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Autonomy vs. Paternalism
Focus: Discuss the advantages and disadvantages on autonomy and paternalism.
Decision-making would be so much easier if we all maintained our autonomy in making the decision, however, because our decisions do not always abide by autonomistic values paternalistic intervention must occur. The purpose of autonomy is to allow us to choose to do things that affect only ourselves and does not negatively affect those around us. Unfortunately, many choices do, whether we know it or not, involve those in our environment. Paternalism is in place to protect the rights that are in our best interest and that will benefit us in the long run. Paternalistic intervention occurs when decisions are no longer in our best interests. If the decision is like to be regretted and irreversible in the future, paternalism is again justified. Autonomy is a fleeting concept, for as soon as someone chooses to do something that will later cause an addiction, his or her autonomy is lost. They no longer have the decision to do or not to do the action; it becomes a need.
Autonomy does have its advantages and disadvantages. One perk to autonomy is that it allows us to make decisions that we feel are in our best interests, as long as they either, do not affect those around us or are beneficial for them as well. As long as choices made based on autonomy are a result of the person acting on relevant, settled, preferred, and their own preferences; paternalistic intervention is not justified. However, autonomy is one of the easily lost characteristics. As I mentioned above, once an addictive substance has entered your life due to an autonomistic decision, your autonomy is lost. The addiction takes over and you can neith...
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...ests that autonomy does not have much breathing room. I am a supporter of paternalistic intervention because I have seen what smoking has done to many people around me as well as to myself. Knowing the side effects and damage smoking can do, I do not see how someone can knowing choose to pick up a cigarette. I know it is an addictive habit because I was a smoker for two years and it has been the hardest thing to quit for me. It started with peer pressure and naiveté. I was in a mindset of “that can’t happen to me”. I knew all of the horrible things it could do to you because my grandfathers and father were smokers and I looked at it as a disgusting habit. Boy, how your views change when you are making the decision for yourself. I believe that paternalism is a good thing to have, especially in cases where the outcome of the decision is not foreseen clearly.
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
The smoking issue is very complicated and some of the arguments are beyond the scope of this essay. Still, we can obtain a balanced outlook if we consider the following: the facts of smoking, individual right, societal responsibility, and the stigma of smoking. Haviland and King write essays which contain very important points, but seem to contain a bias which may alienate some people. To truly reach a consensus on the smoking issue, we must be willing to meet each other halfway. We must strike equilibrium between individual right and societal responsibility.
John Stuart Mill and Gerald Dworkin seem to have different viewpoints about paternalism. Paternalism is interference with a person’s liberty of action justified by appeals to welfare or good or happiness or needs. John Stuart Mill seems to be against paternalism since there’s no justification, while Gerald Dworkin claims that it’s justifiable. The question that I will answer is the following: Is paternalism morally justified? And should it be implemented or not? I will argue against paternalism and that it’s not morally justified and that it should not be implemented. It’s not morally justified because it limits our liberties, in which we cannot fully express who we truly are. In order to have a better understanding, I will start the essay
Within public health, the issue of paternalism has become a controversial topic. Questions about the ethics of public health are being asked. The role of ethics in medical practice is now receiving close scrutiny, so it is timely that ethical concepts, such as autonomy and paternalism, be re-examined in their applied context (Med J Aust. 1994). Clinically, patients are treated on a one on one basis, but public health’s obligation is toward the protection and promotion of an entire population’s health. So, based on this difference, the gaping questions targeting public health now becomes, under what conditions is it right to intervene and override an individuals’ autonomy? And if so, is the paternalistic intervention justified? Part of the concern
his own life how he wishes, even if it will damage health or lead to
Alan Goldman argues that medical paternalism is unjustified except in very rare cases. He states that disregarding patient autonomy, forcing patients to undergo procedures, and withholding important information regarding diagnoses and medical procedures is morally wrong. Goldman argues that it is more important to allow patients to have the ability to make autonomous decisions with their health and what treatment options if any they want to pursue. He argues that medical professionals must respect patient autonomy regardless of the results that may or may not be beneficial to a patient’s health. I will both offer an objection and support Goldman’s argument. I will
As a parent, structure and rules are good for your kid. But just like anything else in life, too much of anything-even the good things- is not good. Having too many rules or harsh consequences can do more harm than good to certain problems in your child.
