The author presents a number of strategies for making decisions based on desires or values which are incompatible or which conflict with one another in various ways. Cases discussed include conflicts of first and second order desires, conflicts between desires for present and for future ends, problems deriving from anticipated changes of desire, risk-taking problems, and coordination problems. One central claim of the book is that the same dilemma-managing strategies can be applied to all of these. The book also argues that many of the characteristics of moral dilemmas appear in non-moral decision-making. The relations between these strategies and utility-maximizing decision rules are subtle, and are explored throughout the book. To some extent the strategies apply to cases which are too complicated for utility-maximization to apply. Some of them also apply to the early stages of decision-making where utility-maximization does not enter, for example, in selecting a list of options for serious consideration. In some tidy cases, though, the strategies give different recommendations. This book is meant to have both a theoretical and a practical appeal, deriving from our need for ways of making decisions that do not force us to find trade-offs between goods or values which are hard to compare. The strategies presented in the book are meant to be usable in situations which seem to force decision-makers to balance very different quantities, and the discussion of them is meant as a contribution to debates about incomparable values, moral dilemmas and rational decision.

NEW YORK TIMES BESTSELLER • The award-winning book that inspired an Apple Original series from Apple TV+ • A landmark investigation of patient deaths at a New Orleans hospital ravaged by Hurricane Katrina—and the suspenseful portrayal of the quest for truth and justice—from a Pulitzer Prize–winning physician and reporter “An amazing tale, as inexorable as a Greek tragedy and as gripping as a whodunit.”—Dallas Morning News After Hurricane Katrina struck and power failed, amid rising floodwaters and heat, exhausted staff at Memorial Medical Center designated certain patients last for rescue. Months later, a doctor and two nurses were arrested and accused of injecting some of those patients with life-ending drugs. Five Days at Memorial, the culmination of six years of reporting by Pulitzer Prize winner Sheri Fink, unspools the mystery, bringing us inside a hospital fighting for its life and into the most charged questions in health care: which patients should be prioritized, and can health care professionals ever be excused for hastening death? Transforming our understanding of human nature in crisis, Five Days at Memorial exposes the hidden dilemmas of end-of-life care and reveals how ill-prepared we are for large-scale disasters—and how we can do better. ONE OF THE TEN BEST BOOKS OF THE YEAR: The New York Times Book Review • ONE OF THE BEST BOOKS OF THE YEAR: Chicago Tribune, Seattle Times, Entertainment Weekly, Christian Science Monitor, Kansas City Star WINNER: National Book Critics Circle Award, J. Anthony Lukas Book Prize, PEN/John Kenneth Galbraith Award, Los Angeles Times Book Prize, Ridenhour Book Prize, American Medical Writers Association Medical Book Award, National Association of Science Writers Science in Society Award

This book presents the first critical examination of the overlapping ethical, sociocultural, and policy-related issues surrounding disasters, global bioethics, and public health ethics. These issues are elucidated under the conceptual rubric: Public health disasters (PHDs). The book defines PHDs as public health issues with devastating social consequences, the attendant public health impacts of natural or man-made disasters, and latent or low prevalence public health issues with the potential to rapidly acquire pandemic capacities. This notion is illustrated using Ebola and pandemic influenza outbreaks, atypical drug-resistant tuberculosis, and the health emergencies of earthquakes as focal points. Drawing on an approach that reckons with microbial, existential, and anthropological realities; the book develops a relational-based global ethical framework that can help address the local, anthropological, ecological, and transnational dynamics of the ethical issues engendered by public health disasters. The book also charts some of the critical roles that relevant local and transnational stakeholders may play in translating the proposed global ethical framework from the sphere of concept to the arena of action. This title is of immense benefit to bioethics scholars, public and global health policy experts, as well as graduate students working in the area of global health, public health ethics, and disaster bioethics.

