Ethics test TWO Flashcards
What is the foundation of healthcare ethics?
Belmont report
Belmont report
Ethical principles and guidelines for the protection of human subjects”
The cornerstone of ethical principles upon which the federal regulations are based
* Respect for persons
* Beneficence
* Justice
What are the legal and ethical standards around patient data?
HIPAA
HIPAA
A major goal to assure that individuals’ health information is properly protected while allowing the flow of health information needed to provide and promote high-quality health care and to protect the public’s health and well-being.
What are tough ethical issues in healthcare?
Abortion/genetic screening of embryos
Allocation of healthcare resources
Euthanasia
Beauchamp & Childress’s Healthcare versus natural law counterparts***
Autonomy versus Freedom
Benefice versus Care
Nonmaleficence versus Respect
Justice versus Impartiality
Moschella’s points response to mr. bill
The principles of Beauchamp and Childress are not that helpful in their attempt to be value-free and tend to collapse to the principle of Respect for autonomy
Natural law response to mr bill
the right to make a free choice is not everything (it’s instrumental) It is important to make the right choice. Also, remember the rejection of the subjectiveness thesis (what is good for me is good.)
Mr. Bill situation
Bill is an 80-year-old widower who previously had a pacemaker installed to regulate his heartbeat. The pacemaker is not painful or burdensome. Bill’s heart no longer works on its own, turning off the pacemaker will kill Bill. Bill has witnessed some memory issues and is scared to end up with Alzheimer’s like his wife, therefore he wishes to have his pacemaker turned off.
* Should Bill’s doctor agree to his request?
* What ethical principles or framework are you basing your response on?
Natural law (who did what and why?)
Object: (the main immediate goal)
End (Intended purpose)
Circumstances (mitigating factors) All must be good for the action to be good (Principle of perfection)
Natural law judging actions
Impermissible (violates respect for persons’ basic human goods)
Permissible (the default)
Obligatory (promote care and positivity)
Natural law Norms
Positive (you should…)
Presence of negative norms
Scientistic -ethics of human enhacement technologies
Push the science pedal to the metal its out destiny
Ulitarian- ethics of human enhacement technolgies
for humanity as a whole, are HET a positive or negative? benefit the whole good
Healthcare-ethics of human enhacement technologies
(Beauchamp and Childress)
Autonomy-patients right
Beneficance-promote good
Nonmaleficence: do no harm
Justice: treat all patients equally
Natural law-ethics of human enhancement technologies
Treatment versus enhancement
Contribution to or inhibition of human flourishing (Elberg’s approach)
Dealing with the induvial human person and how they personally achieve human flourishing
Michael Bess says pursue what is good and avoid what is bad, what ethical system would this be related to when talking about human enhacement technologies?
Natural law ethics
Erberls analysis on human enhacement technolgies is not based on treatment versus enhacement, rather?
On whether human enhacement technolgies promote human flourishing
Does not consider societal disruptions like kiling fetus and embryos
How does Eberle distinguish between illicit “post humans” and the enhanced more actualized humans?
If this enhancement is associating with the basic human good is enhanced actualized humans and changing basic human goods would be illicit post humans
How does Eberls worldview relate to slack and wise?
Slack and wise state perceptual dissatisfaction is when the body is overcoming the limitations, but we should just meet the basic needs, Eberle says overcoming the limitations of the body is okay just as long as it’s for the basic human goods
Eberls main points on HET and moraliy
Cognitive
drugs (nootropics) neural stimulation, supplements, computer programs, brain computer interfaces
Eberle says licit unless they detract from human agency
Eberls main points on HET and morality
Physical
plastic surgery, performance enhancing drugs, exoskeletons, pacemakers, organ replacement, gene therapy
Eberle said these are licit if not for vanity or athletic completeness
Eberls main points on HET and morality
Emotive
mood enhancers
Eberle states that they should be limited to treating clear maladies
Eberls main points on HET and morality
Moral
reduce aggression, xenophobia, self-centeredness.
Eberle states that they are ONLY acceptable if they lead to authentic improvement in character
Neuralink (and similar) example of one of these technologies
Bluetooth implant in the head to help people with disabilities is undeniable
Issues arise with the neurolink bluetooth
- What about enhancing healthy people?
- What about being able to both read and write to the brain?
- Does this promote flourishing of the many or control by the few.
- Beware the “bait-and switch”
Neuralink Roadmap
- Mind mouse
- Artificial eye
- Control of limbs
- Cyborgs
- Data security, brain hacking
- Defeating the Borg or becoming the Borg? WWED?
Transhumanism
a movement which advocates for the enhancement of the human condition by developing and making widely available sophisticated technologies able to greatly enhance longevity, mood, and cognitive abilities
The end goal of transhumanism
defeat suffering, pain, disease, inequality, and death though biotechnology implants
Posthumanism defections
one being that humans will become immortal through some sort of upload, or cyborg technology. Possibly humans would be replaced by a successor non-biological “species”
Is a transhuman future already inevitable?
