The Occasional Human Sacrifice is an intellectual inquiry into the moral struggle that whistleblowers face, and why it is not the kind of struggle that most people imagine.

Carl Elliott is a bioethicist at the University of Minnesota who was trained in medicine as well as philosophy. For many years he fought for an external inquiry into a psychiatric research study at his own university in which an especially vulnerable patient lost his life. Elliott's efforts alienated friends and colleagues. The university stonewalled him and denied wrongdoing until a state investigation finally vindicated his claims.

His experience frames the six stories in this book of medical research in which patients were deceived into participating in experimental programs they did not understand, many of which had astonishing and well-concealed mortality rates. Beginning with the public health worker who exposed the Tuskegee Syphilis Study and ending with the four physicians who in 2016 blew the whistle on lethal synthetic trachea transplants at the Karolinska Institute, Elliott tells the extraordinary stories of insiders who spoke out against such abuses, and often paid a terrible price for doing the right thing.

Life is hard in the Beardsley Terrace housing projects of Bridgeport, Connecticut, and seventeen-year-old Jesse Westbrook has built a dangerous reputation for himself by necessity. His family offers a calming, supportive environment, even if his stepfather has questionable mob connections.

However, Jesse's life soon takes a tragic turn when his mother and stepfather are brutally murdered on the orders of Eddie DeLuca, a mobster who doubles as Bridgeport's police chief.

Vowing to exact revenge, Jesse becomes a feared presence on the streets, dealing heroin until an overdose robs him of his main girl. Enlisting in the army, the young man fights in Vietnam, where he makes an important discovery: he enjoys killing.

Now Jesse's back in the projects, running a feared street gang and tangling with the mob, rival gangs, and the cops. It's only a matter of time before Jesse comes to the attention of Eddie DeLuca, now Bridgeport's mayor. A confrontation between mob boss and gang leader is brewing, and only one of them will make it out alive. It's up to Jesse to make sure DeLuca is the one who ends up in the morgue-or what's left of him.

Americans have always been the world's most anxiously enthusiastic consumers of enhancement technologies. Prozac, Viagra, and Botox injections are only the latest manifestations of a familiar pattern: enthusiastic adoption, public hand-wringing, an occasional congressional hearing, and calls for self-reliance.

In a brilliant diagnosis of our reactions to self-improvement technologies, Carl Elliott asks questions that illuminate deep currents in the American character: Why do we feel uneasy about these drugs, procedures, and therapies even while we embrace them? Where do we draw the line between self and society? Why do we seek self-realization in ways so heavily influenced by cultural conformity?

Prozac and its chemical cousins, Paxil, Celexa, and Zoloft, are some of the most profitable and most widely used drugs in America. Their use in the treatment of a multitude of disorders -- from generalized anxiety disorder and premenstrual syndrome to eating disorders and sexual compulsions -- has provoked a whirlwind of public debate. Talk shows ask, Why is Prozac so popular? What, exactly, do these drugs treat? But sustained critical discussion among bioethicists and medical humanists has been surprisingly absent.

The eleven essays in Prozac as a Way of Life provide the groundwork for a much-needed philosophical discussion of the ethical and cultural dimensions of the popularity of SSRI antidepressants. Focusing on the increasing use of medication as a means of self-enhancement, contributors from the fields of psychiatry, psychology, bioethics, and the medical humanities address issues of identity enhancement, the elasticity of psychiatric diagnosis, and the aggressive marketing campaigns of pharmaceutical companies. They do not question the fact that these antidepressants can, in some cases, provide great benefit to alleviate real suffering. What they do question is the abundant popularity of these drugs and that popularity's relationship to American culture and ideas of selfhood.

Contributors:
Tod Chambers, Northwestern University Feinberg School of Medicine, Chicago
David DeGrazia, George Washington University
James C. Edwards, Furman University
Carl Elliott, University of Minnesota Center for Bioethics
David Healy, University of Wales College of Medicine
Laurence J. Kirmayer, McGill University
Peter D. Kramer, Brown University
Erik Parens, The Hastings Center
Lauren Slater, AfterCare Services, Boston
Susan Squier, Pennsylvania State University
Laurie Zoloth, Northwestern University Center for Genetic Medicine, Chicago

This deeply moving story chronicles the tenacity and vision that carried Carl Elliott from the hills of northwest Alabama to eight distinguished terms in the United States House of Representatives.

