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Taking liberties with women: abortion, sterilization, and contraception.

This paper analyzes four areas in which reproductive freedom is being denied to women. The first area involves the use of sterilization without adequate counseling as to the risk of reversibility of the method or when it is made a precondition for performing an abortion. The second concerns the sterilization technique chosen, especially in developing countries, and the failure of international population agencies to note the higher complication rates of certain procedures. The third involves the inadequate information provided to women about the side-effects of the controversial injectable contraceptive, Depo-Provera. The fourth area concerns the unethical marketing of the Dalkon Shield device. It is concluded that physicians have a responsibility to avoid allowing authoritarian attitudes or racial, class, or sex prejudices to influence their treatment of women.

Abortion, Spontaneous↗

More than mothers and whores: redefining the AIDS prevention needs of women.

Women are increasingly at risk for AIDS. At the root of this risk is women's relative lack of control over their bodies and their lives. Those women with least control, generally poor women of color, are at greatest risk in both developed and developing countries. To date, AIDS prevention programs have ignored most women, focusing almost exclusively on women in the sex industry and, more recently, prenatal women. We urgently need prevention programs for women that view women as more than "mothers and whores" and recognize that AIDS poses a real risk to many of us; programs that are sensitive to the complex realities of women's lives and offer realistic alternatives that will allow women to protect themselves from HIV infection.

Acquired Immunodeficiency Syndrome↗

Catholic providers share resources to ease world health problems.

Organizations like the United Nations Children's Fund (UNICEF) have created systems to respond to the daunting problems of malnutrition and disease throughout the world. Such systems include UNICEF's GOBI program and the World Health Organization's Health for All plan. U.S. healthcare administrators have been slow to join in these efforts. They are preoccupied with trying to financially sustain their organizations in a technologically and bureaucratically complex society and find it difficult to feel responsible for other countries' health needs. Nevertheless, Catholic healthcare providers have joined the international efforts in a number of ways. Some have initiated programs to address a specific need for a limited period, and others have made long-term commitments to specific foreign communities. But most of these projects are limited, ad hoc efforts. A number of challenges face Catholic healthcare providers. They must continue to respond to specific needs, establish institutional links with organizations abroad to address longer-term needs, and use their professional and political leverage to influence structural changes to get at the root of chronic health problems in poor countries.

Catholicism↗

Abortion and America's ethical consciousness.

America's practice of abortion is not merely a matter of medical technology but of a changing ethical consciousness. The continuing dispute over legalized abortion since the 1973 Supreme Court decision in Roe v. Wade is a conflict between two historically different ethical views of human life. This survey shows the nature and history of this conflict and its implications for America's future.

Abortion, Legal↗

Health economics--concepts and conceptual problems.

Awareness of the economic manifestation of health and diseases and the limited resources allocated to health care services has brought to the focus a new discipline - health economics. Cost accounting, cost benefit, cost effectiveness methods etc. are increasingly becoming an integral part of the health management and evaluation of health programmes. Various concepts and problems relating to health economics are discussed in the present paper. More efforts should be made to conduct health economic studies in hospitals and health centres by which the process of standardisation of the concepts, would be easier. Health economics should also find its due place in the medical curriculum.

Cost-Benefit Analysis↗