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Ethical, legal and medical progress has been made in end‐of‐life care, addressing crucial issues in the application of principles to clinical cases. However, despite the progress, there are still unresolved issues concerning the scope and effectiveness of personal decision making and the proper use of last resort measures in terminal care. An analysis of the progress discloses both the advances and the problems still confronting patients and their families. From this perspective, one gains a better understanding of the reality of terminal care and areas that call for reform.

A historical analysis reveals the interrelation between moral and legal reasoning and their differences. It also discloses developments in the moral and legal realms that recognize rights of the patient with regard to treatment decisions. A critique of ethical and legal reasoning and medical practice pin‐points the salient problems.

There are still problems in the application of legal and ethical principles to specific cases. These problems are complicated by poor physician‐patient communication, the ineffective use of advance directives and the impact of the market economy on comprehensive palliative care. These call for reform to protect personal rights and dignity at the end of life.

A historical approach, too often lacking, promotes insight into the complexities of end‐of‐life care. An analysis flowing from such a perspective pin‐points not only the advances in ethical, legal and medical practice but also the flaws and inconsistencies that call for a more realistic approach in reasoning and practice.

The health care crisis in the United States has roots that reach into the nineteenth century. An examination of the cultural, social, and economic roots should warn against piecemeal and short‐range measures to correct a fragmented system which, despite all its achievements, is draining the economy while it fails to meet the needs of millions. Unlike the Western European experience, it began as a loosely organized and loosely co‐ordinated system, responding as it grew to the forces of change: research from Europe, technological advances, corporate interests, the need for a healthier labour force, and the economic stimuli of the marketplace. Throughout the centuries, the delivery of medical care was seen in the terms of the buying and selling of a commodity. Professional and corporate groups are interested in keeping it essentially as it is by emphasizing its accomplishments and predicting setbacks of all kinds if drastic change is made. Argues that if the reformers in and out of government do not recognize the roots of the problems and the pivotal points requiring radical surgery, they will be unsuccessful in bringing about a more comprehensive and efficient health care system. A final lesson of history is that health care is a much broader reality than medical care. The health of the people depends largely on the improvement of the social and natural environment.

The relation between moral judgements, policy decisions and economic implications is a challenging subject for analysis, especially when the isues are the arms race and war‐fighting capabilities. How to translate moral judgements into policy decisions with their economic consequences is a complex and troublesome question because of the enormous stakes for national and worldwide survival. The problem confronting us is clearly illustrated by the US Catholic bishops' pastoral letter, The Challenge of Peace, May 1983, which addressed the moral dimension of the nuclear arms race and warfare without coming to grips adequately with the issues of policy decisions and economy which their moral conclusions raised. Their later pastoral letter, Economic Justice for All: Catholic Social Teaching and the US Economy, November 1986, compounded their failure by omitting to confront directly the economic implications of translating their moral conclusions into practical policies. The economic side of the arms race is a concern which must be recognised and addressed if policy decisions are to be made effective. The harshest critics of The Challenge of Peace have noted this failure realistically to confront policy decisions in terms of geopolitical, strategic and economic consequences.

Examines the impact of genetic testing and therapy on health care in light of the development of the system in the USA since the turn of the twentieth century. Genetic testing and therapy have the potential to create a great advance in health care but also to become a business of multi‐billion dollar proportions. If present trends of investment and long‐range plans mature, health care will be adversely affected in terms of its distribution, access and economy. Developed and sold as commodities in a free‐market economy, genetic advances will economically stress health care and fail to meet the ethical and legal standards demanded by voluntary informed consent and counseling. Without abandonment of the marketplace approach to health care and thorough reform, many will find themselves excluded from the benefits and vulnerable to discrimination.

Nuclear weapons confront us as the challenge of our times. To understand the special psychological and moral issues raised by nuclear arsenals and their use, we must first grasp the special nature of these weapons. In a recent book on Hiroshima and Nagasaki, the authors highlighted a fact which often escapes public attention; namely, nuclear weapons, many times more powerful than the 12.5 kiloton uranium bomb and the 22 kiloton plutonium bomb dropped respectively on Hiroshima and Nagasaki, are qualitatively different from conventional explosives.

This chapter provides a comprehensive survey of the contributions of the Austrian school of economics, with specific emphasis on post-WWII developments. We provide a brief history and overview of the original theorists of the Austrian school in order to set the stage for the subsequent development of their ideas by Ludwig von Mises and F. A. Hayek. In discussing the main ideas of Mises and Hayek, we focus on how their work provided the foundations for the modern Austrian school, which included Ludwig Lachmann, Murray Rothbard and Israel Kirzner. These scholars contributed to the Austrian revival in the 1960s and 1970s, which, in turn, set the stage for the emergence of the contemporary Austrian school in the 1980s. We review the contemporary development of the Austrian school and, in doing so, discuss the tensions, alternative paths, and the promising future of Austrian economics.

This article describes the development of a measure of role conflict. Role conflict was conceptualized as consisting of four dimensions: intrasender, intersender, interrotle, and person‐role conflict respectively. Study 1 (N = 65), which was conducted to pilot test the 96 item questionnaire (reduced from 224 items after expert rating), resulted in the reduction of the questionnaire to 43 items with three interpretable dimensions. Study 2 (N = 100) was carried out to examine the construct validity of the scale and confirm the factor structure. There was convergence with the findings of Study 1. Cronbach alpha for each subscale was adequate, and evidence of concurrent, convergent, and discriminant validities was found. Study 3 (N = 242) attempted to provide some normative data for the measure, in addition to carrying out a confirmatory factor analysis (CFA) using LISREL. The findings of Study 2 were almost duplicated, and the CFA results lent greater support to a three‐factor structure of role conflict.

This work of imaginative splendour is the product, in the first place, of Israel Kirzner's magnificient effort in designing, directing and editing a symposium in honour of Ludwig von Mises. Its contents illustrate the presence still of giants in our profession: Lachmann with fifty years of fame; James Buchanan and Stephen Littlechild who lead the van of to‐day's subjectivism. The level of excellence is carried down the list by brilliant minds: Stephan Boehm, Mario Rizzo, Lawrence White, Brian Loasby and many others.