Life and death under high technology medicine, Ian Robinson. Part 1 Understanding life in the context of high technology medicine: the social consequences of advances in the clinical applications of genetics, Martin Bobrow and Elizabeth Manners; screening for fetal and genetic disease - some social and psychological consequences, Martin Richards and Jo Green; the human genome project - creator of the potentially sick, potentially vulnerable and potentially stigmatised?, Regina Kenen; displacing knowledge - the consequences for kinship, Marilyn Strathern. Part 2 Social and ethical issues in managing the use of high technology medicine: ethical and economic aspects of life saving technologies, Bryan Jennett; the social consequences of the development of the artificial heart, Thomas Preston; biotechnology, profits and patients - how should the law respond?, Michael Freeman; a monopsonistic market - or how to buy and sell human organs, tissues and cells ethically, Charles Erin and John Harris. Part 3 The cultural context of choice in relation to high technology medicine: making choices about death, Roger Higgs; contests with death - ideologies of nationalism and internationalism in Japan, Margaret Lock; what is power? how is decision? the heart has its reasons, Ronald Frankenberg. Part 4 Understanding the social role and development of high technology medicine: the lay understanding of scientific medicine, Michael Calnan and Simon Williams; a social role for technology - making the body legible, David Armstrong; rehabilitating sick people - high technology medicine and the reconstruction of normal possibilities, Ian Robinson; technology, medicine and the psychosocial context - the case of psychoneuroimmunology, Margot Lyon.