Born in a log cabin on a tenant farm in 1913, Carl Elliott worked his way through The University of Alabama during the Great Depression and was elected to Congress in 1948. With a no-nonsense philosophy of fairness and equal opportunity, he established himself as one of the most effective members of the House of Representatives during the 1950s. He was a progressive Democrat and he fought hard for the dirt farmers and coal miners he grew up with and who sent him to Congress.

In an era when racial segregationists dominated southern politics, Elliott worked with many of the important political leaders of the 20th century, including Presidents Truman, Eisenhower, and Kennedy and powerful House Speaker Sam Rayburn. He was instrumental in passing the National Defense Education Act of 1958, which continues to provide college loans to more than 20 million Americans. But his brave stand against racism and George Wallace in the 1966 Alabama gubernatorial race ruined him professionally (he never returned to elected office) and financially (he cashed in his congressional pension to help fund the campaign). Even as a destitute invalid in his old age, however, Elliott kept his dignity and integrity intact.

The life story of Carl Elliott is full of humor and wry wisdom and explains how he made his way across a stage as big as America, influencing its politics and future, and then emerged, belatedly, as an unsung hero of the fight for civil rights and equality.

Yellow Mill River is a 40 year saga about the rise and fall of an African-American Crime Family headed by a man named, Maurice Mo Lomax. At the age of 15, young Mo is forced to leave Alabama and move to the Yellow Mill Village Projects in the Industrial City of Bridgeport, Connecticut. As a youngster, Mo meets and befriends a young Bootlegger by the name of Guy Lee. Together, the two young men get involved with and soon work for the Italian Mafia. Once Mo is given carte blanche treatment for killing a rival mobster, he soon starts his own Crew. As the years pass, Yellow Mill Village is renamed, Father Panik Village and not only do Mo and Guy get their friends involved, they also bring in numerous relatives including their offspring who help launch the family into the drug business. This Novel is a fictional account of how Drugs and violence have lined the pockets of it's hustlers as well as brought tragedy to many of America's families.

Walker Percy brought to his novels the perspective of both a doctor and a patient. Trained as a doctor at Columbia University, he contracted tuberculosis during his internship as a pathologist at Bellevue Hospital and spent the next three years recovering, primarily in TB sanitoriums. This collection of essays explores not only Percy's connections to medicine but also the underappreciated impact his art has had-and can have-on medicine itself.
The contributors-physicians, philosophers, and literary critics-examine the relevance of Percy's work to current dilemmas in medical education and health policy. They reflect upon the role doctors and patients play in his novels, his family legacy of depression, how his medical background influenced his writing style, and his philosophy of psychiatry. They contemplate the private ways in which Percy's work affected their own lives and analyze the author's tendency to contrast the medical-scientific worldview with a more spiritual one. Assessing Percy's stature as an author and elucidating the many ways that reading and writing can combine with diagnosing and treating to offer an antidote to despair, they ask what it means to be a doctor, a writer, and a seeker of cures and truths-not just for the body but for the malaise and diseased spirituality of modern times.
This collection will appeal to lovers of literature as well as medical professionals-indeed, anyone concerned with medical ethics and the human side of doctoring.

Contributors. Robert Coles, Brock Eide, Carl Elliott, John D. Lantos, Ross McElwee, Richard Martinez, Martha Montello, David Schiedermayer, Jay Tolson, Bertram Wyatt-Brown, Laurie Zoloth-Dorfman

By New Yorker and Atlantic writer Carl Elliott, a readable and even funny account of the serious business of medicine.

