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Explores the philosophical and practical ethical implications of a definition of health as a state that allows us to reach our goals.Definitions of health and disease are of more than theoretical interest. Understanding what it means to be healthy has implications for choices in medical treatment, for ethically sound informed consent, and for accurate assessment of policies or programs. This deeper understanding can help us create more effective public policy for health and medicine. It is notable that such contentious legal initiatives as the Americans with Disability Act and the Patients' Bill of Rights fail to define adequately the medical terms on which their effectiveness depends. In Ethics and the Metaphysics of Medicine, Kenneth Richman develops an "embedded instrumentalist" theory of health and applies it to practical problems in health care and medicine, addressing topics that range from the philosophy of science to knee surgery."Embedded instrumentalist" theories hold that health is a match between one's goals and one's ability to reach those goals, and that the relevant goals may vary from individual to individual. This captures the normative implications of the term health while avoiding problematic relativism. Richman's embedded instrumentalism differs from other theories of health in drawing a distinction between the health of individuals as biological organisms and the health of individuals as moral agents. This distinction illuminates many difficulties in patient-provider communication and helps us understand conflicts between promoting health and promoting ethically permissible behavior. After exploring, expanding, and defending this theory in the first part of the book, Richman examines its ethical implications, discussing such concerns as the connection between medical beneficence and respect for autonomy, patient-provider communication, living wills, and clinical education.

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Humanities --- Health Care Facilities, Manpower, and Services --- Interpersonal Relations --- Health Occupations --- Behavior and Behavior Mechanisms --- Technology --- Health Care --- Patient Care Planning --- Anthropology, Education, Sociology and Social Phenomena --- Psychiatry and Psychology --- Delivery of Health Care --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Disciplines and Occupations --- Health Care Quality, Access, and Evaluation --- Health Care Economics and Organizations --- Sociology --- Comprehensive Health Care --- Technology, Industry, and Agriculture --- Patient Care Management --- Technology, Industry, Agriculture --- Health Services Administration --- Medical Ethics & Philosophy --- Health & Biological Sciences --- Philosophy. --- Hume, David, --- Administration, Health Services --- Care Management, Patient --- Management, Patient Care --- Comprehensive Healthcare --- Health Care, Comprehensive --- Healthcare, Comprehensive --- General 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Evidence Based --- Informal care --- Care, Patient --- Informal cares --- care, Informal --- cares, Informal --- Medical Philosophy --- Benevolence --- Nonmaleficence --- Clinical Ethics --- Egoism --- Ethical Issues --- Metaethics --- Moral Policy --- Natural Law --- Situational Ethics --- Ethical Issue --- Ethics, Situational --- Issue, Ethical --- Issues, Ethical --- Law, Natural --- Laws, Natural --- Moral Policies --- Natural Laws --- Policies, Moral --- Policy, Moral --- Communication Programs --- Communications Personnel --- Misinformation --- Personal Communication --- Communication Program --- Communication, Personal --- Personnel, Communications --- Program, Communication --- Programs, Communication --- Enhancement Technologies --- Enhancement, Biomedical --- Biomedical Enhancements --- Enhancement Technology --- Enhancements, Biomedical --- Technologies, Enhancement --- Technology, Enhancement --- Free Will --- Self Determination --- Autonomy, Personal --- Medical Ethics --- 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--- Medical logic --- Health Workforce --- Expectations --- Expectation --- Motivations --- Psychology, Perceptual --- Perceptual Psychology --- Collective Human Rights --- Linguistic Rights --- Right to Housing and Shelter --- Rights of Indigenous Peoples --- Human Rights, Collective --- Indigenous Peoples Rights --- Rights, Collective Human --- Rights, Linguistic --- Freedom of Religion --- Religious Freedom --- Right to Movement --- Freedom, Religious --- Freedoms, Religious --- Movement, Right to --- Movements, Right to --- Religion Freedom --- Religion Freedoms --- Religious Freedoms --- Right to Movements --- to Movement, Right --- to Movements, Right --- PHILOSOPHY/Ethics & Bioethics --- BIOMEDICAL SCIENCES/General