Using autonomy as effective deliberation which relates autonomy as having “to do with the rationality of a person’s thought process” (Yeo & Moorhouse, 1996, p. 94), it could be confirmed using the results of the capacity assessments as evidence, that Ms. R is rational and making this decision with competent deliberation. Mr R’s decision can additionally be justified using autonomy as authenticity, which assesses the consistency of a person 's choice with their “settled dispositions, values and characters” (Yeo & Moorhouse, 1996, p. 94). Since Ms. R is a 59 year old woman who has been living alone, her choice to remain home is authentic and no different than what she has been doing
Personal autonomy refers to the capacity to think, decide and act on one's own free initiative (Patient confidentiality & divulging patient information to third parties, 1996). For a patient’s choice to be an autonomous choice, the patient must make his choice voluntarily (free of controlling constraints), his choice must be adequately informed, and the patient must have decision-making capacity (he must be competent) (Paola, 2010), therefore Physicians and family members should help the patient come to his own decision by providing full information; they should also uphold a competent, adult patient's decision, even if it appears medically wrong (Patient confidentiality & divulging patient information to third parties, 1996).
In his essay, “The Refutation of Medical Paternalism,” Alan Goldman discusses his argument against differentiation in the roles between physicians and patients. He says the physician may act against a patient’s will in order treat the patient in their best interest. Goldman makes his whole argument around the assumption that a person’s right to decide his or her future is the most important and fundamental right, saying, “the autonomous individual is the source of those other goods he enjoys, and so is not to be sacrificed for the sake of them.” His claim is that most people agree that they are the best judges of their own self-interest and there is an innate value in the freedom to determine their own future. On these principles, Goldman starts by discussing conditions under which paternalism may be justified.
A person’s autonomy is under speculation when euthanasia comes into the picture. Take for instance a situation where a patient is in a coma followed by a brain hemorrhage and the chance of him surviving without the aid of life-support is fifty-fifty. Obviously, the patient is unable to voice his opinion on whether or not he should be euthanized. Thus, this choice will be made either by the doctor or the family. In this situation, the person does not have autonomy. More so, whether or not he can live is a decision made by people who may or may not have his best interest in mind. This gives undue power to the doctor and the
The aim of the analysis is meant to clarify the meaning of the word autonomy thereby the introduction of a concept. Clarification is needed as the word autonomy does have several meanings and not all apply to medical terminology, some meanings span to philosophy, technology and general decision making. The medical meaning is significant in the care of patients for improved outcomes through choice and educated decision making on the part of the patient. Autonomy can be empowering as a concept or even as a single word.
To explain asymmetric paternalism, the authors divide people into two groups, those who are fully rational, people with goals, preferences and make decision based on those that suit their own best interest, and those who are boundedly rational. The boundedly rational individuals are those who fail to act in their own best interests and fail to use self-control when making choices. The purpose of the article is to help evaluate regulations which are paternalistic and have the regulations designed so that the set limits and boundaries are the boundedly rational, to help them make choices in their best interest and not make mistakes, at the same time not affecting the rational individuals.
Autonomy is another value that I cherish in patient care. Autonomy is descried as giving control and right to the individual to make choices (Cherry & Jacob, 2013). This is so important because nobody wants to lose their ability to make choices and make decisions. Autonomy is letting the patients make their decisions concerning their diagnosis and how health care is provided for them. To me giving the patient the ability to exercising autonomy is empowerment. For instance, I like to give my patients the choice to make decisions from the very little things such as if they would like to shave by themselves or would have someone shave for them, to the not so little choices as to making major decisions about diagnosis and treatment
The consumption of alcohol has a direct and often-negative impact on the lives of so many that