"Elliott's absorbing account will make readers think again about the ways that science shapes our personal identities."—American Scientist Americans have always been the world's most anxiously enthusiastic consumers of "enhancement technologies." Prozac, Viagra, and Botox injections are only the latest manifestations of a familiar pattern: enthusiastic adoption, public hand-wringing, an occasional congressional hearing, and calls for self-reliance. In a brilliant diagnosis of our reactions to self-improvement technologies, Carl Elliott asks questions that illuminate deep currents in the American character: Why do we feel uneasy about these drugs, procedures, and therapies even while we embrace them? Where do we draw the line between self and society? Why do we seek self-realization in ways so heavily influenced by cultural conformity?

An examination of "enhancement technologies" in America considers the pervasiveness of self-improvement drugs and procedures in spite of society's general unease about their use.

By New Yorker and Atlantic writer Carl Elliott, a readable and even funny account of the serious business of medicine. A tongue-in-cheek account of the changes that have transformed medicine into big business. Physician and medical ethicist Carl Elliott tracks the new world of commercialized medicine from start to finish, introducing the professional guinea pigs, ghostwriters, thought leaders, drug reps, public relations pros, and even medical ethicists who use medicine for (sometimes huge) financial gain. Along the way, he uncovers the cost to patients lost in a health-care universe centered around consumerism.

Drawing on the work of Ludwig Wittgenstein and novelists such as Walker Percy, Paul Auster and Graham Greene, A Philosophical Disease brings to the bioethical discussion larger philosophical questions about the sense and significance of human life. Carl Elliott moves beyond the standard menu of bioethical issues to explore the relationship of illness to identity, and of mental illness to spiritual illness. He also examines the treatment of children born with ambiguous genitalia, the claims of Deaf culture, and the morality of self-sacrifice. This book focuses on a different sensibility in bioethics; how we use concepts, and how they relate to our own particular social institutions.

At a time when clinical care and biomedical research generate as much angst as they offer cures, this volume provides valuable insight into how the practice of medicine has evolved, where it is going, and how lessons from history can improve its prognosis.--Thomas S. Huddle, M.D., Ph.D. "Journal of the History of Medicine"

In this collection of eleven essays, leading doctors and bioethicists discuss the pros and cons of Prozac and America's culture of self-enhancement.

Here are the stories of some of the men and women returning from World War II, and how their lives changed because of the G.I. Bill of Rights, and how this country changed because of them. The effects were immediate and enduring--the suburbs, the middle class, America's ever-increasing number of college graduates, the lunar landing--all are tied to the G.I. Bill.