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The Limits of Principle: Deciding Who Lives and What Dies (University of Utah Anthropological) Hardcover – 30 Dec 1998


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"I am convinced that Koch's MCDM approach has proven itself to be an invaluable bioethical tool, bridging principle and practice to articulate a hierarchy of biopsychosocial criteria for the selection of candidates for any potentially lifesaving procedure where demand exceeds supply. This book is a 'must read' for anyone involved in tertiary medical practice!"-Kathryn L. Braun, DrPH Associate Professor and Director, Center on Aging School of Public Health, University of Hawaii

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In November 1962, Life Magazine published a ground-breaking article, "They Decide Who Lives, Who Dies," describing the deliberations of the Seattle, Washington, committee whose members were charged with selecting which patients would gain entry in the city's then new, hemodialysis program. Read the first page
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Front Cover | Copyright | Table of Contents | Excerpt | Index | Back Cover
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4 of 4 people found the following review helpful
superb book for people facing tough medical ethics issues 27 April 1999
By A Customer - Published on Amazon.com
Format: Hardcover
This is a superb book for nurses, doctors, social workers and family members wrestling with difficult medical ethical questions. Who should go first in the lineup to receive a heart transplant: a young child or a father of three? Should a person with Down's Syndrome be equal to others? How about a convicted criminal? Or someone age 75? Tom Koch explores these difficult questions and then offers a framework for health care workers and others to help work through their own answers. He examines what it means to be human and the sanctity of human life -- and how a better historical understanding of these concepts and a reasoned methodology can help guide us as we make difficult life and death choices today. Koch does an excellent job of weaving the practical and human with the technical and philosophical. This is a must for those who are forced to make the choice of who lives, and who dies.
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