Introduction; Part I. Perinatal Dilemmas: 1. God's telling me I can't trust you Kathy Johnson Neely; 2. High stakes, time pressure, and inadequate information: balancing risks in labor and delivery Annette Mendola; 3. Balancing autonomy and interdependence: ethical considerations in shared decision making and reproductive rights Jennifer M. Wimbley and Teresa Ellis; 4. Dying Together: a pandemic story Eli Weber; Part II. From Childhood to Adulthood: 5. Reasoning from faith or fact Elizabeth Lanphier and Joseph Fanning; 6. Overriding parental authority for a dying adolescent Ann Kessler and Olubukunola M. Dwyerage; 7. Can medicine fix a broken story? When a broken body is only part of the tragedy Joel Wu, Justin Penny and Jaime Konerman-Sease; 8. When we commit harm by omission: failing our most vulnerable Jessie Roske and Peter Bauck; Part III. Neurodiversity, Disability, and Respect: 9. The noble intent of clinicians and the limitations of substituted judgment in deciding for others Liz Blackler; 10. Silenced Bridget Carney; 11. It could have been me Emma J. Kagel; 12. Excluded from society: whose job is it to care (if not mine)? Elizabeth Sivertsen; Part IV. End of Life (EOL) Decision-Making: Variations on a Theme: 13. No communication, no collaboration, no trust Patricia A. Mayer; 14. Keep on keeping on? Erin Paquette, Joel Frader and Angira Patel; 15. Locked in Marion Danis; 16. The legacy of social determinants in a question of non-beneficial interventions Kristin Furfari; Part V. Hi-Tech Devices and Techniques: Challenging Paradigms: 17. Is she being doubly victimized? Vulnerabilities in LVAD eligibility Laura Guidry-Grimes and Evan DeRenzo; 18. Really, most sincerely dead? The challenge of declaring circulatory death on VA ECMO M. Jeanne Wirpsa; 19. Who controls the medical technology placed in our bodies? Maggi A. Budd and Rod Dismukes; 20. Who says it is a bridge to nowhere? Louis Voigt and Amy E. Scharf; 21. I will just go home and die Paul Ford; Part VI. Pandemic and Rural Context: 22. ECMO in the Covid-19 pandemic: weighing conflicting duties in the face of scarcity and vulnerability Kelly Turner, Jordan Potter and Jason Lesandrini; 23. Well beyond rural: Alaska, Alaskan culture, and medicine Mark F. Carr; 24. Cultural differences, misalignment, and moral distress Don C. Postema and Marlane J. Brown; 25. When a fight for life initiates a search for trust Laura B. Webster; Part VII. Complex Admissions, Stays, and Discharges: 26. Doing it to themselves: can repeated foreign body ingestion provide us ethical considerations for repeated self harm? Sara Kolmes, Kayla Tabari House and L. McLean House II; 27. Withholding food to save a life: safe medical care or human rights violation? Can it be both? Heidi Funke and Bryan Gish; 28. Relentless debridement: responding to moral distress provoked by non-beneficial surgical intervention Lauren Sankaray and Georgina Morley; 29. What's in a name? Kaarkuzhali Babu Krishnamurthy; Part VIII. Organizational Ethics Issues: 30. Disability, dignity, and risk of death: who decides? Lori Eckel and Celeste Weber; 31. Balancing facts and feelings: when patient rights and employee safety collide Katie DiDomenico, Lyla Correoso-Thomas and Yelena Zatulovsky; 32. Off the hook? TA-NRP and the pressures of organ procurement Denise Dudzinski and James N. Kirkpatrick; 33. When institutional and personal conscience collide: navigating trauma exposure and dual roles as an ethics consultant Andrea Frolic; Concluding Remarks; Index.