Smartphones as extensions of ourselves
Prosthetics, neural implants, interest of bodies
Microchipping
Vaccine, passports, digital IDs
Metaverse AR/VR
Is resistance to transhumanism useless?
Politcail parties, the amish, ted “unabomber” kaczynski model
Transhumanism as religion
Scientistic
No afterlife, but eternal earthly life
Perfectibility of man and society
Technology as savior
Limiting body ad essential digitizable mind
Death and suffering useless, wrong
We are (can be) gods
Christianity as religion
Supernatural
Afterlife (heaven or hell)
Fallen nature of humanity
Christ as savior
Holy body soul
Death and suffering have purpose
God is our creator, him alone should we serve
Technolgies of genetic engineering
Genetic testing/screening/selection
In-Virto fertilization (IVF)
Gene manipulation (Cas-9)
Cloning
Genetically modified foods (GMO)
Designer babies
Moral libetranism on genetic engineering
Parents will have the right to do with their pregnancies, free will, and autonomy would make something moral
Natural law on genetic engineering
Will be opposed to many of these technologies, especially IVF the catholic church has been against this for a while, this would break up the holistic system of family and marriage
Utilitarnism on gentic engineering
Way the pros and cons of these genetic technologies, whatever will produce the greatest pleasure will be morally right
Do you have to stay consistent with one ethical system?
Yes, can not change with situations
Why you do you can be a problem?
Judgement
Eugenics
Set of beliefs and practices that aim to improve the genetic quality of the human population by selecting desirable traits and eliminating undesirable ones
Eugenics positive measures
such as encouraging people with certain characteristics to reproduce
Eugenics negative measures
such as preventing or sterilizing with other characteristics from reproducing
Hard eugenics
nazi Germenary, usually why eugenics has a bad reputation
Soft eugenics
preserves someone’s free will but peoples decisions would be consistent with eugenic ends
(examples: the cultural disapproval of the god children in Gattaca or the Down syndrome testing in Denmark)
“Curing” down syndrome
The Danish practice described in the article provides mothers with a down syndrome diagnosis to use in deciding whether to have an abortion
Nearly all expecting mothers take the test. After a down syndrome diagnosis 95% choose to abort. As a result, down syndrome is becoming very rare in Denmark
Who does the danish curing down syndrome benefit?
Parents, children, society
Gattaca
Sex selection
genetic selection
De facto discrimination based on genetics
Secret DNA checks of potential partners
Can the danish testing program become a success? how do thoughts on abortion come into play?
Yes, however abortion can be issue because you are still killing a life no matter if they have down syndrome or not
Euthanasia
an act of intentional killing. It is distinguished from withdrawing a futile or harmful treatment in “let someone die.”
The ultimate battleground for contemporary moral theories?
euthanasia
Who is involved in euthanasia?
Patient and her agent
What is being done in euthanasia?
Killing the patient
Why is euthanasia being done?
To relieve the patient from suffering
Natural law perspective euthanasia
**Voluntary active euthanasia VIOLATES natural law according to basic natural logic
Utilitarian perspective euthanasia
Kill the patient to decrease misery in the world. Other choices? Should family and friends get a veto
Deontological argument
A norm against euthanasia is irrational (Gomes Logos disagrees, gives example of the lorry truck driver)
Autonomy perspective euthanasia
Gomez logos says autonomy becomes comprised when patient is in dire condition
Does natural law always agree with autonomy?
No, natural law says that autonomy can sometimes be naturally wrong
Physicians or others shouldnt be expected to kill people because?
They have autonomy themselves
“Euthanasia is the ultimate failure to care for someone in need.”
Gomez logo says to value family and friends and live a longer life
Medical assistance in dying agrees with what theory?
Autonomy
To qualify for Medical assistance in dying you must…
Be eligible for health services funded by a province or territory
Be at least 18 years old and mentally competent
**Have a grievous and irremediable medical condition
Does a patient need to have a fatal or terminal medical condition to be considered for medical assistance in dying?
No
A patient with a mental illness wants to know if they qualify for medical assistance in dying, what would the response be?
No you are not eligible.
Imperfected members of society who cannot afford the cost of living, would they be considered for medical assistance in dying?
yes
False binary
suffer or die
3rd options: pallative care, social services, family and community support
Silppery slopes and other concerns with assisted dying
Death as an acceptable problem-solving option for individuals and society
State sponsorship provides financial and other incentives saves the government money
Eventual perception of natural deathers as selfish and antisocial
CS lewis (ancient wisdom)
Honor the father and mother
To care for parents
Children old men, the poor, and the sick should be considered as the lords of the atmosphere
You will see them take care of widows, orphans, and old men never reapproaching them
A good death from natural law perspective
Respects one’s dignity
Recognizes that all human life is valuable including people viewed by some as useless
Minimizes needless suffering
Christian perspectives: life is a gift from God from conception to natural death
Studies find what type of correlation with social media, and well being?
Negative correlation
Social media for self presentation
bad: comparing to others
good: reviewing your own profile