SAQ 1-1
Question#2:
Pick one area of applied ethics (e.g. nursing ethics), study some of its concerns, and summarize what you find out.
Answer:
I choose the biomedical ethics because I believe this is the most controversial field of ethical study as it concern directly with human life. As defined by Paul M. Cox, biomedical ethics is the area of ethics concerned with those ethical issues surfaced by the practice of medicine and/or the pursuit of biomedical research. The thrust then, of biomedical ethics, is to advance reasoned analysis in this medical/research area in an effort to identify, clarify, and resolve the ethical problem areas. Thus, some of its concerns are the following:
1. The obligation of physicians and the rights of patients. In here, the doctor takes the role of a father (paternalism) and the patient as the child. The ethical questions revolving around paternalism are the following: Are physician ever morally justified in acting paternalistically to their patients? Are they ever morally justified in withholding information from patient, lying to them, or treating them without their consent?
2. Biomedical experimentation using human subjects. Is “human experimentation” ethically acceptable? In here, the research subjects are often the economically and socially disadvantaged. The three troubling groups used in research are the following: children (can they really give consent and does parental consent apply), prisoners (does their situation make it so that their consent cannot be sufficiently free and informed), and paid research subjects (does payment for research take advantage of the economically deprived).
3. Policies regarding the mentally retarded. The routinely paternalistic treatment of the mentally retarded has been increasingly challenged especially as it relates to involuntary sterilization. This is supported by the reason that involuntary sterilization is in the best interest of some mildly mentally retarded persons because it will maximize their freedom to enjoy heterosexual activity without procreating. Others argue that involuntary sterilization is morally wrong because it violates autonomy insofar as it robs individuals of reproductive freedom.
4. The refusal of lifesaving treatment. The question of this concern is, “Is it justifiable for some agent of the state, acting in the name of society, to compel a competent adult to accept lifesaving medical treatment?” An example of this is the Jehovah’s Witnesses who refuse to accept blood transfusions for religious reasons. Whether the patient refuses or accepts lifesaving treatment to prolong the dying process, “Does society have the alleged right to enforce its conventional morality upon its members in this area? Does society have the right to act (paternalistically) to protect an individual from the harmful exercise of his or her own volition?
5. Euthanasia. There are four types of euthanasia usually considered by biomedical ethicist: (1) active voluntary euthanasia, (2) passive voluntary euthanasia, (3) active involuntary euthanasia, and (4) passive involuntary euthanasia. Voluntary and involuntary euthanasia proceed with the informed consent and without the consent of the person involved respectively. Active euthanasia, however, is killing the patient by giving him or her a lethal dose of a drug and passive euthanasia is allowing the patient to die. There is almost a consensus view that maintains the moral legitimacy of withholding or withdrawing extraordinary means of life support in the case of terminally ill patients. However, there is no such consensus view yet on the morality of mercy killing which is also referred to as “active euthanasia”.
6. Abortion. The moral status of the fetus has been a pivotal issue in discussion of the ethical acceptability of abortion. The concept of moral status is commonly explicated in terms of rights. Therefore, when one places the moral status of the fetus within the framework of rights, what kind of rights does the fetus have? Does it have the same rights as more visible human beings, and thus full moral status. Or does it have no rights, and thus no (significant) moral status.
7. Genetic and Human Reproduction. A number of recently developed techniques are now being utilized to detect chromosomal abnormalities, some genetic diseases and certain serious anatomical abnormalities in the fetus in utero; amniocentesis being the most prominent. Of course this also makes possible the determination of sex, thus creating the possibility of abortion on the basis of sex selection. Since prenatal diagnosis is ordinarily undertaken with a look toward selective abortion, prenatal diagnosis confronts us with an ethical question. Is the practice of selective abortion, on the grounds of genetic defect, ever ethically acceptable? Furthermore, cloning is another issue, which is on even thinner ice in terms of ethical acceptability because of the connection between it, and infertility is extremely tenuous.
8. Human Immunodeficiency Virus (HIV). This virus is considered a necessary condition for the development of AIDS (it is the retrovirus), a disease that is usually, perhaps universally, fatal. Thus, two things that seem to be at the forefront of the controversy are: the rules of privacy/confidentiality and compulsory testing and screening. Some ethicist are concerned about screening in the sense that it could be a violation of privacy and yet they are just as concerned about the fact the a many AIDS patients refuse to inform their spouses or those in which they are engaging in sexual activity.
9. Health Care. Although the United States spends a sizable amount on health-care, there are still many medical needs that people have which are going unfulfilled. The two major areas of concern for ethicists deal with macroallocation and microallocation. What, if any, are the moral obligations of society to its members in terms of health care? Should the government make available basic health care to all who need it? Should the government ensure that even sophisticated health care be made available to those who need it? What is the proper role of government as it regards funding and providing health care?
Reference: http://www.leaderu.com/isot/docs/bioethic.html