All people spend a considerable portion of their lives either as dependents or the caretakers of dependents. The fact of human dependency—a function of youth, severe illness, disability, or frail old age—marks our lives, not only as those who are cared for, but as those who engage in the work of caring. In spite of the time, energy and resources-material and emotional, social and individual-that dependency care requires, these concerns rarely enter into philosophical, legal, and political discussions. In The Subject of Care, feminist scholars consider how acknowledgement of the fact of dependency changes our conceptions of law, political theory, and morality, as well as our very conceptions of self. Contributors develop feminist understandings of dependency, reassessing the place dependency occupies in our lives and in a just social order.

This book begins with versions of the ethic of care and the ethic of justice. It argues that the ethic of care reveals important problems with the concept of autonomy, but that these problems are not present in all versions of autonomy.

Care and women's emancipation have often been seen as opposed. Politicians have begun to look again at the issue of care in the context of new reforms in the welfare state, health care policies and family law. Using concrete examples taken from parental rights cases, health care education and the public health sector. Using concrete examples taken from the practice and discourse of care, those found in parental rights issues, health care education, the family and in the public health sector, Sevenhuijsen argues for revaluation of care from a feminist perspective.

With numerous examples to supplement her rich theoretical discussion, Nel Noddings builds a compelling philosophical argument for an ethics based on natural caring, as in the care of a mother for her child. In Caring—now updated with a new preface and afterword reflecting on the ongoing relevance of the subject matter—the author provides a wide-ranging consideration of whether organizations, which operate at a remove from the caring relationship, can truly be called ethical. She discusses the extent to which we may truly care for plants, animals, or ideas. Finally, she proposes a realignment of education to encourage and reward not just rationality and trained intelligence, but also enhanced sensitivity in moral matters.

In Moral Boundaries Joan C. Tronto provides one of the most original responses to the controversial questions surrounding women and caring. Tronto demonstrates that feminist thinkers have failed to realise the political context which has shaped their debates about care. It is her belief that care cannot be a useful moral and political concept until its traditional and ideological associations as a "women's morality" are challenged. Moral Boundaries contests the association of care with women as empirically and historically inaccurate, as well as politically unwise. In our society, members of unprivileged groups such as the working classes and people of color also do disproportionate amounts of caring. Tronto presents care as one of the central activites of human life and illustrates the ways in which society degrades the importance of caring in order to maintain the power of those who are privileged.

Pervasive violence against hospitals, patients, doctors, and other health workers has become a horrifically common feature of modern war. These relentless attacks destroy lives and the capacity of health systems to tend to those in need. Inaction to stop this violence undermines long-standing values and laws designed to ensure that sick and wounded people receive care. Leonard Rubenstein—a human rights lawyer who has investigated atrocities against health workers around the world—offers a gripping and powerful account of the dangers health workers face during conflict and the legal, political, and moral struggle to protect them. In a dozen case studies, he shares the stories of people who have been attacked while seeking to serve patients under dire circumstances including health workers hiding from soldiers in the forests of eastern Myanmar as they seek to serve oppressed ethnic communities, surgeons in Syria operating as their hospitals are bombed, and Afghan hospital staff attacked by the Taliban as well as government and foreign forces. Rubenstein reveals how political and military leaders evade their legal obligations to protect health care in war, punish doctors and nurses for adhering to their responsibilities to provide care to all in need, and fail to hold perpetrators to account. Bringing together extensive research, firsthand experience, and compelling personal stories, Perilous Medicine also offers a path forward, detailing the lessons the international community needs to learn to protect people already suffering in war and those on the front lines of health care in conflict-ridden places around the world.

Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine