Thesis on "Bioethics From a Utilitarian Perspective, the Action"

Thesis 5 pages (1407 words) Sources: 1

[EXCERPT] . . . .

Bioethics

From a utilitarian perspective, the action to be taken has to be measured against the positive impact it provides for the individuals involved. Unfortunately, it is sometimes difficult to judge and evaluate the level of happiness among individuals. In this particular case, from a utilitarian perspective, the final objective would obviously be for the patient to be cured or for the patient to have a longer life. However, in the case of cancer, the odds are most often against this, so we can probably judge that the happiness can also be evaluated in terms of the quality of the patient's life in the remaining period of time.

Following the utilitarian perspective here presented, the doctor should not tell Gina about her condition and allow this to be a family decision. In my opinion, from a utilitarian perspective, the quality of the patient's life increases when he or she is not subjected to knowing the details of her terminal illness. At the same time, the family can provide the positive framework and care needed for the patients to live in their remaining part of their lives. Further more, it has often been pointed out that patients with a positive attitude are also likely to be able to improve their condition simply because of an optimistic attitude.

From a Kantian perspective, the final goal of a certain action is always measures against the duty of the individual rather than taking into consideration elements such as happiness or individual feelings. From this point-of-view, the doctor's duty is to keep his patient informed on the condition of his illness, to let her know what treatment he is planning and to continuously discuss with her the
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evolution of the disease or of the treatment. From this perspective, it is going to be up to the patient to decide where she wants to inform her family as well about her condition, so the roles are hereby somewhat inversed.

One of the big problems in this case is the fact that the patient speaks no English, only Japanese, which makes communication with the doctor nearly impossible. Besides their important role as family per se, they are also there to translate and explain to the patient everything that is going on, which means that they have an extra leverage as compared to a family where the patient would know the language and would be able to communicate with the doctor. Even if he were to go beyond the family's request, the doctor would still find it almost impossible to do so, because the doctor and patient have no common language to work with.

As we can see, the main assumption on which the discussion is based is the fact that the patient does not understand English and is not able to communicate with the doctor, because this leaves, in the end, the decision in the hands of the family, whether the doctor wants it or nor.

2. Emanuel and Emanuel propose four different models which, according to them, classify the physician - patient relationship. These are the paternalistic model, the informative model, the interpretive model and the deliberative model. The deliberative model is defined as the model in which "the physician, acting as a teacher or friend, engages the patient in a dialogue to empower the patient to consider values and select a course of action which best fits his or her values."

Emanuel and Emanuel seem to argue that the best of the models is the deliberative model. The main arguments, according to them, in this sense include the fact that this is the only model which successfully combines the medical, professional care for the patient, with the capacity to actively engage the patient in the medical process itself, leading to a successful partnership between the patient and the physician.

To this, I would also add the fact that the deliberative model is the only one that really takes into consideration the traditions and cultural background of the patient and the model that best provides for the involvement of the patient in the medical treatment. At the same time, I also feel that the deliberative model also covers many of the positive characteristics of some of the other models,… READ MORE

Quoted Instructions for "Bioethics From a Utilitarian Perspective, the Action" Assignment:

1. Provide a separate paragraph explaining each of your reasons for those questions that ask you to give reasons in favor of, or against, an argument.

2. Your work must be a result of your own intellectual efforts. If you work with other students, feels free to study the general concepts of the essays together, but do not share your specific answers to the questions below. If I believe that any two or more students***** answers are too much alike, I reserve the right to test those students further or to consider those tests acts of plagiarism.

3. Each question should be between 500 words, depending on the question asked. Your total exam should be no longer than 1500 words. "must be unique"

Questions:

1. Consider the following case: Gina is a 74 year old woman, originally from Japan, who lives with her son and his family in Hawaii. She was admitted to the hospital with increased blood sugar and fever. CT scans show multiple liver masses, and he doctors believe, upon further tests, that Gina has an advanced stage of liver cancer. Gina does not speak English, though she has lived with her family in Hawaii for a decade.

According to Gina*****s cultural norms, medical decisions are often family decisions. While in the hospital, Gina has not asked about her diagnosis, and Gina*****s family insists that she not be told. The family expects to decide on her medical treatment or palliative care with the doctor themselves, and then the family will provide an explanation of the procedures for Gina without telling her about her diagnosis. Gina*****s family requests respect for their cultural traditions.

Should Gina*****s doctor tell Gina about her diagnosis, against her family*****s wishes? In answering this question, do not give your own point of view. Instead, provide both Utilitarian and a Kantian an*****s of this case. State the Utilitarian and Kantian moral principles, and clearly defend why you believe that a Utilitarian or Kantian would likely take the position you suggest on this question. Specify the important assumptions you are making about Gina*****s case, if any, in your an*****s. (My cultural tradition is same as Gina's cultural tradition my mom died 2 years ago same case , we wanted her to have longer life ).

