of UB's medical school, that UB developed its School of Arts and Sciences, and thus, assumed its place among the other institutions of higher education. Had Fillmore lived throughout UB's first seventy years, he would probably have been elated by the success of his university, and he should have been satisfied and pleased that UB remained intrinsically bonded to its community while at the same time engrafting the values and standards important to higher education's mission in the region. UB and its medical school have undergone many challenging transitions since 1846. Included among them were: (1) the completion of an academic campus in the far northeast comer of the City of Buffalo while leaving its medical, dental and law schools firmly situated in the core of downtown Buffalo; (2) the eventual relocation, after the second world war, of the law school to the newer campus in Amherst, and the medical and dental school to the original academic campus: and (3) the merger with the State University of New York System in 1962. Despite these significant transitions, any one of which could have changed the intrinsic integrity of UB and disrupted the bonding between community and university, that did not happen. To this day, the ties between community and academe persist. Fillmore and White should celebrate their success and important contribution to Buffalo and Western New York.

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Dedication. Ethical Issues in Health Care on the Frontiers of the Twenty First Century; S. Wear, et al. Preface: The Continued Role of Biomedical Ethics in the Next Millenium; J. Naughton. Keynote Address: Bioethics at the End of the Millenium: Fashioning Health Care Policy in the Absence of a Moral Consensus; H.T. Engelhardt. Part I: The Dilemma of Funding Health Care. The Dilemma of Funding Health Care; S. Wear. Toward Multiple Standards of Health Care Delivery: Takin Moral and Economic Diversity Seriously; H.T. Engelhardt, Jr. A Preventive Ethics Approach to the Managed Practice of Medicine: Putting the History of Medical Ethics to Work; L.B. McCullough. Saving Lives, Saving Money: Shepherding the Role of Technology; E.H. Morreim. Part II: The Human Genome Project. The Human Genome, Difference, and Disease: Nature, Culture, and New Narratives for Medicine's Future; J.J. Bono. Concepts of Disease After the Human Genome Project; E. Juengst. From Promises to Progress to Portents of Peril: Public Responses to Genetic Engineering; D. Nelkin. PKU and Procreative Liberty: Historical and Ethical Considerations; D.B. Paul. Everybody's Got Something; J.D. Moreno. Part III: The Physician/Patient Relationship. The Physician/Patient Relationship; G. Logue. A Medicine of Neighbors; K. Montgomery. Trust, Institutions, and the Physician-Patient Relationship: Implications for Continuity of Care; J.R. Rosenbaum. Can Relationships Heal - At a Reasonable Cost? H. Brody. Values and the Physician-Patient Relationship; S. Devito. General Bibliography; A. McEvoy. Notes on Contributors. Index.