The article is a book review of "Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine" by Albert R. Johnsen, Mark Siegler, and William J. Winslade. The reviewer, Robert L. Barry, criticizes the book for its practical but subjective and utilitarian approach to ethical decision-making in clinical medicine. Barry argues that the book's reliance on a "rough" weighing of values fails to address complex ethical dilemmas where values are deeply conflicting. He also notes that the book's lack of theoretical justification for its ethical framework could mislead practicing clinicians. Additionally, Barry suggests that the book reduces the dignity of clinical practice by treating ethical judgments as mere techniques to be applied mechanically. Overall, Barry recommends reading the book with caution due to its inadequate theoretical foundation.The article is a book review of "Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine" by Albert R. Johnsen, Mark Siegler, and William J. Winslade. The reviewer, Robert L. Barry, criticizes the book for its practical but subjective and utilitarian approach to ethical decision-making in clinical medicine. Barry argues that the book's reliance on a "rough" weighing of values fails to address complex ethical dilemmas where values are deeply conflicting. He also notes that the book's lack of theoretical justification for its ethical framework could mislead practicing clinicians. Additionally, Barry suggests that the book reduces the dignity of clinical practice by treating ethical judgments as mere techniques to be applied mechanically. Overall, Barry recommends reading the book with caution due to its inadequate theoretical foundation.