Ethical Issues in Health Care on the Frontiers of the Twenty-First Century

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of UB’s medical school, that UB developed its School of Arts and Sciences, and thus, assumed its place among the other institutions of higher education. Had Fillmore lived throughout UB’s first seventy years, he would probably have been elated by the success of his university, and he should have been satisfied and pleased that UB remained intrinsically bonded to its community while at the same time engrafting the values and standards important to higher education’s mission in the region. UB and its medical school have undergone many challenging transitions since 1846. Included among them were: (1) the completion of an academic campus in the far northeast comer of the City of Buffalo while leaving its medical, dental and law schools firmly situated in the core of downtown Buffalo; (2) the eventual relocation, after the second world war, of the law school to the newer campus in Amherst, and the medical and dental school to the original academic campus: and (3) the merger with the State University of New York System in 1962. Despite these significant transitions, any one of which could have changed the intrinsic integrity of UB and disrupted the bonding between community and university, that did not happen. To this day, the ties between community and academe persist. Fillmore and White should celebrate their success and important contribution to Buffalo and Western New York. Keynote Address: Bioethics at the End of the Millennium: Fashioning Health-Care Policy in the Absence of a Moral Consensus....Pages 1-16 Front Matter....Pages 17-17 The Dilemma of Funding Health Care....Pages 19-24 Toward Multiple Standards of Health Delivery: Taking Moral and Economic Diversity Seriously....Pages 25-33 A Preventive Ethics Approach to the Managed Practice of Medicine: Putting the History of Medical Ethics to Work....Pages 35-63 Saving Lives, Saving Money: Shepherding the Role of Technology....Pages 65-112 Front Matter....Pages 113-113 The Human Genome, Difference, and Disease: Nature, Culture, and New Narratives for Medicine’s Future....Pages 115-126 Concepts of Disease After the Human Genome Project....Pages 127-154 From Promises of Progress to Portents of Peril: Public Responses to Genetic Engineering....Pages 155-170 PKU and Procreative Liberty: Historical and Ethical Considerations....Pages 171-190 Everybody’s Got Something....Pages 191-196 Front Matter....Pages 197-197 The Physician/Paitient Relationship....Pages 199-204 A Medicine of Neighbors....Pages 205-219 Trust, Institutions, and the Physician-Patient Relationship: Implications for Continuity of Care....Pages 221-240 Can Relationships Heal — At a Reasonable Cost?....Pages 241-257 Values and the patient-physician relationship....Pages 259-274