The most recommended medical ethics books

This is an unsettling, deeply disturbing book. I put it on my list because I worked with Bob Lifton (Robert Jay Lifton) in a tutorial for 2 years at Yale. He was a student of unthinkable disasters, atrocities (Hiroshima, Thought Reform and the psychology of Totalism, Nazi Doctors to name a few). For over two years, we met together regularly to discuss and try to understand what was happening in contemporary American culture, and how it was changing during the late 1960s, particularly among young people. We talked about political unrest, the Vietnam war and the Bobby Seale Black Panther trial in New Haven, the student strike and the May Day, 1970 rally, including memorable appearances by the Chicago Seven, thousands of Panther supporters, and observed by the 82nd Airborne Division. He, and his book, helped me sort out how unthinkable things could happen, and he helped me come… show more.

There are a lot of critics of the biopharmaceutical industry who belittle the contributions of this industry by accusing it of overselling the value of new medicines, underselling safety, and having numerous conflicts of interest with academic researchers.

This book details the importance of collaborations between doctors and industry for the development of new drugs. For anyone involved in pharmaceutical R&D, it is refreshing to read accounts about successful interactions that lead to breakthroughs.

Rather than look at healthcare as “good guys vs. bad guys,” this book gives great examples of partnerships that result in saving lives.

Edmund (Ed) D. Pellegrino was a man of many qualities and achievements.

He was one of the forefathers of medical ethics. He was a learned Catholic. He was hailed as a “complete physician” among “a handful of other high-profile physician leaders of the twentieth century.

In a long and remarkable career that spanned over 55 years of research and scholarship, Pellegrino published more than 550 scholarly books and articles.

In For the Patient's Good, the authors discuss the notion of beneficence as a guiding principle in medical ethics. They examine the content of the concept of 'patient good' from ethical, philosophical, and practical aspects, speaking about the duties of the medical professionals to their patients.

Ed and I used to meet during my visits to Washington. We had lengthy conversations about medical ethics, philosophy, religion (Catholicism, Judaism), and education.

He was the keynote speaker in one of the conferences I… show more.

Professor and psychiatrist Arthur Kleinman’s The Soul of Care movingly explicates the practical, emotional, and moral aspects of caregiving. Based on Kleinman’s experiences as the primary caregiver for his late wife Joan after she developed early-onset Alzheimer’s disease, this book skillfully reveals caregiving – however grueling, however much about enduring the unendurable – as resonating with emotional, moral, and, for many, religious meaning, and ultimately enabling us to realize our humanity most fully. Moreover, inspired by the work of Anne-Marie Slaughter, Kleinman poignantly argues for the importance of recognizing care as a basic human right.

Lamas, an ICU physician in Boston and New York Times guest columnist, has a distinctive gift for rendering the stories of her patients in three dimensions. Lamas is the Oliver Sachs of the ICU, exploring the ethical and emotional challenges of critical illness with eloquence and insight. By focusing on the personal elements of critical care, rather than the technological ones, she renders the complex experience of ICU patients vivid and indelible.   

This series of essays by a humane physician-historian who first attracted me to medical history examines basic ideas in medicine across centuries and cultures. Published when the author was almost a hundred, it raises important questions about medical ethics and the place of medicine in society from the Greeks onwards.

Known only to true devotees of medical ethics and the history of human research, Jay Katz’s hefty volume (1,150 pages) is a comprehensive encyclopedia of humans used as research material. Information-packed chapters cover everything from Chester Southam’s use of senile hospital patients in cancer cell injection studies during the 1960s, and the legal fallout from such indiscretions, to the ethical obligations of researchers, and the evolution of informed consent as a pillar of ethical human research. Impressive in both detail and scope, this imposing piece of scholarship is a valuable resource for anyone looking to learn the many moral and legal issues inherent in experimenting on humans. 

A lot of books by Herman Koch deal with the failures of adulthood and the inexplainable violence of men (i.e., The Dinner).

However, Summer House with Swimming Pool is littered with masculine rage and revenge as the story takes you through a doctor’s recount of the summer that changes his life – and how that affects his future procedures.

The complexity of emotion written into Dr. Marc Schlosser’s character is quite a feat, as well as the sharp dry humor throughout the book that deals with serious dark topics. 

A work of science writing might be a surprising addition to this list of storytellers, artists, and designers, but surely the life of the African American woman, mother, and cancer sufferer whose cell tissue became one of the most widely used biological lab media in contemporary medical research epitomizes creation and creativity.

Lacks’s history is a terrible story of racial anonymity and exploitation, which Skloot tells with extraordinary sensitivity. Always being sure to keep Lacks and her descendants at the forefront, Skloot both details the atrocities that sometimes underlie civilization’s progress and restores Lacks’s long overdue credit for making possible some of the most important medical advances of the twentieth century.

This book achieves the highest level of nuanced, deeply human storytelling. To me, it is one of the finest works of nonfiction ever. 

Kassirer, also like Angell a highly respected physician and former editor of the New England Journal of Medicine, first opened my eyes to how extensively drug companies use their vast wealth to turn physicians into promoters and middlemen.

I knew about the small and not-so-small gifts, speaking fees, travel junkets, and the like to individual doctors and “key opinion leaders” of the profession, but not about the “institutional conflicts of interest” gladly entered into by specialty medical societies heavily dependent on drug money for their events and activities such as scientific meetings, journal publishing, clinical practice recommendations, and, not least “continuing medical education” required by law for license maintenance.

Although Kassirer, also like Angell, proposed reforms, from what I know about conditions today, not much has changed, so On the Take remains an indispensable window into corrupted medicine.