A tongue-in-cheek account of the changes that have transformed medicine into big business. Physician and medical ethicist Carl Elliott tracks the new world of commercialized medicine from start to finish, introducing the professional guinea pigs, ghostwriters, thought leaders, drug reps, public relations pros, and even medical ethicists who use medicine for (sometimes huge) financial gain. Along the way, he uncovers the cost to patients lost in a health-care universe centered around consumerism.

Addresses the question: Can we apply ordinary standards of responsibility to the mentally disordered offender?

In The Rules of Insanity, Carl Elliott draws on philosophy and psychiatry to develop a conceptual framework for judging the moral responsibility of mentally ill offenders. Arguing that there is little useful that can be said about the responsibility of mentally ill offenders in general, Elliott looks at specific mental illnesses in detail; among them schizophrenia, manic-depressive disorders, psychosexual disorders such as exhibitionism and voyeurism, personality disorders, and impulse control disorders such as kleptomania and pyromania. He takes a particularly hard look at the psychopath or sociopath, who many have argued is incapable of understanding morality. Making extensive use of psychiatric case histories, Elliott explores the various ways in which mental illness can affect a person's intentions and thus excuse him or her from moral responsibility.

Walker Percy brought to his novels the perspective of both a doctor and a patient. Trained as a doctor at Columbia University, he contracted tuberculosis during his internship as a pathologist at Bellevue Hospital and spent the next three years recovering, primarily in TB sanitoriums. This collection of essays explores not only Percy's connections to medicine but also the underappreciated impact his art has had--and can have--on medicine itself.
The contributors--physicians, philosophers, and literary critics--examine the relevance of Percy's work to current dilemmas in medical education and health policy. They reflect upon the role doctors and patients play in his novels, his family legacy of depression, how his medical background influenced his writing style, and his philosophy of psychiatry. They contemplate the private ways in which Percy's work affected their own lives and analyze the author's tendency to contrast the medical-scientific worldview with a more spiritual one. Assessing Percy's stature as an author and elucidating the many ways that reading and writing can combine with diagnosing and treating to offer an antidote to despair, they ask what it means to be a doctor, a writer, and a seeker of cures and truths--not just for the body but for the malaise and diseased spirituality of modern times.
This collection will appeal to lovers of literature as well as medical professionals--indeed, anyone concerned with medical ethics and the human side of doctoring.

Contributors. Robert Coles, Brock Eide, Carl Elliott, John D. Lantos, Ross McElwee, Richard Martinez, Martha Montello, David Schiedermayer, Jay Tolson, Bertram Wyatt-Brown, Laurie Zoloth-Dorfman

Slow Cures and Bad Philosophers uses insights from the philosophy of Ludwig Wittgenstein to rethink bioethics. Although Wittgenstein produced little formal writing on ethics, this volume shows that, in fact, ethical issues permeate the entirety of his work. The scholars whom Carl Elliott has assembled in this volume pay particular attention to Wittgenstein's concern with the thick context of moral problems, his suspicion of theory, and his belief in description as the real aim of philosophy. Their aim is not to examine Wittgenstein's personal moral convictions but rather to explore how a deep engagement with his work can illuminate some of the problems that medicine and biological science present.
As Elliott explains in his introduction, Wittgenstein's philosophy runs against the grain of most contemporary bioethics scholarship, which all too often ignores the context in which moral problems are situated and pays little attention to narrative, ethnography, and clinical case studies in rendering bioethical judgments. Such anonymous, impersonal, rule-writing directives in which health care workers are advised how to behave is what this volume intends to counteract. Instead, contributors stress the value of focusing on the concrete particulars of moral problems and write in the spirit of Wittgenstein's belief that philosophy should be useful. Specific topics include the concept of good dying, the nature of clinical decision making, the treatment of neurologically damaged patients, the moral treatment of animals, and the challenges of moral particularism.
Inspired by a philosopher who deplored professional philosophy, this work brings some startling insights and clarifications to contemporary ethical problems posed by the realities of modern medicine.

