The next forty years will see us through the most imperative issues in bioethics and public health today. We will face continuing challenges regarding health care reform, reproductive freedom, and euthanasia. We will confront growing disparities stemming from global development and cope with complex questions of social and environmental justice. We will grapple with the health effects of global climate change and with the implications of the rapidly expanding role of genomics in health research and practice. Bioethicists will face no (...) shortage of contentious issues in the coming decades, but as I begin my career, I wonder if we are prepared to meet them.With the topics of normative debate so ripe for discussion, it .. (shrink)