Both feminists and others have voiced doubts about the capacity of an ethics based in care alone to address some of the concerns of feminist bioethics. The first anthology to consider this controversy, Women and Moral Theory, juxtaposed some of the leading care theorists with critics who question the significance of a gender-differentiated morality and its relevance to political and legal issues (Kittay and Meyers 1987). Critics acknowledge that gendered social structures must be taken into account, but they take exception to the distinction between masculine and feminist “voices” embedded in Gilligan’s orientation. In her 1992 work, No Longer Patient: Feminist Ethics and Health Care, Susan Sherwin extends this critique of care ethics, arguing that not only have its advocates too readily accommodated a tradition that views women’s character as always and essentially different from men’s, but that the care orientation lacks an overt political perspective that can adequately account for and unsettle patterns of domination and oppression that affect women. Numerous other feminists have expressed reservations that overlap with Sherwin’s concerns here, including Bartky (1990), H.L. Nelson (1992), Kuhse (1995), and Gould (1998).