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An essay on medical ethics
Importance of bioethics
Importance of medical ethics
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Ethics is the idea of conforming to standards set in place and accepted by experts. Ethics can also be defined as a set of moral rules to human activities. There are many types of ethics, such as ethics in medicine and biomedical research, also known as biomedical ethics. Biomedical ethics is the act of following set principles that aim to guide researchers and health professionals’ actions in medical and biomedical research (Hall, 2012). Biomedical ethics encapsulates both philosophical and scientific knowledge and is evolving along with medical technology. Biomedical ethics was officially introduced in the United States (U.S) in 1974 by the Human Subjects of Biomedical and Behavioral Research. The Commission outlined correct conduct and …show more content…
Ethics in biomedical research keeps health professionals and researchers honest and allows them to have a set of skills to analyze and resolve ethical dilemmas (Mattick, 2006). Ethics also are essential in obtaining a positive relationship with patients and is essential for moral, sociologic, and legal reasons (Hall, 2012). Researchers who participate in unethical and questionable practices are wasting valuable resources and failing the public’s trust. Questionable and unethical research practices have harmed entire populations in the past, such as in World War II, when Jewish people were used against their will for research. Currently, patients have a legal right to consent, and this right protects them from potential harm or unwanted medical attention (Hall, 2012). To establish ethical research practice, regulations have been developed. The regulations and codes of conduct are helpful to ensure uniform ethical approaches despite differing moral compasses. This is especially important when biomedical research involves the lives of animal and human subjects (Hariharan, …show more content…
Biomedical research has the ability to save lives just as easily as it can end a life if false data is used (Eckles, 2005). Scientific misconduct is the violation of ethical or conduct rules that damage an organization. Research misconduct is a serious offense with serious consequences, and different organizations have varying codes of conduct. Lab fraud differs slightly from scientific misconduct because lab fraud has legal consequences, and the labs actions are typically perceived as a harm (Eckles, 2005). Examples of a serious case of lab fraud would be a lab deeming a vaccine safe or deeming the local water safe based on false data. Both scenarios have the potential to cause human and animal harm or death and would result serious consequences. Researchers are directly impacting the publics health, national funding and the scientific community’s reputation when they participate in scientific misconduct. Consequences of lab fraud and scientific misconduct range from labs and universities and differ from country to country. Consequences also vary depending on the type of misconduct and those affected. Deceptive lab practices are practices that should not be used in a lab setting, such as improper calibration, incomplete recording, and/or inadequate
1. Capp, Marshall B. "Ethical and Legal Issues in Research Involving Human Subjects: Do You Want a Piece of Me? -- Kapp 59 (4): 335 -- Journal of Clinical Pathology." BMJ Journals. J Clin Pathol, 18 Jan. 2006. Web. 11 Feb. 2012.
During the process of research, professionals collect data or identifiable private information through intervention or interaction. While this is a vital part of the scientific and medical fields, every precaution must be taken by researchers to protect the participants' rights. Ethics, outlined by the Belmont report; requirements, described by the Department of Health and Human Services (DHHS); and regulations, laid out by the Food and Drug Administration (FDA) are verified by an Institutional Review Board (IRB). This procedure assures that all human rights are safeguarded during the entire research process.
Since the inception of this mode of research, peoples’ perception of what constitutes moral behavior towards patients and specifically harvesting cells from patients has changed. Over time, other doctors would take cells from patients without patient consent and use them for research. Coming from this, people began to think about how ethical this was, and especially if the potential for scientific or medical advances outweighs the injustices imposed by the lack of obtaining patient consent. One could argue that in the area of ethical behavior and medical advances, it might be necessary and acceptable to take cells or tissue samples without patient consent. And even though these cells and the research of these cells might not affect the patient, what advantages and disadvantages could come from obtaining or not obtaining patient consent?
Medical ethics in general is not a modern term; it goes back in time to the 12th century to the Hippocratic Oath. Recently in the 21st century the interest in medical ethics was provoked by a series of medical scandals: Nazi medical experiments, the infamous Tuskegee syphilis studies and so on. After which autonomy in the form of an informed consent was obligatory for minor and major procedures. (2, 3)
Over 100 Million animals are burned, crippled, poisoned and abused in testing Labs every year. Animals are used to test the safety of products, advance scientific research, and develop models to study disease and to develop new medical treatments all for the sake of mankind. Animals should not be used for scientific research because animal testing is inhumane, other testing methods now exist, and animals are very different from human beings.
