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Health Care Ethics Chapter 1

Health Care Ethics Chapter 1. Ethics, Professional Ethics, Health Care Ethics. Ethical Theories. Skip survey of moral theories, pp 1-10 (pp 1-7, 4 th ed.).

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Health Care Ethics Chapter 1

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  1. Health Care EthicsChapter 1 Ethics, Professional Ethics, Health Care Ethics

  2. Ethical Theories Skip survey of moral theories, pp 1-10 (pp 1-7, 4th ed.). Note the authors announce, on page 10 (p. 7 4th ed.), that they are adopting a “holistic approach” that amounts to adding emotion and cultural sensitivity to the practical wisdom component of Virtue Ethics. They call their ethical position “the approach of practical wisdom.” Does this buffet, pick and choose approach seem legitimate for professional ethics? Is there a better alternative?

  3. Key Issues (pp 10-17; 4th ed. 8-16) --you may skim over these “issues”; what are the authors trying to do here? The Dignity of Individuals … sounds like what ethical theory? The Role of Society … sounds like what ethical theory?

  4. Key Issues (cont.) At the top of page 13 (4th ed. 11), do utilitarianism and deontologism really “suggest if clarity is not possible, ethics is not possible”? Page 14 (4th ed. 12), under Society and Moral and Legal Rights The authors say “a right is a moral or legal claim that an individual may assert against someone else,” then mid page: “Any such claim imposes an obligation on another person…” Note that asserting a right or claim against another imposes an obligation only • if you are correct in thinking you have a claim or right, • if the person you make the claim against is sufficiently aware of your claim, and • if they have no other more important obligation or obligations that conflict and thereby nullify your claim or right.

  5. Key Issues (cont.) Note that asserting a right or claim against another imposes an obligation only • if you are correct in thinking you have a claim or right, • (you loaned me $5 and I agreed to pay it back today) • if the person you make the claim against is sufficiently aware of your claim, • (today has arrived and you remind me to pay up) • if they have no other more important obligation or obligations that conflict and thereby nullify your claim or right. • (no one has a much stronger claim on that $5, say)

  6. Key Issues (cont.) Page 16 (4th ed. 14): “But our very personhood does not belong to society, and it would be unjust for society to demand that we sacrifice our life or our sanity for the common good.” What ethical theory is this a response to? What’s wrong with the response?

  7. The Professions and Professional Ethics (pp 18- end … 16-end, 4th ed.) Under Models of Medicine, pp 25-26 (4th ed. 22-24) : Ethical Models: Engineering Model Paternal or Priestly Model Collegial Model Contractual Model Covenant Model

  8. The Professions and Professional Ethics (pp 18- end … 16-end, 4th ed.) Ethical Models (compare pp 10-12 in Towsley-Cook): Which of the 5 are imposable on the patient? Which of the 5 require cooperation between doctor and patient? What are likely impediments to cooperation? Which of the 5 require a good impression on the patient by the doctor?

  9. The Professions and Professional Ethics (pp 18- end … 16-end, 4th ed.) The Patient’s Role (p 25 4th ed. … note, this section has been dropped in the 5th ed.) What duties do patients have? The book says patient’s role “should be a more active one [than “a sick role”] that respects equality of persons.” • Isn’t the customer always right? • Isn’t the patient paying the doctor? • Isn’t the patient expected to be sick or out-of-sorts? • Doesn’t it seem odd to impose duties on someone who comes to you for help?

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