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This is the first single-author text on the philosophical issues in bioethics that is both systematic and comprehensive. Engelhardt provides both a critique of the theoretical foundations of bioethics and an analysis of the problematic ways in which facts, theories and values become intertwined in concepts of health and disease. He analyzes patients' rights, including the right to free and informed consent, to refuse treatment, and to the benefits of health care. Covering topics that range from abortion and in vitro fertilization to sexual deviance and organ transplantation. Englehardt offers a critical and at times controversial analysis, defending such practices as fetal experimentation and limited infanticide.

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