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Technology and medicine ethical relationship
Medical Technology and Ethical Issues
Technology and medicine ethical relationship
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Kristie Slattengren
Biomedical Ethics Paper
Spring 2014
We have entered the 21st century and our knowledge of science, technology and medicine has increased at an outstanding rate. We have mechanical devices that allow an injured person to perform daily activities on their own. We have imaging devices that allow us to see what’s going on below surface level and diagnose diseases we would otherwise be oblivious to. We have the ability to replace dysfunctioning organs. These are not the only developments we have made and these in addition to the other medical technologies we have leave us in a position of difficult ethical decisions. A few of the major advances in biomedical technology and the ethical implications that come along with them will be addressed. The four topics that will be addressed are the scope of control in brain implants, growing organs from stem cells, embryo selection of in vitro fertilization, and the allocation of medical resources.
Brain implants are one of the more recent advances that have been made in biomedical technology. These devices have been used to restore motor function in those that have been paralyzed and have even been used to reduce tremor in patients with diseases such as Parkinson’s. The continual advancement of this technology is now to the extent that one person could control the motor movements of another or even that a person could download their memories or thoughts.
The exciting advancement in this field of research has definite ethical issues that it brings to question. The argument against this technology is the clear danger of power it exhibits. If an authority figure had the ability to control other people’s movements they could be forced into situations they felt...
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...ons that are currently present in the ever advancing biomedical field.
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There has been some ethical issues surrounding the development and use of technology, that would consist of some advancements, such as “when in vitro fertilization is applied in medical practice and leads to the production of spare embryos, the moral question is what to do with these embryos” (Shi & Singh, 2008, p. 182). As for ethical dilemmas that comes into play with “gene mapping of humans, genetic cloning, stem cell research, and others areas of growing interest to scientist” (Shi & Singh, 2008, p. 182). “Life support technology raises serious ethical issues, especially in medical decisions regarding continuation or cessation of mechanical support, particularly when a patient exists in a permanent vegetative state” (Shi & Singh, 2008, p. 182). Health care budgets are limited throughout this world, making it hard for advancements yet even harder to develop the advancements with restraints. Which brings us back to the “social, ethical, and legal constraints, public and private insurers face the problem deciding whether or not to cover novel treatments” 188. Similarly what was mentioned before the decisions about “new reproductive techniques such as intracytoplasmic sperm injection in vitro fertilization (ICSIIVF), new molecular genetics predictive tests for hereditary breast cancer, and the newer drugs such as sildenafil (Viagra) for sexual dysfunction” (Giacomini, 2005).
Embryonic stem cells research has challenged the moral ethics within human beings simply because the point at which one is considered a “human,” is still under debate and practically incapable to make a decision upon.
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?
Patients should have the ability in all situations to decide what happens to their bodies. This should be accompanied by the knowledge of risks associated with any particular procedure. Some physicians may attempt to circumvent this right for personal gain by omitting important information or simply utilizing force. This is where the debate over human experimentation arises. In a more civil setting, some patients don’t have the cognitive capacity to choose what is done with their tissues. In this case, the line of ethics becomes obscure.
Parker, Michael. "The Best Possible Child." Journal of Medical Ethics 33.5 (2007): 279-283. Web. 1 Apr 2011. .
The possibility to cure Alzheimer, Parkinson’s, AIDS, spinal injuries, and many more diseases and conditions is received by many in the medical world with excitement and anticipation. The discoveries of embryonic stem, ES, cells in 1998 by James A. Thomson, a biologist at the University of Wisconsin, Madison, was a great breakthrough for the medical world, showing great promise in the field of stem cell research. This is because they have the capacity to become any type of cell tissue in the body. To the medical world the opportunities seems endless. However, there is a great deal of debate by some who question the moral and ethical use of ES cells, believing that life begins at fertilization. Supporters argue that we have an obligation to help others who are suffering by using ES cells, because they are consider potential life. The question is do we have the right to use ES cells for research purposes when the embryos will be grown specifically for research and destruction? And if so, should this research be funded by the government?
Ingram, David, and Jennifer A. Parks. "Biomedical Ethics." The Complete Idiot's Guide to Understanding Ethics. Indianapolis, IN: Alpha, 2002. N. pag. Print.
The ethical issues behind the method in which stem cells are obtained out weigh the benefits of stem cell therapy. We should not try to play God, in the aspect of creation of living beings just to be sacrificed for the “betterment of mankind”. Many egregious acts have been committed under the guise of “the greater good”. This is one instance in which the ends do not justify the means.
White, Mary. “Making Responsible Decisions: An Interpretive Ethic for Genetic Decisionmaking.” The Hastings Center Report 29.1 Jan./Feb. (1999): 14-21.
The healthcare industry has come a long way in terms of technological advances. These advances have had significant benefits in diagnosis, treatment, and the way medicine is practiced today. Unfortunately, these technological advances also come with ethical issues and dilemmas the healthcare professionals must face.
“In November of 1998, scientists reported that they had successfully isolated and cultured human embryonic stem cells a feature which had eluded researchers for almost two decades.”(The center for bioethics & human dignity, n.d.). This announcement kicked off an intense and unrelenting debate between those who approve of embryonic stem cell research and those who are opposed to it. “Some of the most prominent advocates of the research are scientists and patients who believe that embryonic stem cell research will lead to the development of treatments and cures for some of humanity’s most pernicious afflictions (such as Alzheimer’s disease, Parkinson’s disease, heart disease, and diabetes).”(The center for bioethics & human dignity, n.d.). Among the most vocal opponents of the research are those who share the desire to heal, but who object to the pursuit of healing via unethical means. CBHD’s view is that because human embryonic stem cell research necessitates the destruction of human embryos, such research is unethical regardless of its alleged benefits. Ethical alternatives for achieving those benefits should be actively pursued.
How far is society willing to advance genetic enhancement technology before it becomes a moral wrong? Medical technology is well on the way to allowing parents to create designer babies, permitting parents to pick physical and internal qualities of unborn children. Due to the advance in technology allowing parents to genetically designer their own child, The American Medical Association (AMA) should create stronger codes of medical ethics and acts imposing limitations. The manipulating with embryos in order to create a parent’s ideal child is morally wrong, and should be against codes of ethics. In order to create a fine line between enhancement that prevents disease and birth defects, and the self-absorbed society that prefers children with little to no flaws; laws of ethics in medical practice need to be implemented. Therefore, with distinguished lines on medical ethics, society will not become divided and unrecognizable due to genetically enhanced humans.
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.
20 Feb. 2014. Nardo, Don. A. Biomedical Ethics.
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?