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Worse than the Disease : Pitfalls of Medical Progress - Diana Barbara Dutton

Worse than the Disease

Pitfalls of Medical Progress

By: Diana Barbara Dutton, Thomas A. Preston (Contribution by), Nancy E. Pfund (Contribution by)

Paperback Published: 20th September 1992
ISBN: 9780521395571
Number Of Pages: 548

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This book examines four medical innovations that epitomize these pitfalls of progress: DES, a synthetic estrogen prescribed to millions of women to prevent miscarriages, which produced devastating side effects; the artificial heart, an extraordinary technological feat fraught with ethical and financial uncertainties; the 1976 swine flu immunization program, a nationwide effort against a phantom epidemic; and genetic engineering, a revolutionary scientific technique that alters life itself. Dutton and the contributors trace the history of the four case studies, reveal the human choices that govern medical and scientific innovation and explore the political, economic, and social factors that influence those choices. In the process, they reveal a deep gulf between the priorities of medical innovation and the concerns of the general public. They then propose concrete policy changes to help bridge that gulf.

'In this book Diana Dutton successfully delineates the hazards of policy-making when professional groups dominate or usurp decision making in the delicate relationship between the scientific constituency and the whole of society. In a skillful and detailed analysis, she portrays the resulting disastrous ill effects of lack of appropriate linkage-science policy-making without public participation ... should be read and taken to heart by the scientific community as well as the public to which it is addressed.' The Pharos (Journal of the Alpha Omega Alpha Honor Medical Society)

Preface
Acknowledgments
List of abbreviations
Overview
Introduction
Where are we and how did we get there?
Four Case Studies
DES and the elusive goal of drug safety
The artificial heart Thomas A. Preston
The swine flu immunization program
Genetic engineering: science and social responsibility Diana B. Dutton and Nancy E. Pfund
Lessons, Questions and Challenges
Risks and rights
Compensating the injuries of medical innovation
What is fair? Medical innovation and justice
The role of the public
What is possible? towards medical progress in the public interest
Notes
Index
Table of Contents provided by Publisher. All Rights Reserved.

ISBN: 9780521395571
ISBN-10: 0521395577
Series: Pitfalls of Medical Progress
Audience: Tertiary; University or College
Format: Paperback
Language: English
Number Of Pages: 548
Published: 20th September 1992
Publisher: CAMBRIDGE UNIV PR
Country of Publication: GB
Dimensions (cm): 22.86 x 15.24  x 3.18
Weight (kg): 0.73