Authors
Table of Contents
Aspen Publishers
Faculty Page
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Mark A. Hall
Fred D. and Elizabeth L. Turnage
Professor of Law and Public Health

Wake Forest University

Mary Anne Bobinski
Dean and Professor of Law
University of British Columbia Faculty of Law
David Orentlicher
Samuel R. Rosen Professor of Law
Indiana University Robert H. McKinney School of Law
 

This is the website for the complete 7th edition.

For the softbound volumes, see The Law of Health Care Finance and Regulation (2d ed.),
Bioethics and Public Health Law (2d ed.), and Medical Liability and Treatment Relationships (2d ed.)

For the previous edition, see 6th edition website.

* Significant New Developments *
 

Health Care Reform.

For a major update on the Patient Protection and Affordable Care Act, click here.

By a 5-4 vote, the U.S. Supreme Court upheld the individual mandate to purchase health care, as a valid exercise of the taxing power. By a 7-2 vote, the Court held it unconstitutional for the government to condition a state's entire amount of federal funding for Medicaid on the state's willingness to participate in the expansion of Medicaid under the Affordable Care Act. For an edited version of the Court's opinion, see here. You can listen to the audio or read the transcripts from the Supreme Court oral arguments on March 26-28, 2012. For other legal documents and updates, see Brad Joondeph's excellent blog.

End-of-Life Decisions. In May 2013, Vermont became the third state to enact an aid in dying statute and the first state to do so by legislative action. 

Washington became the second state to permit physician aid in dying in November 2008.  A voter initiative--the Washington Death with Dignity Act--that was patterned on the Oregon Death with Dignity Act passed with 58 percent support.  For the text of the act, click here.

In December 2009, the Montana Supreme Court held that physician aid in dying is permissible under Montana law.  Baxter v State, 224 P.3d 1211 (Mont. 2009).  The trial court had recognized a right to physician aid in dying under the Montana constitution, but the supreme court vacated the constitutional ruling and rested its holding on Montana statutory law.  According to the supreme court, "a terminally ill patient's consent to physician aid in dying constitutes a statutory defense to a charge of homicide against the aiding physician."

In 2010, the New York legislature finally replaced its strict common law standard for withdrawing life-sustaining treatment from incompetent patients with a more flexible approach, similar to that adopted in New Jersey, California and some other states.  Under the Family Health Care Decisions Act, family members or close friends may refuse life-sustaining treatment for patients who are terminally ill or permanently unconscious.  In addition, for other patients who have an incurable condition, family members or close friends may refuse life-sustaining treatment that is inhumane or extraordinarily burdensome.  N.Y. Pub. Health Law 2994-d.

 

Table of Contents

You will find updates and other supplemental information for each chapter by clicking on the chapter title below or scrolling down on this page to the list of subsections for each chapter. At the list of chapter subsections, you will find that there is additional material for the sections of the chapter that have links.

Chapter 1: Introduction
Chapter 2: The Treatment Relationship: Formation and Termination
Chapter 3: The Treatment Relationship: Confidentiality, Consent and Conflicts of Interest
Chapter 4: Medical Malpractice
Chapter 5: The Right and "Duty" to Die
Chapter 6: Organ Transplantation: The Control, Use and Allocation of Body Parts
Chapter 7: Reproductive Rights and Genetic Technologies
Chapter 8: Public Health Law
Chapter 9: Health Care Financing and Reform
Chapter 10: Regulation of Health Care Facilities and Transactions


