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Ethics around the globe
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A Principalist Approach to Global Health Problems Due to globalization, health problems are becoming an international concern. When approaching global health problems, it is important to adopt the appropriate ethical outlook. The harm principle should be the main priority when dealing with issues of international concern. However, due to the vulnerable position the country in need is in, aiding countries may intentionally or unintentionally coerce them and harm them further. To prevent abuse of power and ensure solidarity, it is important to maintain transparency whenever decisions are made. In this paper, I will be arguing for a principalist approach to global health problems that uses the harm principle, autonomy, and transparency. A principalist …show more content…
The harm principle as the main priority allows it to override the other principles while ensuring that the goal of not harming and preventing harm is maintained in all ethical problems. The harm principle also provides the basis for actionwhile ensuring the primary priority is the safety of the citizens of the aiding country. The second priority is preventing further or future harm to vulnerable countries. Autonomy helps set the nature of the relationship between vulnerable and aiding countries. This prevents abuse of power and promotes independence. Autonomy also sets out the standard of aid provided to countries by setting out the goal of what the aid should provide to the vulnerable country. In situations of famine relief, aid provided should promote autonomy and prevent recurrent cycles of vulnerability. This can be achieved through skill development and education alongside food. Transparency helps ensures that vulnerable countries do not abuse vulnerable countries by ensuring all actions and decisions are made in concert with the vulnerable country. This is achieved through aiding countries placing an emphasis on humility, reciprocity, and community engagement in decision-making. When addressing ethical issues, specifically in global health, the ultimate concern should always be the needs of the vulnerable
Varmus , Harold, and David Satcher. "Ethical Complexities of Conducting Research in Developing Countries." New England Journal of Medicine. 337.14 1003-1005. Web. 9 Feb. 2014.
“The only real nation is humanity” (Farmer 123). This quote represents a huge message that is received in, Tracy Kidder’s, Mountains Beyond Mountains. This book argues that universal healthcare is a right and not a privilege. Kidder’s book also shows the audience that every individual, no matter what the circumstances, is entitled to receive quality health care. In the book Kidder represents, Paul Farmer, a man who spends his entire life determined to improve the health care of impoverished areas around the world, namely Haiti, one of the poorest nations in the world. By doing this the audience learns of the horrible circumstances, and the lack of quality health care that nations like Haiti live with everyday, why every person has the right to healthcare no matter what, and how cost effectiveness should not determine whether or not these people get to live or die. Two texts that also argue this idea are Monte Leach’s “Ensuring Health Care as a Global Human Right,” and Darshak Sanghavi’s “Is it Cost Effective to Treat the World’s Poor.” Leach’s article is an interview with Benjamin Crème that illustrates why food, shelter, education, and healthcare are human rights that have to be available to everyone. He shares many of the same views on health care as Farmer, and the two also share similar solutions to this ongoing problem. Leach also talks about the rapidly growing aids epidemic, and how it must be stopped. Like farmer, he also argues that it is easier to prevent these diseases then to cure them. Furthermore, Sanghavi’s article represents many of the questions that people would ask about cost effectiveness. Yet similar to Farmer’s views, Sanghavi argues that letting the poor d...
Wilson , James G. S., “Rights”, Principles of Health Care Ethics, Second Edition, eds. R.E. Ashcroft, A. Dawson, H. Draper and J.R. McMillan. John Wiley & Sons, Ltd. 2007. pp. 239.
Rather, Buchanan proposed the field of public health to gain the public’s trust, needs to expand individual autonomy by promoting social justice while discussing the common portrayals of justice. The rationale behind Buchanan’s work is to bring understanding to an ethical issue of paternalism v. autonomy in public health. Paternalism can be justified given it protects the interest of the people and autonomy is an individual’s freedom from external control or influence. There are valid arguments for both sides, but in public health, paternalism is very useful situationally, while autonomy must be preserved and respected as it is an individual given right. Aiming for an ideal range where public health policy and individual freedom can overlap, no matter the inconsistencies, is the
The provision 8 of the American Nurses Association (ANA)’s Code of Ethics highlights that nurses collaborate with other health care professionals and the local and global community in promoting health. Nurses are committed in fostering the health and well being of individuals and the community. This also includes the broader health needs such as, world hunger, pollution, equity in health care, and human rights. Nurses are also responsible in keeping themselves updated with the health conditions of the community (Nursing World, 2001).
