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PHL 344 Ethical Issues in Health Care

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Gain experience in discussing ethical issues in health care with others with ... Learn how to learn from people who disagree with you about ethical issues. ... – PowerPoint PPT presentation

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Title: PHL 344 Ethical Issues in Health Care


1
PHL 344Ethical Issues in Health Care
  • Fall 2000
  • Section 4
  • Howard Brody

2
Course Objectives
  • Learn the types of questions considered to be
    important and prevalent ethical issues in health
    care in the U.S. today.

3
Course Objectives
  • When presented with a paper or article presenting
    a stand and making an argument on an ethical
    issue
  • Be able to explain exactly what position the
    author is taking and why.
  • Be able to explain whether or not you agree with
    the position taken and why.

4
Course Objectives
  • For each of the questions surveyed in the course
  • Be able to give common arguments for and against
    the most common ethical positions.
  • Be able to state your own position on that
    question.
  • Be able to defend your preferred position against
    reasonable criticisms from others who do not
    share it.

5
Course Objectives
  • Gain experience in discussing ethical issues in
    health care with others with diverse perspectives
    and backgrounds.

6
Course Objectives
  • Learn how to discuss disagreements without
    indicating disrespect for other people.
  • Learn how to learn from people who disagree with
    you about ethical issues.
  • Learn how discussing disagreements can sharpen
    your appreciation and understanding of your own
    ethical stance.

7
Course Objectives
  • Learn how to explore ethical disagreements to see
    whether common ground lurks under apparently
    irreconcilable conflicts of value.
  • Become familiar with the most commonly used
    ethical theories and approaches for understanding
    the nature of ethical questions and improving
    ethical reasoning.

8
Course Objectives
  • Understand how ethical questions surface at
    various levels ranging from interpersonal
    relationships to broad questions of public
    policy.
  • Distinguish ethical aspects of the formulation of
    health policy from the economic and political
    aspects.

9
General Question for the Course
  • What might it mean to demonstrate respect for
    persons in any or all aspects of health care?

10
Respect for Persons
  • Golden Rule-- treat others as you would wish to
    be treated
  • Religious concepts equality as divine creation
  • Autonomy each deserves respect as potential
    chooser of own destiny

11
Respect for Persons
  • The Patient as Person (Ramsey, 1970)
  • The gall bladder in 619
  • The doctor will see you now, George
  • Feminism and the problem of the benevolent
    oppressor oppression invisible to those in power
  • Standpoint ethics

12
Respect for Persons
  • Respect for persons in ethical dialogue
  • Can I respect someone whose ideas I disagree
    with? (Whose ideas I find evil?)
  • Can I form a compromise position on an ethical
    question without compromising my integrity?
    (Self-respect)

13
Respect for Persons
  • Religious differences
  • Cultural differences
  • Mere tolerance
  • Learning from other cultures and belief systems

14
Respect for Persons
  • Philosophical questions underlying health care
    ethical issues
  • What is a person?
  • Problematic cases
  • Death, brain criteria
  • Persistent vegetative state
  • Fetus

15
Respect for Persons
  • Ethical guide to policy
  • Respect for persons as individuals
  • Respect for persons as members of community
  • How compares to economics and politics
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