Ethics for Disaster addresses the moral aspects of hurricanes, earthquakes, tornadoes, plane crashes, Avian Flu pandemics, and other disasters. Naomi Zack explores how these catastrophes illuminate the existing inequalities in society. By employing the moral systems of utilitarianism, deontology, and virtue ethics to analyze the consequences of recent natural disasters, Zack reveals the special plight of the poor, disabled, and infirm when tragedy strikes. Zack explores the political foundations of social contract theory and dignitarianism and invites readers to rethink the distinction between risk in normal times and risk in disaster. Using both real life and fictional examples, Zack forcefully argues for the preservation of normal moral principles in times of national crisis and emergency, stressing the moral obligation of both individuals and government in preparing for and responding to disaster..

This book provides an early exploration of the new field of disaster bioethics: examining the ethical issues raised by disasters. Healthcare ethics issues are addressed in the first part of this book. Large-scale casualties lead to decisions about who to treat and who to leave behind, cultural challenges, and communication ethics. The second part focuses on disaster research ethics. With the growing awareness of the need for evidence to guide disaster preparedness and response, more research is being conducted in disasters. Any research involving humans raises ethical questions and requires appropriate regulation and oversight. The authors explore how disaster research can take account of survivors? vulnerability, informed consent, the sudden onset of disasters, and other ethical issues. Both parts examine ethical challenges where seeking to do good, harm can be done. Faced with overwhelming needs and scarce resources, no good solution may be apparent. But choosing the less wrong option can have a high price. In addition, what might seem right at home may not be seen to be right elsewhere. This book provides in-depth and practical reflection on these and other challenging ethical questions arising during disasters. Scholars and practitioners who gathered at the Brocher Foundation in Geneva, Switzerland in 2011 offer their reflections to promote further dialogue so that those devastated by disasters are respected by being treated in the most ethically soun d ways possible.

This Open Access Book is the first to examine disasters from a multidisciplinary perspective. Justification of actions in the face of disasters requires recourse both to conceptual analysis and ethical traditions. Part 1 of the book contains chapters on how disasters are conceptualized in different academic disciplines relevant to disasters. Part 2 has chapters on how ethical issues that arise in relation to disasters can be addressed from a number of fundamental normative approaches in moral and political philosophy. This book sets the stage for more focused normative debates given that no one book can be completely comprehensive. Providing analysis of core concepts, and with real-world relevance, this book should be of interest to disaster scholars and researchers, those working in ethics and political philosophy, as well as policy makers, humanitarian actors and intergovernmental organizations..

Disaster Theory: An Interdisciplinary Approach to Concepts and Causes offers the theoretical background needed to understand what disasters are and why they occur. Drawing on related disciplines, including sociology, risk theory, and seminal research on disasters and emergency management, Disaster Theory clearly lays out the conceptual framework of the emerging field of disaster studies. Tailored to the needs of advanced undergraduates and graduate students, this unique text also provides an ideal capstone for students who have already been introduced to the fundamentals of emergency management. Disaster Theory emphasizes the application of critical thinking in understanding disasters and their causes by synthesizing a wide range of information on theory and practice, including input from leading scholars in the field. - Offers the first cohesive depiction of disaster theory - Incorporates material from leading thinkers in the field, as well as student exercises and critical thinking questions, making this a rich resource for advanced courses - Written from an international perspective and includes case studies of disasters and hazards from around the world for comparing the leading models of emergency response - Challenges the reader to think critically about important questions in disaster management from various points of view

