Contributors ; Preface ; Introduction ; Robert M. Sade, MD ; SECTION 1: THE PROBLEM OF SURGICAL ETHICS ; Chapter 1: Ethics Gap in Surgery ; Robert M. Sade, MD, Timothy H. Williams, MD, David J. Perlman, MA, Cynthia L. Haney, JD, and Martha R. Stroud, MS ; Chapter 2: Ethics in Cardiothoracic Surgery: A Survey of Surgeons' Views ; Thomas A. D'Amico, MD, Martin F. McKneally, MD, and Robert M. Sade, MD ; SECTION 2: PROFESSIONAL INTEGRITY ; Chapter 3: Deceiving Insurance Companies: New Expression of an Ancient Tradition ; Robert M. Sade, MD ; Chapter 4: Hepatitis C Virus-Infected Resident: End of Residency, End of Career? ; Carolyn M. Dresler, MD, MPA, Michael S. Kent, MD, Richard I. Whyte, MD, MBA, Robert M. Sade, MD ; Chapter 5: Must Surgeons Tell Mitral Valve Repair Candidates About a New Percutaneous Repair Device That Is Only Available Elsewhere? ; Eric R. Skipper, MD, Kevin D. Accola, MD, and Robert M. Sade, MD ; Chapter 6: The Surgeon's Work in Transition: Should Surgeons Spend More Time Outside the Hospital? ; Jamie Dickey, PhD, Ross M. Ungerleider, MD, Joseph S. Coselli, MD, Lori D. Conklin, MD, Robert M. Sade, MD ; Chapter 7: Should Sleep-Deprived Surgeons Be Prohibited From Operating Without Patients' Consent? ; Charles A. Czeisler, PhD, MD, Carlos A. Pellegrini, MD, and Robert M. Sade, MD ; Chapter 8: Are Thoracic Surgeons Ethically Obligated to Serve as Expert Witnesses for the Plaintiff? ; Donald C. Watson, Jr, MD, Francis Robicsek, MD, PhD, Robert M. Sade, MD ; SECTION 3: RELATIONSHIPS WITH PATIENTS - AUTONOMY AND CONSENT ; Chapter 9: Should a Jehovah's Witness Patient Who Faces Imminent Exsanguination Be Transfused? ; Keith S. Naunheim, MD, Charles R. Bridges, MD, ScD, and Robert M. Sade, MD ; Chapter 10: No Heroic Measures: How Soon Is Too Soon to Stop? ; Thomas A. D'Amico, MD, Mark J. Krasna, MD, Diane M. Krasna, CRNA, Robert M. Sade, MD ; Chapter 11. Should Surgical Errors Always Be Disclosed to the Patient? ; Constantine Mavroudis, MD, Constantine D. Mavroudis, MD, Keith S. Naunheim, MD, and Robert M. Sade, MD ; Chapter 12: Another Surgeon's Error: Must You Tell the Patient? ; Susan D. Moffatt-Bruce, MD, PhD, Chadrick E. Denlinger, MD, Robert M. Sade, MD ; Chapter 13. Impending Loss of Insurance Coverage is an Indication to Proceed With Complex, Expensive Surgery ; Anthony L. Estrera, MD , Sharon Ikonomidis, PhD, John S. Ikonomidis, MD, Robert M. Sade, MD ; Chapter 14: Ethical Obligation of Surgeons to Noncompliant Patients: Can a Surgeon Refuse to Operate on an Intravenous Drug-Abusing Patient With Recurrent Aortic Valve Prosthesis Infection? ; J. Michael DiMaio, MD, Tomas A. Salerno, MD, Ron Bernstein, JD, Katia Araujo, PsyD, Marco Ricci, MD, Robert M. Sade, MD ; SECTION 4: INNOVATION AND USES OF TECHNOLOGY ; Chapter 15: Surgical Innovation: Too Risky to Remain Unregulated? ; Haavi Morreim, PhD,, Michael J. Mack, MD, Robert M. Sade, MD ; Chapter 16: Who Should Adopt Robotic Surgery, and When? ; Jessica K. Smyth, MD, Karen E. Deveney, MD, Robert M. Sade, MD ; Chapter 17: Should Access to Transcatheter Aortic Valve Replacement Be Limited to High-Volume Surgical Centers? ; Joseph E. Bavaria, MD, Philip Green, MD, Gregg F. Rosner, MD, Martin B. Leon, MD, Allan Schwartz, MD, Robert M. Sade, MD ; Chapter 18: Should the Use of Transcatheter Aortic Valve Implantation be Rationed? ; John E. Mayer, Jr, MD, Grayson H. Wheatley III, MD, Robert M. Sade, MD ; SECTION 5: ORGAN DONATION AND TRANSPLANTATION ; Chapter 19: Heart Donation Without the Dead Donor Rule ; Franklin G. Miller, PhD, Robert M. Sade, MD ; Chapter 20: Saving Lives Is More Important Than Abstract Moral Concerns: Financial Incentives Should Be Used to Increase Organ Donation ; Benjamin Hippen, MD, Lainie Friedman Ross, MD, Robert M. Sade, MD ; Chapter 21: Prisoners on Death Row Should Be Accepted as Organ Donors ; Shu S. Lin, MD, PhD, Lauren Rich, RN, BSN, Jay D. Pal, MD, PhD, Robert M. Sade, MD ; SECTION 6: CONFLICTS OF INTEREST IN SURGERY ; Chapter 22: Politely Refuse the Pen and Note Pad: Gifts From Industry to Physicians Harm Patients ; Kenneth V. Iserson, MD, MBA, Robert James Cerfolio, MD, Robert M. Sade, MD ; Chapter 23: Should the Financial Link Between Industry and Physician Consultants Be Severed? ; Stephen J. Immelt, JD, Vincent A. Gaudiani, MD, Robert M. Sade, MD ; Chapter 24: Full Disclosure-Should Presentations and Publications Include Dollar Amounts and Duration of Surgeon-Industry Relationships? ; J. Peter Murphy, MD and Robert M. Sade, MD ; SECTION 7: ETHICAL ISSUES IN HEALTH CARE POLICY ; Chapter 25: Medical Ethics Collides With Public Policy: LVAD for a Patient With Leukemia ; Patrick M. McCarthy, MD,, Richard D. Lamm, LLB, CPA, Robert M. Sade, MD ; Chapter 26: Should Coronary Artery Bypass Grafting Be Regionalized? ; Brahmajee K. Nallamothu, MD, MPH, Kim A. Eagle, MD, Victor A. Ferraris, MD, PhD, Robert M. Sade, MD ; Chapter 27: A Clash of Rights: Should Smoking Tobacco Products in Public Places be Legally Banned? ; Carolyn Dresler, MD, MPA, Mark J. Cherry, PhD, Robert M. Sade, MD ; Chapter 28: Should a Medical Center Deny Employment to a Physician Because He Smokes Tobacco Products? ; James W. Jones, MD, PhD. MHA, William M. Novick, MD, Robert M. Sade, MD