OverviewPart I: RIGHTS. 1. Physicians, Patients, and Others: Autonomy, Truth-Telling, and Confidentiality. Cases and Contexts. Case Presentation: Dax Cowart Rejects Treatment--and Is Ignored. Social Context: Autism and Vaccination. Case Presentation: Suffer the Little Children. Case Presentation: HPV Vaccine: Hope or Hype? Social Context: Placebos and Transparency. Social Context: Health Cops: How Much Regulation is Too Much? Social Context: Medical Tourism. Case Presentation: Healing the Hmong. Case Presentation: The Vegan Baby. BRIEFING SESSION: Autonomy. Paternalism. State Paternalism in Medical and Health Care. Personal Paternalism in Medical and Health Care. Informed Consent and Medical Treatment. Free and Informed Consent. Parents and Children. Pregnancy and Autonomy. Truth-Telling in Medicine. Placebos. Dignity and Consent. Confidentiality (Privacy). Breaching Confidentiality. Duty to Warn? Managed Care. HIPP A Regulations. Ethical Theories: Autonomy, Truth-Telling, Confidentiality. DECISION SCENARIOS: 1. HPV Vaccination Required? 2. When Prayer is Not Enough. 3. Protecting Against Disease. 4. Weight Cops. 5. Baby vs. Mom. 6. Pregnancy and Autonomy-In Conflict? 7. Is Some Truth Better Than the Whole Truth? 8. When Does No Mean No? 9. Vampire Confession. 10. Whose Decision is It? 2. Research Ethics and Informed Consent. Cases and Contexts. Social Context: Face Transplant: The Dream of Looking Ordinary. Case Presentation: Abigail Alliance v. FDA: Do Terminally III People Have a Right to Take Experimental Drugs? Social Context: Prisoners as Test Subjects? Case Presentation: Jesse Gelsinger: The First Gene-Therapy Death. Social Context: The Cold-War Radiation Experiments. Case Presentation: The Willowbrook Hepatitis Experiments. Case Presentation: Echoes of Willowbrook or Tuskegee? Experimenting with Children. Case Presentation: The Use of Morally Tainted Sources: The Pernkopf Anatomy. Case Presentation: Stopping the Letrozole Trial: A Case of 'Ethical Overkill'? Case Presentation: Baby Fae. BRIEFING SESSION: Clinical Trials. The 'Informed' Part of Informed Consent. The 'Consent' Part of Informed Consent. Vulnerable Populations. Medical Research and Medical Therapy. Investigators and Financial Conflict. Placebos and Research. Therapeutic and Nontherapeutic Research. Research Involving Children. Research Involving Prisoners. Research Involving the Poor. Research Involving the Terminally Ill. Research Involving Fetuses. Research Involving Animals. Women and Medical Research. Summary. Ethical Theories: Medical Research, and Informed Consent. Utilitarianism. Kant. Ross. Natural Law. Rawls. DECISION SCENARIOS: 1. Boyd Rush: The First Animal-Human Transplant. 2. Phase I and Consent. 3. Stopping Tamoxifen. 4. Clinical Testing in Foreign Countries. 5. Genuine Consent? 6. When the Numbers are Small, Can a Trial Be Ethical? 7. Using Nazi Data. 8. Primate Head Trauma. Part II: CONTROLS. 3. Genetics Control. Cases and Contexts. Case Presentation: Genae Girard and Gene Patents. Case Presentation: Huntington's Disease-Deadly Disease, Personal Dilemmas. Social Context: Testing for Disease Predisposition-Is it Better Not to Know? Social Context: Predictive Genetic Testing-To Test or Not to Test? Social Context: GINA-Genetic Information Nondiscrimination Act. Social Context: What Are My Chances? Direct-to-Consumer Genetic Testing. Case Presentation: Gene Therapy--Slowly Delivering on the Promise. Social Context: The Human Genome Project--Genes, Diseases, and the Personal Genome. Social Context: Stem Cells: The End of the Battle? BRIEFING SESSION: Genetic Intervention: Screening Counseling and Diagnosis. Genetic Disease. Genetic Screening. Genetic Counseling. Prenatal Genetic Diagnosis. Ethical Difficulties with Genetic Intervention. Eugenics. Negative and Positive Eugenics. Use of Desirable Germ Cells. Ethical Difficulties with Eugenics. Genetic Research, Therapy, and Technology. Recombinant DNA. Gene Therapy. Biohazards. Ethical Difficulties with Genetic Research, Therapy, and Technology. DECISION SCENARIOS: 1.