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 shows how individual and government preparation and response to hurricanes, earthquakes, tornadoes, wildfires, pandemics, and other disasters are ethical matters. Confronting the social inequalities revealed by these disasters, we must also acknowledge how the lack of preparation for climate change and pandemics has shifted these threats from modern, isolated disasters into constant contemporary risks. This second edition presents four new chapters about disaster-as-risk from; climate change, the natural elements of earth, air, wind, and fire; the COVID-19 and other pandemics; and innocent victims and refugees. Now more than ever, we need good and just moral principles to guide us through the disruptive crises ahead––especially for minorities. Humanism and humanitarianism are vital. Zack combines moral philosophy, political theory, public policy, and environmental science to present new ways to think about changes in the world we all share.

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