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Ethical issues related to recent technological breakthroughs in medicine
Ethical issues in healthcare and medical technology
ESSAY on Conventional Morality
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In Rethinking Life and Death: The Collapse of Our Traditional Values, Peter Singer examines ethical dilemmas that confront us in the twentieth century by identifying inconsistencies between the theory and practice of ethics in medicine. With advancements in medical technology, we focus on the quality of patients’ lives. Singer believes that in this process, we have acknowledged a new set of values that conflicts with the doctrine of the sanctity of life. Although the cases he presents Singer offers a lens through which we can examine non-treatment in terminal illnesses. Terminal illness is a disease that cannot be cured or adequately treated. Patients with terminal illnesses are reasonably expected to pass away within a short period of time. In these cases, all fully curative options are exhausted, but oftentimes, patients have opportunity to undergo treatment with the hope of extending their lives. Modern technology and medical revolutions allow us to combat these conditions. For example, advanced cancer, or that which has metastasized to different parts of the body, often carries a terminal diagnosis, but it can be treated with chemotherapy, radiation, and surgery. However, this route requires aggressive treatment at the expense of quality of life. On the other hand, patients can refuse treatment for their terminal condition, in which case physicians offer palliative or therapeutic treatment to relieve them of pain and stress. Such care can include medicines to treat symptoms such as pain, breathing difficulties, fatigue, and nausea. Treating the biological side of a terminal illness involves a spectrum of possible care that patient can pursue. Some wish to completely stop all medical treatment to avoid side effects ... ... middle of paper ... ...ce, Singer never directly addresses palliative care. His reasoning and commandments are focused on more extreme cases, such as anencephalics, babies born with deformities, and people in PVS. A majority of people do not begin or end life in these ways. Singer does not address the slow deterioration of health that many people experience as they age and approach death. The diagnosis of terminal illnesses, such as metastatic cancer and organ failure, SOCIAL COMPONENT In conclusion, Through his discussion of quality of life and death, Singer offers ethical guidelines for the decision to refuse treatment to prolong life in the case of a terminal illness. With its consideration of the patients, families, physicians, and others, he thoroughly considers the consequences of treatment and non-treatment. Due to Not a full treatment of the subject but offers guidelines
Gawande’s book is very pertinent to the present day and has by many accounts sparked a national discussion on end-of-life care and how we treat our elderly. With elderly people accounting for a greater proportion of the American populace and as people start living even longer than they do now, end-of-life care will become and remain a major issue faced by doctors, patients, their families, and the healthcare system. Additionally, with our greater focus on improving patient outcomes while getting the most value for our healthcare dollars, end-of-life care is a major area that healthcare systems and hospitals will focus on, as it accounts for a large portion of their budget. As a response to the need to take care of our aging population, hospice care and palliative medicine are some of the newer specialties in the medical field that have been increasing in popularity and more research needs to be focused in these areas to better understand how to improve patient outcomes.
Tom Harpur, in his 1990 article in the Toronto Star - "Human dignity must figure in decisions to prolong life" - presents numerous arguments in support of his thesis that the use of advanced medical technology to prolong life is often immoral and unethical, and does not take into consideration the wishes of the patient or their human dignity. However, it must be noted that the opening one-third of the article is devoted to a particular "human interest" story which the author uses to illustrate his broader argument, as well as to arouse pity among readers to support his view that human life should not always be prolonged by medical technology. This opening section suggests that a critical analysis of Harpur 's arguments may find widespread use of logical fallacies in support of the article 's thesis. In this essay I will argue that, given how greatly
There are several important ethical issues related to euthanasia. One is allowing people who are terminally ill and suffering the right to choose death. Should these people continue to suffer even though they really are ba...
When faced with a terminal illness a person has to go through a process of thinking. What will happen to me? How long will I suffer? What kind of financial burden am I going to leave with my family when I am gone? What are my options? For many years the only legal options were to try a treatment plan, palliative care, hospice, and eventually death. For residents of Washington State, Oregon, and Vermont there is another option. They have the option to end their own life with a prescription from their physicians.
A divergent set of issues and opinions involving medical care for the very seriously ill patient have dogged the bioethics community for decades. While sophisticated medical technology has allowed people to live longer, it has also caused protracted death, most often to the severe detriment of individuals and their families. Ira Byock, director of palliative medicine at Dartmouth-Hitchcock Medical Center, believes too many Americans are “dying badly.” In discussing this issue, he stated, “Families cannot imagine there could be anything worse than their loved one dying, but in fact, there are things worse.” “It’s having someone you love…suffering, dying connected to machines” (CBS News, 2014). In the not distant past, the knowledge, skills, and technology were simply not available to cure, much less prolong the deaths of gravely ill people. In addition to the ethical and moral dilemmas this presents, the costs of intensive treatment often do not realize appreciable benefits. However, cost alone should not determine when care becomes “futile” as this veers medicine into an even more dangerous ethical quagmire. While preserving life with the best possible care is always good medicine, the suffering and protracted deaths caused from the continued use of futile measures benefits no one. For this reason, the determination of futility should be a joint decision between the physician, the patient, and his or her surrogate.
