominated medicine in the United States, Canada, and Great Britain prior to the 1960s to the present models that privilege patient autonomy. Each section traces the history of one of these topics and then explores the major ethics issues that arise as these issues are addressed in contemporary clinical practice, paying particular attention to the role that structural factors such as bias and social capital play in their use. In addition, the volume also discusses recent innovations and proposals for reform that may shape these subjects in the future in response both to technological advances and changes in societal priorities.

Phoning Home is a collection of entertaining and thought-provoking essays featuring the author's quirky family, his Jewish heritage, and his New York City upbringing. Jacob M. Appel's recollections and insights, informed and filtered by his advanced degrees in medicine, law, and ethics, not only inspire nostalgic feelings but also offer insight into contemporary medical and ethical issues. At times sardonic and at others self-deprecating, Appel lays bare the most private aspects of his emotional life. ""We'd just visited my grandaunt in Miami Beach, the last time we would ever see her. I had my two travel companions, Fat and Thin, securely buckled into the backseat of my mother's foul-tempered Dodge Dart,"" writes Appel of his family vacation with his two favorite rubber cat toys. Shortly thereafter Fat and Thin were lost forever--beginning, when Appel was just six years old, what he calls his ""private apocalypse."" Both erudite and full-hearted, Appel recounts storylines ranging from a bout of unrequited love gone awry to the poignant romance of his grandparents. We learn of the crank phone calls he made to his own family, the conspicuous absence of Jell-O at his grandaunt's house, and family secrets long believed buried. The stories capture the author's distinctive voice--a blend of a physician's compassion and an ethicist's constant questioning.

“An original, compelling, and provocative exploration of ethical issues in our society, with thoughtful and balanced commentary. I have not seen anything like it.” —Alan Lightman, author of Einstein’s Dreams Drawing upon the author’s two decades teaching medical ethics, as well as his work as a practicing psychiatrist, this profound and addictive little book offers up challenging ethical dilemmas and asks readers, What would you do? ·A daughter gets tested to see if she’s a match to donate a kidney to her father. The test reveals that she is not the man’s biological daughter. Should the doctor tell the father? Or the daughter? ·A deaf couple prefers a deaf baby. Should they be allowed to use medical technology to ensure they have a child who can’t hear? ·Who should get custody of an embryo created through IVF when a couple divorces? ·Or, when you or a loved one is on life support, Who says you’re dead?In short, engaging scenarios, Dr. Appel takes on hot-button issues that many of us will confront: genetic screening, sexuality, privacy, doctor-patient confidentiality. He unpacks each hypothetical with a brief reflection drawing from science, philosophy, and history, explaining how others have approached these controversies in real-world cases. Who Says You’re Dead? is designed to defy easy answers and to stimulate thought and even debate among professionals and armchair ethicists alike.

The Amazing Mr. Morality features tenacious men and women whose determination to buck middle-class social convention draws them toward unforeseen challenges. A failed television producer insists upon having a woodchuck relocated from his lawn, only to receive desperate letters in which the woodchuck begs to return. An overconfident ne’er-do-well obtains a lucrative lecture invitation intended for a renowned ornithologist and decides to deliver the speech himself. An innocuous dispute over whether to rename a local street opens up racial fault lines that prove deadly.The collection concludes with the title novella in which two unscrupulous ethicists, writing rival newspaper columns, seek to unseat each other by addressing questions such as: If you’re going to commit a murder, is it worse to kill when the victim is sleeping or awake?