This is a vivid, thought-provoking and fascinating text on some contentious issues in contemporary medical ethics. The book acknowledges the contribution of ìAfrican traditionî and Western scholarship to the development of medical ethics as a university discipline. It questions the lack of consensus around such biomedical issues as euthanasia and traditional medicine. In many countries, the failure has resulted in public outcries. Its thrust centres on the nexus of practice and theory, and the importance of pragmatism and critical questioning in dealing with different cases on and around biomedicine. Its virtue is its significant shift from the traditional positions on selected biomedical issues to a more rigorous, pragmatic and critical questioning and understanding of the reasoning and positions of all involved and/or affected parties.