2. Emmanuel and Emmanuel argue in favor of the deliberative model as the gold standard for physician-patient interaction. Summarize their argument for the deliberative model (why the model is better) in the first paragraph or two of your essay. (Choose only their most important reasons for your summary). Then, support two reasons against their argument for the deliberative model, as it is summarized in the first paragraphs of your essay.

3. Engelhardt argues that the United States government does not have a moral obligation to provide health care for each of its citizens (disregard any discussion of a *****right***** to health care in answering this question). Explain in detail the most important reasons Engelhardt gives for this position. Secondly, give one ethical reason against Engelhardt*****s argument. Last, but not least, think about how the President*****s Commission would respond to his points. Describe in detail one ethical reason that you believe the President*****s Commission would give against Engelhardt*****s argument. Dedicate a paragraph to explaining each of the two reasons you describe, and make it clear how each reason connects to Engelhardt*****s argument.

Reference:

4. Provide a separate paragraph explaining each of your reasons for those questions that ask you to give reasons in favor of, or against, an argument.

5. Your work must be a result of your own intellectual efforts. If you work with other students, feels free to study the general concepts of the essays together, but do not share your specific answers to the questions below. If I believe that any two or more students***** answers are too much alike, I reserve the right to test those students further or to consider those tests acts of plagiarism.

6. Each question should be between 500-600 words, depending on the question asked. Your total exam should be no longer than 1800 words. Good luck!

Test Questions:

1. Consider the following case: Gina is a 74 year old woman, originally from Japan, who lives with her son and his family in Hawaii. She was admitted to the hospital with increased blood sugar and fever. CT scans show multiple liver masses, and he doctors believe, upon further tests, that Gina has an advanced stage of liver cancer. Gina does not speak English, though she has lived with her family in Hawaii for a decade.

According to Gina*****s cultural norms, medical decisions are often family decisions. While in the hospital, Gina has not asked about her diagnosis, and Gina*****s family insists that she not be told. The family expects to decide on her medical treatment or palliative care with the doctor themselves, and then the family will provide an explanation of the procedures for Gina without telling her about her diagnosis. Gina*****s family requests respect for their cultural traditions.

Should Gina*****s doctor tell Gina about her diagnosis, against her family*****s wishes? In answering this question, do not give your own point of view. Instead, provide both Utilitarian and a Kantian an*****s of this case. State the Utilitarian and Kantian moral principles, and clearly defend why you believe that a Utilitarian or Kantian would likely take the position you suggest on this question. Specify the important assumptions you are making about Gina*****s case, if any, in your an*****s.

2. Emmanuel and Emmanuel argue in favor of the deliberative model as the gold standard for physician-patient interaction. Summarize their argument for the deliberative model (why the model is better) in the first paragraph or two of your essay. (Choose only their most important reasons for your summary). Then, support two reasons against their argument for the deliberative model, as it is summarized in the first paragraphs of your essay.

3. Engelhardt argues that the United States government does not have a moral obligation to provide health care for each of its citizens (disregard any discussion of a *****right***** to health care in answering this question). Explain in detail the most important reasons Engelhardt gives for this position. Secondly, give one ethical reason against Engelhardt*****s argument. Last, but not least, think about how the President*****s Commission would respond to his points. Describe in detail one ethical reason that you believe the President*****s Commission would give against Engelhardt*****s argument. Dedicate a paragraph to explaining each of the two reasons you describe, and make it clear how each reason connects to Engelhardt*****s argument.

References:

Ethical Issues in Modern Medicine. 7th ed., Ed. Steinbock, Arras, and London.

McGraw-Hill: Boston, M.A., 2009.

*

President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, "An Ethical Framework for Securing Access to Health Care"

*

Emanuel and Emanuel. "Four Models of the Physician-Patient Relationship"

*

Engelhardt argues .... see note above

other:

Anthony. A Rulebook for Arguments. Hackett: Indianapolis, I.N., 2001.

FAX: 1-907-344-7145 , PHONE # 1-907-243-3306 *****

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Bioethics From a Utilitarian Perspective, the Action.” A1-TermPaper.com, 2008, https://www.a1-termpaper.com/topics/essay/bioethics-utilitarian-perspective/9085888. Accessed 1 Jul 2024.

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[1] ”Bioethics From a Utilitarian Perspective, the Action”, A1-TermPaper.com, 2008. [Online]. Available: https://www.a1-termpaper.com/topics/essay/bioethics-utilitarian-perspective/9085888. [Accessed: 1-Jul-2024].
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1. Bioethics From a Utilitarian Perspective, the Action. A1-TermPaper.com. https://www.a1-termpaper.com/topics/essay/bioethics-utilitarian-perspective/9085888. Published 2008. Accessed July 1, 2024.

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