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The Limits of Principle: Deciding Who Lives and What Dies (University of Utah Anthropological) 0th Edition

5 out of 5 stars 1 customer review
ISBN-13: 978-0275964078
ISBN-10: 0275964078
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Editorial Reviews

Review

"Koch's work highlights how people think about complex issues and reinforces the priority they give to relationships, even relationships with the most visibly compromised people. For gerontologists, who are interested in ethics and social policy, the book provides a useful way to think about important philosophically oriented public issues. The book has important things to say about these significant subjects. It is worth reading. This book...has practical and philosophical importance as we move into the 21st century; it will provoke significant questions about what matters as we think about health care reform and our lives as both individuals and members of communities."-Contemporary Gerontology

?Koch's work highlights how people think about complex issues and reinforces the priority they give to relationships, even relationships with the most visibly compromised people. For gerontologists, who are interested in ethics and social policy, the book provides a useful way to think about important philosophically oriented public issues. The book has important things to say about these significant subjects. It is worth reading. This book...has practical and philosophical importance as we move into the 21st century; it will provoke significant questions about what matters as we think about health care reform and our lives as both individuals and members of communities.?-Contemporary Gerontology

"Impressive! Koch shows how to include both individuals and the community in health care decision making. His approach is qualitative and rigorous and his conclusions are thought provoking."-Daniel Burston, Associate Professor Psychology Department, Duquesne University Author, The Wing of Madness

"I found The Limits of Prinicple to be a provocative, groundbreaking approach to bioethics....I recommend this book to anyone seeking to improve our ability to provide quality medical care in situations that raise difficult ethical questions."-James G. Dolan, MD Associate Professor of Medicine, University of Rochester

"This book is Koch at his most cogent and persuasive. It is a pleasure to read, and more importantly, may point the way out of the intractable ethical dilemmas that have bedeviled the field for so many years, and which promise to worsen considerably with the passage of time, unless his advice is heeded. This is must reading...."-Arlette Lefebvre, MD, FRCP, O.On. Associate Professor of Psychiatry, Univ. of Toronto Staff Psychiatrist, Hospital for Sick Children, Toronto

"I am convinced that Koch's MCDM approach has proven itself to be an invaluable bioethical tool, bridging principle and practice to articulate a hierarchy of biopsychosocial criteria for the selection of candidates for any potentially lifesaving procedure where demand exceeds supply. This book is a 'must read' for anyone involved in tertiary medical practice!"-Kathryn L. Braun, DrPH Associate Professor and Director, Center on Aging School of Public Health, University of Hawaii

About the Author

TOM KOCH is a research associate in bioethics, The Hospital for Sick Children, Toronto. He is the author of eight other books, including Mirrored Lives: Aging Children and Elderly Parents (Praeger, 1990) and A Place in Time: Caregivers for Their Elderly (Praeger, 1993).

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Product Details

  • Series: University of Utah Anthropological
  • Hardcover: 192 pages
  • Publisher: Praeger (December 30, 1998)
  • Language: English
  • ISBN-10: 0275964078
  • ISBN-13: 978-0275964078
  • Product Dimensions: 6.1 x 0.5 x 9.2 inches
  • Shipping Weight: 1.1 pounds (View shipping rates and policies)
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (1 customer review)
  • Amazon Best Sellers Rank: #5,833,323 in Books (See Top 100 in Books)

More About the Author

Tom Koch is among the best known, most prolific writers you've probably never heard about. An ethicist, writer, and researcher specializing in the care of the fragile, he holds a multi-disciplinary PhD (medicine, ethics/philosophy, geography) from the University of British Columbia. His more than 15 books and 300 articles include the first books on elder care from the perspective of the caregiver. Beginning with Mirrored Lives (1990), he pioneered the use of narrative writing in gerontology. He was also the first to write extensively on the use of electronic data and public information. That series began with The News as Myth (1990), followed by Journalism in the 20th Century (1992) and The Message is the Medium (1996). In medicine and medical cartography he is an authority on the history of maps in medicine and community health (Cartographies of Disease, 2005; Disease Maps: Epidemics on the Ground(2010)). As a medical ethicist he is the author of both The Limits of Principle (2005) and Thieves of Virtue: When Bioethics Stole Medicine (Sept. 2012).
In Toronto he serves as a medical ethicist and consultant specializing in issues of chronic care as well as the study of the environmental and social determinants of endemic and epidemic disease.
A fourth level black belt in Aikido, and a long-time student of karate, when not writing he also practices Tai Ch'i and the flute.
For a complete list of books and papers see his website: http://kochworks.com

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Top Customer Reviews

Format: Hardcover
This is a superb book for nurses, doctors, social workers and family members wrestling with difficult medical ethical questions. Who should go first in the lineup to receive a heart transplant: a young child or a father of three? Should a person with Down's Syndrome be equal to others? How about a convicted criminal? Or someone age 75? Tom Koch explores these difficult questions and then offers a framework for health care workers and others to help work through their own answers. He examines what it means to be human and the sanctity of human life -- and how a better historical understanding of these concepts and a reasoned methodology can help guide us as we make difficult life and death choices today. Koch does an excellent job of weaving the practical and human with the technical and philosophical. This is a must for those who are forced to make the choice of who lives, and who dies.
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The Limits of Principle: Deciding Who Lives and What Dies (University of Utah Anthropological)
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