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Two ethical theories that are used to determine the rightness or wrongness of a situation are Aristotle’s doctrine of the mean and the principle of utility. The doctrine of the mean focuses more on finding a middle ground between two extremes; while the principle of utility is all about finding the greatest good for the greatest number of people. The article “A Lesson From the Henrietta Lacks Story: Science Needs Your Cells” possesses an ethically questionable situation. Whether or not discarded biospecimens should be used in scientific research without the patient's permission is up for debate. The author Holly Fernandez Lynch is very straightforward with her position on the issue, exhibiting a normative ethical theory.
Holly Lynch
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covered a story of exploitation of a terminally ill cancer patient back in the 1950’s. Researcher’s used cells that were taken from a biopsy and cultured them. This cultured sample later called HeLa resulted in significant medical advances. These advances benefitted a lot of people, but not Ms. Lacks's family. Due to the result of these medical advancements, many lives were saved, as well as a substantial amount of money being made. This once old predicament has become a new complication, which now begs the question, “Should what happened to Ms. Lacks's cells be able to happen to our very own biospecimens?”. Ms. Lynch shares her view on the issue, which shows to be a utilitarian view. The Principle of utility is focused around the idea that the right thing to do is that which brings about the the greatest good for the greatest number of people. Throughout the article Lynch makes statements that lean towards a utilitarian view. She states, “Rather than demanding consent and payment, we should promote biospecimen research, shore up privacy protections and push for universal health care to ensure that the benefits of the research are available to all.” Lynch is suggesting that it’s worth giving up the right to consent for researchers to use discarded biospecimens, because of the ability of the research to help tons of patients. She even considers the notion of universal health care. Universal health care is a prime example of something a utilitarianist would suggest because it provides medical attention for everyone allowing no room for any kind of discrimination; which they believe will result in the greatest good, for the greatest number. Then she says, “Perhaps we should be concerned about risks to patient’s privacy, but that is why we remove the identifying information.” She is justifying overseeing one's basic right to privacy and bodily materials. Even though it is still possible to identify one’s self she’s willing to overlook that for the possible medical advancements. Aristotle’s doctrine of the mean centers its ethical theory around the idea of finding a middle ground between situations of extreme deficiency and excess.
In the presented predicament, Lynch doesn’t show an aristotelian perspective. There is a way in which one could find the mean when giving away our biospecimens using the doctrine of the mean. Aristotle discusses the virtue of justice, where one should not allow too much to be taken from them neither should one take too much. In this case there should be some sort of compensation for one consenting to their biospecimens to be used for research. In Ms. Lacks’s case she had too much taken from her. She didn’t benefit from the research, and her family didn’t see any of the profit …show more content…
either. Both aristotelians and utilitarians have different ways of approaching ethically questionable situations.
Aristotelians when analyzing a situation try to find a middle ground, which is also known as the mean. The mean is different for everyone, but once it is reached, the action becomes virtuous. Aristotle states there are a few different types of virtues such as courage, anger, humor, and justice. Each virtue has a point where they have been taken into excess or deficiency; for example courage when in excess is being a coward, but when in deficiency it is considered being rash. In order for one to be considered virtuous they need to form habits of using the mean to then become continuously virtuous. The doctrine of the mean requires reason and the use of reason to apply it to situations. The principle of utility is all about finding the greatest good for the greatest number of people. When analyzing a situation, utilitarians use the rule of utility, which is thinking about the long term effect. For example, if there are five people in need of different organs and there’s one person that matches all these people, a utilitarian would believe it is okay to kill them for the sake of the five people in need of organs. However, if everyone who needed organs went around killing people it then would become a problem in the long run. All of the people with healthy organs would live in fear of being killed for their organs. This is not in any way an ideal situation.
This would result in a bad long term effect. So, the utilitarian sees the problem with this and would say this is not the over all good for the most people. When considering these two ethical theories, utilitarianism is more persuasive. When analyzing a problem using the principle of utility, it is easy to see what can bring about the greatest good for the greatest number. As well as considering the long term effect of making a decision. Whereas in Aristotle's doctrine of the mean one must find the mean between two extremes which is different for everyone. In this particular example, there is only one virtue that can be used to find the mean, whereas the principle of utility brings about many reasons and arguments. In conclusion, Holly Lynch shares her view on an ethically challenging situation. Her view shares that of a utilitarians, which is proven throughout the article. Utilitarians believe in determining actions based off the principle of bringing about the greatest good for the greatest number of people. Another ethical theory that can be used to determine rightness or wrongness is Aristotle’s doctrine of the mean. The doctrine of the mean supports the idea of finding a balance between two extremes, and once a balance is found one has achieved finding a virtue. Utilitarians provide a more persuasive argument through the use of the rule of utility while the doctrine of the mean uses reasoning and applies virtues which can’t be used in every situation.
