Exam 1 Flashcards

1
Q

Prima Facie

A
  • your first thought, “floating rules”, know through intuition, universal guide, before you reason through things & really think about it
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2
Q

Moral Agents under Prima Facie

A
  • Fidelity (no lies)
  • Justice (give happiness)
  • Beneficence (help better condition others)
  • Self-Improvement
  • Non-maleficence
    if conflict, act in the more stringent one
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3
Q

benefits of Ross’s Ethics

A

can consider unique situations

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4
Q

problems with Ross’s Ethics

A

do we all have the same intuition?
diff edu, culture, beliefs
Ex: some cultures there is a duty to uphold your reputation ..this could be more important than a morality

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5
Q

define Moral Theory

A

explains why/how we judge certain actions

-difficult to use in stressful/emergency situations

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6
Q

define Moral Principles

A

are guidelines
uncontroversial
endorsed by moral theory
use a basis to go off of

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7
Q

Principle of Non-maleficience

A

do not cause NEEDLESSS harm

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8
Q

Beneficence

A

act in a way to promote welfare

-must have practical limitations, but how are those decided

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9
Q

Principle of Utility

A

what outcome has the greatest benefit and least harm to the most amount of people

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10
Q

example of utility

A

starting a health program, there are marginal returns

-screen for a inheritable disorder for one has treatment verses screening for one that doesn’t

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11
Q

define philosophy

A

the fundamentals about everything: existence, knowledge, values and mind

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12
Q

Meta-ethics

A

what ethical properties are

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13
Q

Normative ethics

A

moral theories and systematic ways of determining right action

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14
Q

Applied ethics

A

how to answer in real life situations using moral theories

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15
Q

FIT FAT

A
used to make bioethical decisions..
Facts
Issues
Thesis - yours
For
Against
Triumph - why yours outweighs others
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16
Q

Justification of a theory DOES NOT and SHOULD NOT relate to

A

religion, faith, non-natural factors… only to rational persuations

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17
Q

Restrictions of autonomy are sometimes justified when look at these principles..
Harm, legal moralism, welfare, paternalism

A

Principle of Harm - prevent harm to others
Paternalism - to avoid one from harming self Ex: forced treatment
Legal Moralism - restrict immoral acts by making them illegal Ex: prostitution, gay marriage
Welfare principle - restrict autonomy to provide overall societal wealth/health

18
Q

Paternalism

A

is justification of limiting autonomy if it’s best for someone even if it goes against their desires

19
Q

state vs. personal paternalism

A

controlled by law vs. an individual deciding whats best for another

20
Q

example of paternalism in the medical field

A

a patient is dependent on physician to make decisions of what would be best for them
-basically have to surrender autonomy, but how much?

21
Q

Burt’s position of Physician/ patient relationship

A

it is not just the physicians job to implement patient’s desires but to ask them why, make sure they fully understand every aspect and argue with them if need be

22
Q

Informed consent

A

the power dynamite between doc and pt. One needs to be informed to make a rational decision.

23
Q

Why do we value autonomy?

A

without it we cannot determine our own lives

it is part of what makes us human is to be able to make decisions about our life

24
Q

Are we actually rational ?

25
"framing effect"
the way you word things causes a cognitive bias on how people make decisions
26
define Confirmation Bias
a republican will only look at sources by a republican
27
As humans we delay discounting in medicine.. for example...
want a cigarette now and will deal with the effects later
28
Why can we not apply kant's view to medicine?
patients are not always in a condition to give informed consent/ not rational at time when a decision needs to be made
29
"Opaque Consent"
patients aren't clear to all the implications | -consent is always limited
30
Ideal consent vs. Actual consent
we are not completely rational in situations so it is the responsibility of physician to make risks understandable -in ideal world everyone would be able to give honest consent
31
Another perspective on the fact that we are not completely rational beings...
don't follow paternalism and follow the partially rational person's decision
32
To what extent can the govt restrict our autonomy? | examples of state paternalism...
seat belt laws, no intoxicated driving, not to murder, physicians are licensed to practice med
33
Why is paternalism ok?
we can know what is in our best interest but dont always act on it. Could be a way to protect our own interests. ex: Odysseus and the sirens
34
Should mountain climbing be restricted because it is dangerous? Can rational agents say they want to be restricted?
depends
35
Why are children an issue in medicine and making decisions?
they are not completely rational beings
36
Do parents actually know whats best?
can use principle of non-maleficence and utility and beneficence, etc
37
Religion and treatment
very controversial. think of all side and options
38
Jehovahs witness case
parents dont ever want to harm or kill the child just have a different way of thinking about think/ different religion. If there is risk both ways who should decide? Parent can martyr their selves but not kids. Rosam says " dont have to do whats best for the kid but adequate enough" Physicians should gives all options and risks associated
39
How to allocate scarce medical resources?
Microallocation: directly affects certain individuals (organ transplant list) Macroallocation: think of the general public Kant: do a random lottery - action is equal Utilitarianism: random as well so to not give people social worth but everyone is equal
40
Market Approach to organs
``` organs only to who pay high value of individual rights low value of equality problem: we use taxes for research to make new tech nologies so shouldnt everyone get to use insufficient justification devalues human lives ```
41
Committee Selection process
- multiple people, but are biased to own individual thoughts and beliefs - will undermine equality - but can consider relevant factors
42
Lottery Approach
- random - equal - does not take into account who needs it most