“What a wonderful resource!"--Doody's Medical Reviews “The 4th Edition is unique in recognizing the rapid changes in both the causes of crises and the latest attempts to provide timely multidisciplinary approaches to the practice of this growing specialty...Evident throughout this edition is the call to identify crisis leadership among the increasingly talented base of nurses who have responsibility to move the profession to recognize and accept that they can be advocates for better planning, coordination, education and training.” - Frederick M. Burkle, Jr., MD, MPH, DTM, PhD(Hon.), FAAP, FACEP Senior Fellow & Scientist, Harvard Humanitarian Initiative, Harvard University & T.C. Chan School of Public Health From the Foreword “This impressive edition builds upon the solid foundation of the first three award-winning editions with an expanded focus on climate change related disasters, globalization and its implications for emerging and re-emerging infectious diseases, the accommodation of high-risk, high-vulnerability populations, and the potential for disaster arising from a world witnessing increasing community violence and civil unrest.” -Patricia M. Davidson, PhD, MED, RN, FAAN Professor & Dean, Johns Hopkins School of Nursing From the Foreword “The contributing authors read like a “Who’s Who” of disaster leaders. They lend their special expertise and insights, which are supported and elucidated by cogent learning strategies in the use of case studies, student questions, and packed content in all areas of disaster participation, preparedness, policies, and research. For over 16 years [this book] has been the hallmark text in its field and this edition proves to be the best ever.” -Loretta C. Ford, RN, PNP, EdD Dean Emeritus, University of Rochester School of Nursing Founder of the National Nurse Practitioner Program Member, National Women’s Hall of Fame Featuring the most current, valid, and reliable evidence-based content available, this three-time AJN winner once again presents an unparalleled resource for disaster and emergency preparedness. Disasters lay heavy burdens upon healthcare systems that stretch all levels of society. While natural and man-made disasters are not new, the global nature, rate, type, and totality of their impact has only increased. The fourth edition of this foundational text uniquely addresses the rapid changes in these crises and analyzes the latest attempts to provide timely, multidisciplinary healthcare. Nurses consistently comprise seventy or more percent of responders to local, national, regional, and global crises, and represent a potentially untapped resource to achieve surge capacity goals and optimize population health outcomes. Considering recent world events and increasing geopolitical tensions, Disaster Nursing and Emergency Preparedness, Fourth Edition now features expanded content on the ubiquitous threat of terrorism, potential detonation of thermonuclear weapons, emerging and reemerging infectious diseases, and increasing frequency and intensity of natural disasters from climate change. This text promotes competency-based expert nursing care during disasters and positive health outcomes for small and large populations consistent with the Federal Disaster Response Framework. Whenever possible, content is mapped to published core competencies for preparing health professions’ students for response to terrorism, disaster events, and public health emergencies. The fourth edition retains the clearly organized format in each chapter that includes an overview, learning objectives, a summary, and case study with reflective questions. New to the Fourth Edition: Addresses the most recent landmark agreements Sendai Framework for Disaster Risk Reduction 2015–2030, the United Nations’ Sustainable Development Goals, and the Paris Climate Agreement Covers public health emergencies involving community violence and civil unrest Expands coverage of planning for and accommodating high-risk, high-vulnerability populations Aligns with the U.S. National Health Security Strategy and the National Planning Frameworks Provides focused content on medical countermeasures Includes an improved instructor package with guide, PowerPoint slides, and case studies with questions for reflection in every chapter

A Marxist-feminist approach examining disaster relief in the US.

This handbook is a ‘one-stop shop’ for current information, issues and challenges in the fields of research ethics and scientific integrity. It provides a comprehensive coverage of research and integrity issues, both within researchers’ ‘home’ discipline and in relation to similar concerns in other disciplines. The handbook covers common elements shared by disciplines and research professions, such as consent, privacy, data management, fraud, and plagiarism. The handbook also includes contributions and perspectives from academics from various disciplines, treating issues specific to their fields. Readers are able to quickly source the most comprehensive and up-to-date information, protagonists, issues and challenges in the field. Experienced researchers keen to assess their own perspectives, as well as novice researchers aiming to establish the field, will equally find the handbook of interest and practical benefit. It saves them a great deal of time in sourcing the disparate available material in these fields and it is the first ‘port of call’ for a wide range of researchers, research advisors, funding agencies and research reviewers.The most important feature is the handbook’s ability to provide practical advice and guidance to researchers in a wide range of disciplines and professions to help them ‘think through’ their approach to difficult questions related to the principles, values and standards they need to bring to their research practice.