The Belmont Report identifies three core principles that are to be respected when using human subjects for research. The three ethical principles are: respect for persons, beneficence and justice. In the case of Henrietta Lacks each of these fundamental components are violated. The consent that Henrietta provided was not sufficient for the procedures that were conducted.
Johns Hopkins Hospital would use people in their “public wards”, who were predominately of low socioeconomic status, as research material without any permission or knowledge of their participation (Skloot, 2010, p. 30). The main ethical principles that apply in the this scenario of not receiving consent to have personal information and even bodily material used for research are: Integrity (1.04), Rights and Prerogatives of Clients (2.05), Characteristics of Responsible Research (9.02), and Informed Consent (9.03). This dilemma was not handled correctly because doctors during that time were interested in studying cancer cells and believed that it was acceptable to take people’s cells as a form of payment because they were receiving free medical treatment. Henrietta, in particular, was never asked or even told that her healthy and tumorous cells were being extracted during the day of her first cancer treatment (p. 33). Those at stake during this particular issue are the patients in the public wards, including Henrietta, the doctors Richard TeLinde, George Gey, and Howard Jones, the Lacks family, and many other families who do not know their loved ones are being used for science. Although laws were not set in place at the time, the doctors should have been presenting patients with consent forms and fully disclosing all the information pertaining to how they
Henrietta Lacks is known as immortal because her cells are still being used to conduct research. On February 5th, 1951 Henrietta Lacks was diagnosed with malignant cervical cancer that was treated with harsh radiation. During her treatment and surgery of the cancer, she had a biopsy that collected a small portion of her cervical cells. Henrietta’s cells were special because they were able to self multiply under the right conditions. Her cells continue to be reproduced and sold all around the world for research. The question is should Henrietta and her family be compensated for her time and cells? This question will be analyzed from two different perspectives, which is the functionalist and a conflict theory perspective. In this
“Medical ethics is a system of moral principles that apply values and judgments to the practice of clinical medicine and in scientific research. ... These values include the respect for autonomy, nonmaleficence, beneficence, and justice.” The key-word that stands out to me in that definition is respect, I believe that it is safe to say that the doctors at john hopkins university had little to no respect for mrs Lacks lacks in order to take her cells without her consent. Many people are able to argue that considering the fact that John Hopkins hospital in baltimore maryland is a public hospital then henrietta Lacks did not really have much right in determining what her cells may be used for or even if they could be used at all. Though this is a valid argument, it still does not deny the fact that the doctors at john hopkins hospital took her cells and made a profit with them and were able to save millions of lives and not give her anything public recognition nor a penny to neither her nor her
Bioethics is the use of morals in science. If there had been more bioethics in Henrietta Lacks’s case, her doctors may have used their morals to not take the cells from her body without her permission or at least let her family know they had. Sixteen years before her case, the Nuremberg Code had been created which stated 10 codes of ethics to be used during human experimentation. However, it was not a law and few doctors even knew it existed.The issue of informed consent was also brought up in 1957 but doctors testified it was unnecessary. However on June 30th, 1974,17 years later, a law was passed requiring informed consent for all federally funded research. The issue of bioethics affected HeLa and many began to doubt if the doctors at Johns Hopkins had really been ethical. In conclusion, Henrietta Lacks and her “immortal” cells helped the field of science and its future
The use of Henrietta Lacks cells has led to many scientific breakthroughs, e.g., the cure to polio, cloning, and the human genome project. Henrietta Lacks was an African American woman who died of cervical cancer in 1951. These cells underwent a mutation that caused them to become immortal, meaning that they continue to divide since her death in 1951 to this very day. However, her cells raise an ethical question, because before she died she did not give consent for scientists to use her cells and after she died they did not tell her family that they were using them. This has been an ongoing controversy because the cells have been so beneficial for society, but they are derived from shady procedures. The reason way Henrietta’s cells, HeLa cells, didn’t undergo apoptosis was that they were cancerous cells that replicated indefinitely and these cells were modified to be even more resistant due to other diseases Ms. Lacks had.