... aid across the world. As we have established that we do have an obligation to redistribute globally in a cosmopolitan perspective, distributing wealth however we may need to rethink what the best assistance is. Amaryta Sen conveys that before sending aid to the third world state, we would need to fully understand the limitation of freedom in the country. Redistributing wealth to global countries requires it to be evaluated by the economic shortage that they are suffering and to see whether it will be efficient in the long run. The more effective ways to contribute would be to international relief agencies or NGO’s that would pursue international development projects to help those in poverty or the alternative option by Tom Campbell’s idea of a ‘Global humanitarian levy’ which suggests a more appropriate taxation on all citizens to collectively aid those in need.
has become the norm for them because of their living conditions. They may not be able to afford medical care, and it is possible that they are not well educated, so they do not understand the severity of leaving a medical condition untreated. For these reason they may never seek medical attention. In contrast, someone who is of a higher class will be better educated on what to do when they feel ill. They will most likely seek medical help right away, because to them illness is not the norm. They can also afford private medical care if needs be.
..., beneficence, non-maleficence and justice help us understand and explain which medical practices are ethical and adequate. These principles are used to protect the rights of a patient and the physician from being dishonored. The principle autonomy allow an individual to act freely in accordance to their self-chosen plan. This means that healthcare providers must always get the patients consent before making any decision about patient’s life. The of non-maleficence states one must cause no harm to an individual. This means that we must always restrain from harming others. The principle of beneficences say that one must always promote good. This means that healthcare providers must always do what is good for the patient. Lastly the principle of justice promote fairness and equally. This mean that healthcare providers cannot act in a prejudice manner toward patients.
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.
Resources have always been inadequate for food, economics and healthcare and all scarce resources are rationed in one way or another. Healthcare resources can be in the forms of medicine, machinery, expensive treatment and organ transplantation. For decades, allocation of healthcare resources in an equitable manner has always been the subject of debate, concern and analysis, yet the issue has persistently resisted resolution. Scarcity of resources for healthcare and issue of allocation is permanent and inescapable (Harris, “Deciding between Patients”). Scarcity can be defined in general, in emergency and in crises as well as shortage of certain kind of treatment, medicine or organs. As a result of scarcity of resources, and some people may be left untreated or die when certain patients are prioritized and intention of is that everyone will ultimately be treated (Harris, 2009: 335). Allocation of limited resources is an ethical issue since it is vital to address the question of justice and making fair decisions. Ethical judgments and concerns are part of daily choice in allocation of health resources and also to ensure these resources are allocated in a fair and just way. This paper will explore how QALYs, ageism and responsibility in particular influence the allocation of healthcare resources in general through the lens of justice, equity, social worth, fairness, and deservingness.
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 that are 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. This balance is quite important as the well being of participants is at risk.7
In order for nurses to practice ethically they must understand the meaning behind each professional value. The first value is human dignity. With each patient we encounter we must show them respect as individuals. It does not matter what the medical condition is, race, ethnicity, culture, religion or gender of the individual. The dignity of a person must be protected. As nurses we must respect the uniqueness of each individual we care for, as this is a fundamental right of all humans. A person with dignity feels a sense of self-worth and as nurses we must do our best to help our patients maintain that feeling of worthiness.
London, England. The.. London School of Hygiene and Tropical Medicine n.d., Session 5: The role of the state. in global health, London School of Hygiene and Tropical Medicine, London, England. Ricci J.
The objectives of this essay is to identify and address the global health issues as whole including causes of these issues and impact of these issues. Also it is aim to address the preventive measures to reduce the global issues and report the methods for global health issues identified and understand the global health priorities with regards to major health issues throughout the world.
In the end, countries that cooperate and do not discriminate against each other will help themselves and the world flourish. If these developed countries continue to prejudge underdeveloped countries by wealth or other conditions, when people are faced with serious problems in society, these problems become global. By helping each other, all countries offer hope and compassion, and share new knowledge with each other. Therefore, people all over the world would suffer less, because they know they are not alone.