In the medical field, there has always been the question raised, “What is ethical?” There is a growing conflict between two important principles: autonomy and death being considered a medical treatment. Physician assisted suicide is defined as help from a medical professional,
The patient might just be waiting for the disease they have caught to kill them, but it does not always go so quickly . ¨Ending a patient's life by injection, with the added solace that it will be quick and painless, is much easier than this constant physical and emotional care¨ (Ezekiel Emanuel, 1997, p. 75). If a patient is terminally ill and will not get better, it allows them to end the suffering. If the physician has to keep a constant eye on the patient and they need constant care and the patient is not getting better, the option is there if they want to end all of it they can. Sometimes dealing with all of the physical care like medications and not being able to live completely normal with a disease is hard. It can get extremely hard and stressful that all the patients can think about doing is ending it, this alternative gives the patient a painless option. According to Somerville (2009), ¨… respect for people's rights to autonomy and self determination means everyone has a right to die at a time of their choosing¨ ( p.4). The patient deserves to choose whether they want to keep fighting or if they cannot go any farther. The patient should not have to push through a fight they have been fighting and know they cannot win. According to Kevorkian ¨the patient decides when it's best to go.¨ Nobody tells the patient when they have to end their lives, they understand their body and know
Giving a patient this option not only allows him or her to abstain from unnecessary pain, but it also allows the patient to die a dignified death. Colleges of the Boston College Law School Faculty Papers explain their views on assisted suicided to readers expressing, “We believe that it is reasonable to provide relief from suffering for patients who are dying or whose suffering is so severe that it is beyond their capacity to bear…The most basic values that support and guide all health care decision-making, including decisions about life-sustaining treatment, are the same values that provide the fundamental basis for physician-assisted suicide: promoting patients’ well-being and respecting their self-determination or autonomy”. The contributing authors make an excellent point stating the same values that are used in prolonging an individual 's life are the same used in assisted dying. Nonetheless, the majority of the United States remains opposed to assisted dying ignoring the individual’s mental, physical, and emotional pain he or she has undergone.With that in mind, this law also ignores the trauma close family members endure witnessing his or her loved ones face such an undesirable
terminally ill often times decide that they want to end their life on their own time, and their own terms.
Anyone can be diagnosed with a terminal illness. It doesn’t matter how healthy you are, who you are, or what you do. Some terminal illnesses you can prevent by avoiding unhealthy habits, eating healthily, exercising regularly and keeping up with vaccinations. However some terminally ill people cannot be helped, their diseases cannot be cured and the only thing possible to help them, besides providing pain relieving medication, is to make them as comfortable as possible while enduring their condition. Many times the pharmaceuticals do not provide the desired pain escape, and cause patients to seek immediate relief in methods such as euthanasia. Euthanasia is the practice of deliberately ending a life in order to alleviate pain and suffering, but is deemed controversial because many various religions believe that their creators are the only ones that should decide when their life’s journey should reach its end. Euthanasia is performed by medical doctors or physicians and is the administration of a fatal dose of a suitable drug to the patient on his or her express request. Although the majority of American states oppose euthanasia, the practice would result in more good as opposed to harm. The patient who is receiving the euthanizing medication would be able to proactively choose their pursuit of happiness, alleviate themselves from all of the built up pain and suffering, relieve the burden they may feel they are upon their family, and die with dignity, which is the most ethical option for vegetative state and terminally ill patients. Euthanasia should remain an alternative to living a slow and painful life for those who are terminally ill, in a vegetative state or would like to end their life with dignity. In addition, t...
A terminal illness is an infection or disease which is considered ultimately fatal or incurable. Usually a patient is considered to have a terminal illness if he or she seems likely to die despite diagnosis and treatment, although it is possible for people with a terminal illness to live for years before succumbing to the medical condition. A patient is considered terminally ill, when a physician tells them that they have six months or less of survival left in life (Smith, 2011).
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.
Some feel that a terminally ill patient should have a legal right to control the manner in which they die. Physicians and nurses have fought for the right to aid a patient in their death. Many families of the terminally ill have exhausted all of their funds caring for a dying patient and would prefer the option of assisted suicide to bankruptcy. While there are many strong opposing viewpoints, one of the strongest is that the terminally ill patient has the right to die in a humane, dignified manner. However, dignity in dying is not necessarily assured when a trusted doctor, whose professional ethics are to promote and maintain life, injects a terminally ill patient with a lethal dose of morphine.
First, let’s consider the reasoning behind the patients choosing to forego extraordinary treatment for their cancer. They have decided, as Beauchamp would put it, that refusing to prolong their lives in the face of pain and suffering “neither harms nor wrongs [them] and may provide a benefit” (Beauchamp, 76). They “intend to quit life because of its bleak possibilities” (Beauchamp, 77). The doctor readily complies with their wishes out of moral, legal, and professional obligation. A choice has been made to let both patients die, as a response to their “competent and authoritative refusal of treatment” (Beauchamp 74).
A new diagnosis of a terminal illness can give a person a new vision in life and they think about life here on out much differently. Everything seems foggy at first, but life eventually becomes very clear as far as your last wishes and goals with your last days, months, or years here on earth. After the shock, reality suddenly sets in and makes you see what is important in life and you realize a list of wishes and goals you want to accomplish before your passing day.