Ethics: Wicked problems

Question 1

Why can wicked problems only be temporarily solved?

Answer 1

Because they are dynamic, unstable and multifactorial

Question 2

What were the enlightenment assumptions underlying wealth redistribution?

Answer 2

All human are similar in intelligence, initiative, etc and are morally equal
The difference between rich and poor is environmental and biological beyond person’s control
Citizens have a right not to be poor
Citizens should have freedoms to have basic, fundamental good
The state should be required to act as re-distributor of goods

Question 3

What was the original argument that the government should leave he poor alone?

Answer 3

Poor unfit for survival
Government solutions will fail
Only charity not government assistance
Legal problems

Question 4

What parts of your health can you control?

Answer 4

Diet
Exercise 
Life balance
Self-care
Economic choices

Question 5

What part of health do you have no control over?

Answer 5

Genetic inheritance

Socio-economic factors that shape personality

Question 6

What is over-utilization?

Answer 6

Using more than just necessary

Question 7

What are the levels of evidence ranked most reliable to least?

Answer 7

I. Meta Analytical Studies
II. Randomized, double blinded, multicenter, placebo controlled trials
III. Controlled, nonrandomized trials
IV. Case controlled cohort studies
V. Comparative, correlational case series or studies
VI. Single Case Reports
VII. Clinical Anecdotes

Question 8

What evidence based level are most evidence based problems “fixed” with?

Answer 8

IV - VII

Question 9

What are some definitional problems in health care

Answer 9

What it means to be safe, effective and appropriate

Determining the degree of evidence that is “standard’”

Question 10

What kind of problems will physicians be seeing more of in the future?

Answer 10

Health care spending
Changing of population (life expectancy inc)
Overhead and administrative costs