Ethical issues in health care on the frontiers of the twenty-first century / Bioethics at the end of the millennium / Dilemma of funding health care / Toward multiple standards of health care delivery / Preventive ethics approach to the managed prectice of medicine / Saving lives, saving money / Human genome, difference, and disease / Concepts of disease after the human genome project / From promises to progress to portents of peril / PKU and precreative liberty / Everybody's got something / Physician/patient relationship / Medicine of neighbors / Trust, institutions, and the physician-patient relationship / Can relationships heal / Values and the physician-patient relationship