Preface

Chapter 1: Introduction

  1. Overview Cases
  2. The Nature of Medical Practice
    1. Doctors and Hospitals
    2. The Culture of Medicine
    3. The Phenomenology of Sickness and Healing
    4. The Nature of Medical Judgment
    5. Evidence-Based Medicine
  3. The Health Care Financing and Delivery System
    1. Insurance and Regulation
    2. The Crisis in Coverage and Spending
    3. Changes in Financing and Delivery Systems
  4. Moral, Economic, and Political Themes
    1. Competing Paradigms
    2. Ethics and Empiricism
    3. Postmodern Critical Theory
    4. Economics
    5. Distributive Justice
Chapter 2: The Treatment Relationship: Formation and Termination
  1. The Duty to Treat
    1. The Duty to Accept Patients
    2. Wrongful Reasons to Reject Patients
  2. The Structure of the Treatment Relationship
    1. Forming a Patient-Physician Relationship
    2. Limiting the Scope of the Treatment Relationship
    3. Terminating the Treatment Relationship
Chapter 3: The Treatment Relationship: Confidentiality, Consent and Conflicts of Interest
  1. The Fiduciary Nature of the Treatment Relationship
  2. Confidentiality of Medical Information
    1. The Duty to Maintain Confidentiality
    2. The Duty to Breach Confidentiality
  3. Informed Consent
    1. Goals, Aspirations, Policies
    2. The Competing Disclosure Standard
    3. s
    4. Limiting Liability for Failure to Disclose
    5. Fiduciary Obligations, Conflicts of Interest, and Novel Disclosure Obligations
    6. Human Experimentation and Research
Chapter 4: Medical Malpractice
  1. Medical Mistakes and Quality
    1. The Nature and Extent of Medical Error
    2. Measuring the Malpractice System
    3. Approaches to Improving Quality of Care
  2. Physician Liability
    1. The Custom-Based Standard of Care
    2. Variations in the Standard of Care
    3. Qualification and Examination of Medical Experts
  3. Alternative Theories of Liability
    1. Res Ipsa and Negligence Per Se
    2. Ordinary Negligence
    3. Breach of Contract
    4. Vicarious Liability
    5. Strict Liability
    6. Products Liability
  4. Causation and Affirmative Defenses
    1. Causation
    2. Statutes of Limitations
    3. Affirmative Defenses
    4. Arbitration and Waiver of Liability
    5. Informed Consent Law
  5. Damages and Settlement
  6. Institutional Liability
    1. Hospital Liability
    2. Managed Care Liability
  7. Medical Malpractice Reform
Chapter 5: The Right and "Duty" to Die
  1. Refusal of Life-Sustaining Treatment
    1. The Competent Patient
    2. The Patient Whose Competence Is Uncertain
    3. The Incompetent Patient
  2. Physician Aid in Dying
  3. Futility
Chapter 6: Organ Transplantation: The Control, Use and Allocation of Body Parts
  1. Organ Donation
    1. Competent Organ Donors
    2. Incompetent Organ "Donors"
    3. Redefining Death
  2. Ownership and Control of the Body
    1. Mandates or Incentives for Organ Donation
    2. Ownership of Human Tissue
  3. Allocation of Organs
Chapter 7: Reproductive Rights and Genetic Technologies
  1. A Right to Procreate?
  2. A Right to Avoid Procreation?
    1. Contraception
    2. Abortion
  3. State or Federal Recognition of Fetal Interests
    1. Introduction
    2. Pregnant Women and Forced Medical Treatment
    3. Pregnant Women and Drug Use
  4. Using Reproductive Technologies to Create New Families
    1. Parenting Possibilities
    2. Gamete Donation
    3. In Vitro Fertilization and Frozen Embryos
    4. Womb and Ovum Donors
  5. Ethical and Legal Implications of Advances in Genetics
    1. Introduction
    2. Stem Cell Research
    3. Human Cloning
    4. Intellectual Property and the Ownership of Genetic Discoveries
Chapter 8: Public Health Law
  1. Public Health Strategies
    1. Medical and Legal Views of Public Health
    2. Risk Assessment and Regulatory Competence
  2. The Source and Limit of Authority to Protect Public Health
    1. Constitutional Principles
    2. Disability Discrimination
  3. Regulating Medical Treatment to Protect Public Health
    1. Restricting Consumer Choice to Protect Public Health
    2. Testing and Public Health
    3. Confidentiality, Reporting, and Contact Tracing
    4. Isolation and Quarantine
    5. Civil Commitment and Mandatory Treatment
  4. Conclusion
Chapter 9: Health Care Financing and Reform
  1. Sources of Health Insurance
    1. The Right to Health Care
    2. Private Health Insurance
    3. Public Insurance Programs
  2. Insurance and HMO Regulation
  3. ERISA Preemption
  4. Health Insurance Coverage
    1. Rationing and Discrimination
    2. Determining What is Medically Appropriate
  5. Provider Reimbursement
    1. Open-Ended Reimbursement
    2. Prospective Payment
    3. Capitation Payment
  6. Health Insurance Reform
    1. Foreign Models
    2. Reform Proposals
    3. Economic and Regulatory Theory
Chapter 10: Regulation of Health Care Facilities and Transactions
  1. Professional and Facility Regulation
    1. Professional Licensure
    2. Facility Licensure and Accreditation
    3. Certificate of Need Regulation
  2. Corporate Form
    1. Nonprofit and Public Entities
    2. Charitable Tax Exemption
    3. The Corporate Practice of Medicine
  3. Medical Staff Structure
    1. Medical Staff Bylaws
    2. Medical Staff Disputes
    3. Membership in Managed Care Networks
  4. Antitrust Law
    1. Medical Staff Boycotts
    2. Price-Fixing Law
    3. Antitrust Merger Law
  5. Referral Fee Laws

For questions or comments, please contact: healthlw@iupui.edu