Practical decision making in health care ethics: cases and by Raymond J. Devettere

By Raymond J. Devettere

This variation comprises chapters on controlled care and clinical genetics, in addition to an accelerated bankruptcy on advantage and selection making. It updates debts of controversies, together with late-term abortion, cloning, germ-line genetic learn, the human genome venture, mind loss of life, non-heart beating organ donors, and physician-assisted suicide. Case reports, drawn from landmark public instances, illustrate such matters as scientific futility, genetic screening, AIDS study, managed-care mix-ups, and the ignoring of sufferers' needs by way of medical professionals.

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Ethics Includes Reasoning Faced with the challenges of life, we have to figure out what is truly good for ourselves and what is truly bad. The ethical wisdom embedded in our Page 6 traditions is a rich source for discerning what is good or bad, but it is not enough. Sometimes moral traditions misguide us our tradition found slavery morally acceptable for centuries but now condemns it. Sometimes, and this is especially true in health care, our moral traditions fail to guide us because our predecessors never experienced or even thought about what we face today.

Here I also find myself considering a particular situation and want to know what will achieve the good in the circumstances, but I am not actually going to do, or be significantly affected by, what I decide. I am not the moral agent. Making ethical judgments on this level is far less personal than practicing prudence because someone else is confronted with the ethical question. In the examples given above, I might be a friend of the person wrestling with the decision about cardiopulmonary resuscitation, or I might be a colleague helping the physician decide whether or not he should give the patient with acquired immune deficiency syndrome (AIDS) access to medications that will probably be used for suicide.

Sometimes the principles and rules are derived from ethical theories, sometimes from experience, sometimes from an equilibrium of both theory and experience, but it is always the principles and rules that occupy the central position in these moral philosophies. The ethics proposed in this book is not an ethics of obligation and duty determined by principles and rules. It is an ethics of personal well-being and fulfillment. These theories make the good life my good life the centerpiece: they propose a process of prudential reasoning to determine what habits, feelings, and behaviors in the various situations of life will fulfill the goal we all ultimately share living a fulfilled and happy life.

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