To begin, the ownership of the tissue should belong to the person until removed from the body with consent or no, which greatly complicates the issue. To illustrate, the instance where Dr. Jones at John Hopkins took samples of Henrietta's cervix tumor to use for cancer research by George Guy was a situation in which should be justified as the best course of action Dr. Jones took (53). Not only did the tissue taken provide the medical world a vital resource for research and study, but also it failed to have any negative effects on the deceased owner, Henrietta Lacks, yet many people found it as questionable. Moreover, the abuse of tissues taken from patients cannot be ignored such as the Moore v. Regents of the University of California Moore sued because he did not want the commercialization of his tissue and his doctor, Golde, did not inform him of the financial potential of his tissue before requesting consent; however, these abuses have demonstrated that the lack of “informed consent” when requesting tissue dona...
Aristotle tries to draw a general understanding of the human good, exploring the causes of human actions, trying to identify the most common ultimate purpose of human actions. Indeed, Aristotelian’s ethics, also investigates through the psychological and the spiritual realms of human beings.
In Nicomachean Ethics, Aristotle says that virtue and happiness come from achieving the moral mean. The moral mean is the midpoint between deficiency and excess in any particular behavior. For example, the moral mean of recklessness and cowardice is courage. In matters of ple...
...ns of a morally questionable nature. It is necessary that our practices remain ethical and that we uphold the value of a human life, as this is the cornerstone of human society. Embryonic stem cell research is one such operation that forces scientists, policy makers, and the larger society to define what constitutes a human life and to find an answer to the crucial question: Is it morally acceptable to violate the rights of a human life for the for the sake of medical progress?
... individuals interpret human experience in different ways and thus interpret virtues in different ways. This means that virtue ethics cannot be an objective and universal theory. This, consequently, causes Aristotelian virtue ethics to be an unpractical and unsuccessful moral theory in reality. This is because there cannot be an agreed consensus of what is the actual mean, the virtue, between the vices of deficiency and excess.
The utilitarian faces many problems because he loses any ability to live a personal life. By this is meant that in making decisions the utilitarian must consider the steps which lead to the highest level of goodness in society. The utilitarian reaches for the greatest good for the greatest number of people. Two main aspects dominate the light of utilitarian beliefs. The consequentialist principle explains that in determining the rightness or wrongness of an act one must examine the results that will follow. The utility principle is that you can only deem something to be good if it in itself will bring upon a specific desired state, such as happiness or fulfillment. There are two types of utilitarians: Act utilitarians and Rule utilitarians. An act utilitarian believes that a person must think things through before making a decision. The only exception to this idea applies with rules of thumb; decisions that need to be made spontaneously. The right act is the one that results in the most utility. Rule utilitarians believe that an act is only deemed appropriate if it fits in line with the outline of valid rules within a system of rules that target the most favorable outcome.
In this essay we will discuss and analyze Aristotle’s Doctrine of the Mean. This topic area can be found in Book II, page 888, 6—15, through 890, 25. The purpose for Aristotle touching on this subject matter was to discern the states of character which are virtuous from those which are not. By this, I mean he is attempting to categorize which virtues are causal of a human “to be in a good state and to perform their functions well”(888—15). In order to keep this paper orderly and comprehensible, we will work in chronological order through Aristotle’s variety of premises and conclusions which lead to his main idea which is ––––––––––––.
For Aristotle the doctrine of the mean is a way to categorize (one of his favorite activities) moral virtue; however, there are some exceptions, as Aristotle noted, leaving a gap that must be filled. The doctrine is very helpful and does work, but one must beware the exceptions and carefully contemplate for himself whether these things are so.
1. Utilitarianism was described by J. Bentham as the greatest happiness of the greatest number. Utilitarianism is a holding that the proper course of action is the one that maximizes the amount of happiness. It is therefore a form of consequentialism, which means that the moral value of an action is determined only by its outcome, so one can only weigh the morality of an action after thinking about all its potential consequences. Utilitarianism focuses more on the happiness of the greatest number whereas Aristotle focuses more on the happiness of the individual person Virtue ethics developed by Aristotle which is a moral theory that focuses on the development of virtuous character. In virtue ethics, character is the key to the moral life, for it is from a virtuous character that moral conduct and values naturally arise. Aristotle believes that the highest goal of humanity is the good life or Eudaimonia which means happiness and human flourishing. Developing virtues is the way to achieve a rich and satisfying life. According to him, virtues make