I am grateful to numerous individuals and institutions for their support and advice. Initial work on some of the themes contained herein was completed when I was a student at Yale Medical and Law Schools. Professor Jay Katz and Dean Guido Calabresi carefully supervised projects that provided a foundation for several chapters. Dr. Robert Levine acted as my thesis adviser and provided insightful critical commentary over a period of several years.
The opportunity to develop and present a variety of impressions in this book is the result of help from numerous individuals at Harvard University. First, my Division Chief, Dr. Anthony Komaroff, was broad-minded and kind enough to be very supportive of the idea of writing a book about medical ethics and health law. Second, Deans James Vorenberg and Robert Clark of Harvard Law School allowed me to teach health law and policy for three years from 1987 to 1990. The probing questions and insightful writing of my students at Harvard Law School have greatly influenced me.
Third, the Program for Ethics in the Professions at Harvard University provided me with fellowship support in 1988-89. I learned a great deal from other participants in the fellowship, most important, Professor Dennis Thompson, the Program Director, who encouraged this project (and carefully read a first draft of chapters 1-5). Without his and the fellowship's help, I could not have undertaken the book.
I am also greatly appreciative of the help of various nameless reviewers who read and commented on a previous draft. Professor The-
odore Marmor and Professor Haavi Morreim also reviewed the book and provided me with numerous insightful criticisms and advice. They will recognize their influence in this finished project. My friend Carlisle Rex-Waller provided invaluable editorial assistance. Kim Bruno tirelessly incorporated revisions into the manuscript.
I am in the debt of those numerous physicians who have impressed me over the years with their altruistic commitment to patients, especially Drs. Leo Cooney, John Stoeckle, Marshall Wolf, and Phyllis Jen. They and others provide the idealistic basis for the doctor-patient relationship described herein. I also owe a great deal to the various patients who have taught me so much about human dignity over the last decade. I hope their lessons are reflected throughout the book. Finally, I thank my wife, Wendy, and children, Hannah and George, for all their help and affection.