Contributors. Larry Churchill, David DeGrazia, Cora Diamond, James Edwards, Carl Elliott, Grant Gillett, Paul Johnston, Margaret Olivia Little, James Lindemann Nelson, Knut Erik Tranoy

Slow Cures and Bad Philosophers uses insights from the philosophy of Ludwig Wittgenstein to rethink bioethics. Although Wittgenstein produced little formal writing on ethics, this volume shows that, in fact, ethical issues permeate the entirety of his work. The scholars whom Carl Elliott has assembled in this volume pay particular attention to Wittgenstein's concern with the thick context of moral problems, his suspicion of theory, and his belief in description as the real aim of philosophy. Their aim is not to examine Wittgenstein's personal moral convictions but rather to explore how a deep engagement with his work can illuminate some of the problems that medicine and biological science present.
As Elliott explains in his introduction, Wittgenstein's philosophy runs against the grain of most contemporary bioethics scholarship, which all too often ignores the context in which moral problems are situated and pays little attention to narrative, ethnography, and clinical case studies in rendering bioethical judgments. Such anonymous, impersonal, rule-writing directives in which health care workers are advised how to behave is what this volume intends to counteract. Instead, contributors stress the value of focusing on the concrete particulars of moral problems and write in the spirit of Wittgenstein's belief that philosophy should be useful. Specific topics include the concept of good dying, the nature of clinical decision making, the treatment of neurologically damaged patients, the moral treatment of animals, and the challenges of moral particularism.
Inspired by a philosopher who deplored professional philosophy, this work brings some startling insights and clarifications to contemporary ethical problems posed by the realities of modern medicine.

Contributors. Larry Churchill, David DeGrazia, Cora Diamond, James Edwards, Carl Elliott, Grant Gillett, Paul Johnston, Margaret Olivia Little, James Lindemann Nelson, Knut Erik Tranoy

First published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.

Drawing on the work of Ludwig Wittgenstein and novelists such as Walker Percy, Paul Auster and Graham Greene, A Philosophical Disease brings to the bioethical discussion larger philosophical questions about the sense and significance of human life.
Carl Elliott moves beyond the standard menu of bioethical issues to explore the relationship of illness to identity, and of mental illness to spiritual illness. He also examines the treatment of children born with ambiguous genitalia, the claims of Deaf culture, and the morality of self-sacrifice. This book focuses on a different sensibility in bioethics; how we use concepts, and how they relate to our own particular social institutions.

Money-Making Mitch Moody has the best of both worlds. Not only is he one of Bridgeport, Connecticut's top street-numbers bookies, his father is one of the wealthiest men in America which says a lot for a Black man in 1943. Suddenly, both worlds collide when his uncle and business partner is brutally murdered during a numbers house robbery. After Mitch makes a decision to give up the street-life, his father gives him an opportunity to prove his worth by building an All Colored baseball team from scratch.
Mitch's journey takes the team on a roller coaster ride against the world's best baseball players in the world, including both Major League and Negro League players. They must also deal with the extreme racism in the game that at the time, continued to ban players of color from playing in the Major Leagues. The name of the team soon became the BRIDGEPORT ELITE TIGERS.
With the color barrier on the way to being broken, the Elite Tigers earn the respect from players of all races. That includes Negro League legends like Satchel Paige and Josh Gibson who have something they all want and are willing to play for.

The Occasional Human Sacrifice is an intellectual inquiry into the moral struggle that whistleblowers face, and why it is not the kind of struggle that most people imagine.

Carl Elliott is a bioethicist at the University of Minnesota who was trained in medicine as well as philosophy. For many years he fought for an external inquiry into a psychiatric research study at his own university in which an especially vulnerable patient lost his life. Elliott's efforts alienated friends and colleagues. The university stonewalled him and denied wrongdoing until a state investigation finally vindicated his claims.

His experience frames the six stories in this book of medical research in which patients were deceived into participating in experimental programs they did not understand, many of which had astonishing and well-concealed mortality rates. Beginning with the public health worker who exposed the Tuskegee Syphilis Study and ending with the four physicians who in 2016 blew the whistle on lethal synthetic trachea transplants at the Karolinska Institute, Elliott tells the extraordinary stories of insiders who spoke out against such abuses, and often paid a terrible price for doing the right thing.