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Daniel Callahan, PhD and Bruce Jennings, MD

The authors are with The Hastings Center, Garrison, NY. They are writing for members of the Hastings Center Project on Ethics and Public Health: Ronald Bayer, Columbia University School of Public Health; Allan Brandt, Harvard Medical School; Daniel Callahan, The Hastings Center, Ruth R. Faden, Johns Hopkins University; Lawrence O. Gostin, Georgetown University Law School and Johns Hopkins University; Bruce Jennings, The Hastings Center; Jeffrey Kahn, University of Minnesota; Jan Malcolm, Minnesota State Department of Health; Donald R. Mattison, March of Dimes; Thomas L. Milne, National Association of County and City Health Officials; Phillip Nieburg, Centers for Disease Control and Prevention; Margaret Pappaioanau, Centers for Disease Control and Prevention; Ann Robertson, University of Toronto; Dixie E. Snider, Centers for Disease Control and Prevention; Bonnie Steinbock, State University of New York at Albany; and Douglas L. Weed, National Cancer Institute.

Correspondence: Requests for reprints should be sent to Daniel Callahan, The Hastings Center, 21 Malcolm Gordon Dr, Garrison, NY 10524-555 (e-mail: callahan{at}thehastingscenter.org).

The field of bioethics arose in the late 1960s in response to the emerging ethical dilemmas of that era. The field for many years focused in general on the dilemmas generated by high-technology medicine rather than on issues of population health and the ethical problems of public health programs and regulations. The time has come to more fully integrate the ethical problems of public health into the field of public health and, at the same time, into the field of bioethics. Public health raises a number of moral problems that extend beyond the earlier boundaries of bioethics and require their own form of ethical analysis.

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