In July of 1974 The National Research Act was signed into law. Through this act, The Belmont Report was developed over 4 year period of time that included an intense four day conference followed by monthly meetings until it was completed in April of 1979. The Belmont Report sets out to define the ethical principles and guidelines for the protection of human subjects of research. The report was established prior to Barney Clark and the artificial heart and therefore was the guidelines that the doctors and researchers had to follow. The report highlights three essential ethical elements that are pertinent in human research and their applications. It was the professional responsibility of the doctors and researchers involved to abide by previously established ethical guidelines.
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
Euthanasia should not be accepted as part of the standard way of dying because it not only contradicts the most respected moral principle of ‘thou shalt not kill’, but also good medical practice. The four principles of biomedical ethics can be used as a framework to help guide moral decision-making in difficult situations including euthanasia. Arguments against the moral permissibility of euthanasia which are based on respecting autonomy and non-maleficence outweigh those related to beneficence and justice. In any case of euthanasia, careful evaluation of the interests of the various parties involved is crucial because ethical principles can be contentious at times and their meanings could be interpreted differently from theory to theory (Robison
In this diverse society we are confronted everyday with so many ethical choices in provision of healthcare for individuals. It becomes very difficult to find a guideline that would include a border perspective which might include individual’s beliefs and preference across the world. Due to these controversies, the four principles in biomedical ethic which includes autonomy, beneficence, non-maleficence and justice help us understand and explain which medical practices are ethical and acceptable. These principles are not only used to protect the rights of a patient but also the physician from being violated.
Steinbock, Bonnie, Alex J. London, and John D. Arras. "The Principles Approach." Ethical Issues in Modern Medicine. Contemporary Readings in Bioethics. 8th ed. New York: McGraw-Hill, 2013. 36-37. Print.
Ethics refers to the values and customs of a community at a particular point in time. At present, the term ethics is guided by the moral principles that guide our everyday actions. These moral principles guide the researcher into deciding what is ‘right’ or ‘wrong’. The foundation of medical ethics is governed by two philosophical frameworks: deontology, and utilitarianism. However, ultimately, the ethics committees need to balance the risks, and benefits for the participants and the community associated with the particular research proposal.
Looking beyond the Nuremberg Code and applying it to modern medical research ethics, there are many challenges that it poses. Many have argued that the Code tries to provide for all unforeseen events, which restricts the researcher by requiring him to anticipate every situation, demanding the impossible. The most important contribution of the Code is the first principle, which says that voluntary consent of the human subject is absolutely essential. The subject involved should have legal capacity to give consent, should have free power of choice, as well as sufficient knowledge and comprehension of the experiment. This restricts that populations upon which some experiment may be conducted, since many do not have “legal capacity”. For instance, studies of mental illness and children’s diseases have been curtailed because neither of these populations has the legal capacity to give consent. Another group of people, prisoners, are never really able to give voluntary consent since they might be enticed by financial rewards, special treatment, and the hope of early release in exchange for participating in the human experimentation projects. British biostatitcian Sir Austin Bradford Hill also questioned whether it was important to inform a research subject who was receiving a placebo since it does...
The case of Dr. Lowell and Mrs. Jackson revolves around a conflict between the doctor, who advocates the implementation of a particular treatment and the patient who disagrees with the doctor and wishes to do things her own way. The doctor feels that the suggested course of action is disastrous and threatens to have the patient declared mentally incompetent. The question now is whether or not the doctor is morally justified in taking action against the patient in order to implement the course of treatment she feels would be most effective. Is this an infringement on the autonomy of the patient or is the doctor morally obliged to do everything that he/she can possible do in order to restore the patient’s health even if that includes to go so far as to take this decision out of the hands of the patient?
Freedman B. Equipoise and the ethics of clinical research. N Engl J Med. 1987; 317(3): 141-145
The article titled “Contemporary Ethical Analyses: A Shortfall in Scientific Knowledge” describes the ethics through the public’s eye. One of the major ethical issues brought up is informed consent.