Debating health care ethics: Canadian contexts
"In this updated second edition, Debating Health Care Ethics explores contemporary moral challenges in health care, providing students with the essential tools to understand and critically evaluate the leading arguments in the field and to develop their own arguments on important moral problems...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Toronto ; Vancouver
Canadian Scholars
2019
|
| Edition: | Second edition |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis Klappentext |
| Summary: | "In this updated second edition, Debating Health Care Ethics explores contemporary moral challenges in health care, providing students with the essential tools to understand and critically evaluate the leading arguments in the field and to develop their own arguments on important moral problems in health care. Written in a clear and concise way, the textbook’s first three chapters explore the nature of arguments and ethical theories, while the remaining chapters introduce students to moral problems in health care through case studies and dramas that feature complex scenarios involving patients, family members, and health care providers. Each case study and drama is followed by a lively debate where the authors defend their unique approaches to the dilemma. This new edition now includes more gender inclusive dramas, an expanded discussion of feminist ethics, a case study on euthanasia that highlights changes to Canadian law, and an update on fetal consciousness that informs the debate on abortion. Emphasizing critical issues in health care from a Canadian perspective, this essential textbook will benefit students in philosophy, nursing, and health studies."-- |
| Physical Description: | xix, 371 Seiten |
| ISBN: | 9781773381060 1773381067 |
Staff View
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CONTENTS About the Authors Preface xiv xv CHAPTER 1 ARGUMENTS AND METHODOLOGY INTRODUCTION ARGUMENTS 1 1 1 What Is an Argument? 1 Evaluating Arguments 3 PHILOSOPHICAL METHODOLOGY: COUNTEREXAMPLES AND THOUGHT 9 EXPERIMENTS COMMON FALLACIES 11 Circularity (a.k.a. Begging the Question) False Dilemma Equivocation 13 Appeal to Emotion Straw Man 14 15 REVIEW QUESTIONS NOTES 13 14 Ad Hominem CONCLUSION 11 13 15 16 CHAPTER 2 INTRODUCTION PHILOSOPHICAL ETHICS: AN INTRODUCTION 17 THREE TYPES OF ETHICAL INQUIRY 18 SKEPTICAL CONCERNS: ETHICAL RELATIVISM NORMATIVE ETHICAL THEORY 24 CLASSICAL ACT UTILITARIANISM 24 Objections to Utilitarianism 27 Utilitarian Responses RULE UTILITARIANISM 30 32 NON-CONSEQUENTIALISM AND DEONTOLOGY KANT’S ETHICS 21 34 The Idea of Moral Worth 34 34 17
viii Contents The Categorical Imperative 35 The Universal Law Formulation of the Categorical Imperative The Humanity Version of the Categorical Imperative 38 Objections to the Universal Law and Humanity Tests 40 PLURALISTIC DEONTOLOGY 43 Difficulties with Ross’s Theory SOCIAL CONTRACT THEORY 45 46 HOBBES’S SOCIAL CONTRACT THEORY 47 Objections to Hobbes’s Social Contract Theory 48 RAWLS’S SOCIAL CONTRACT THEORY: JUSTICE AS FAIRNESS Difficulties with Rawls’s Social Contract Theory ARISTOTLE’S VIRTUE THEORY 55 58 Difficulties with the Ethics of Care 60 Status-Oriented Feminist Approaches 61 63 REVIEW QUESTIONS NOTES 51 57 THE ETHICS OF CARE CONCLUSION 49 54 Objections to Virtue Theory FEMINIST ETHICS 36 63 64 CHAPTER 3 OUR PHILOSOPHICAL APPROACHES INTRODUCTION 70 DORAN’S PLURALISTIC APPROACH TO ETHICS 70 Leading Ethical Theories and Their Problems Moral Pluralism 71 73 PATRICK’S VIRTUE-BASED APPROACH TO ETHICS Metaethics 70 75 76 Normative Ethics 78 Some Objections and Responses 79 WARREN’S APPROACH TO ETHICS: PRACTICAL SOCIAL CONTRACT THEORY The Main Contractarian Ideas for Warren’s Purposes The Committee Metaphor The Video Game Metaphor 84 86 Warren’s Use of Social Contract Theory Cultural Relativism 86 87 Ethics Regarding Non-Humans 87 Social Contract Theory beyond Ethics 89 82 82
Contents Warning °y CONCLUSION 90 REVIEW QUESTIONS NOTES ¡X 90 90 CHAPTER 4 AUTONOMY AND THE RIGHT TO REFUSE TREATMENT 92 INTRODUCTION 92 DRAMA 93 DEBATE 100 Identifying Relevant Facts 100 MORAL ISSUES RAISED BY THE CASE Stating Our Positions 102 102 AN ARGUMENT FOR THE RIGHT TO IGNORE EXPERTS Clarifying Premise (3) 104 105 Assuming Mr. Edwards Was Competent, Did His Health Care Team Err in Releasing Him from the Hospital When They Did? OBJECTIONS TO PREMISE (5) 108 111 Was Mr. Edwards Competent? Ill The Gangrenous Foot Example 113 Incompetence to Refuse Medical Care: Skepticism without Reason Competence and Psychiatric Evaluation Did Mr. Edwards Give a Valid Refusal? OBJECTIONS TO PREMISE (7) SUMMARY 124 126 129 REVIEW QUESTIONS NOTES 120 124 Virtue May Overpower the Right to Refuse Doubt Justifies Delay 116 130 131 CHAPTER 5 EUTHANASIA INTRODUCTION 132 132 CASE DESCRIPTION 133 Case Description: Tim Regan’s Voluntary Active Euthanasia What Is Euthanasia? 134 Different Kinds of Euthanasia DECIDING WHICH ISSUES TO DEBATE 137 141 133 114
x Contents THE MORALITY OF VOLUNTARY ACTIVE EUTHANASIA 141 The Autonomy and Best Interest Argument for Voluntary Active Euthanasia The Revised Autonomy and Best Interest Argument 142 144 The Sanctity of Life Objection to the Morality of Voluntary Active Euthanasia 145 Suicide and Hare’s Lorry Driver—More Counterexamples to the Sanctity of Life Principle 148 An Argument That the Moral Reasons against Killing Do Not Apply to Voluntary Active Euthanasia 150 An Argument That Euthanasia Is Wrong Because It Destroys What Belongs to God 150 A Counterexample to the Revised Autonomy and Best Interest Argument THE MORALITY OF NON-VOLUNTARY ACTIVE EUTHANASIA 152 152 The Best Interest Argument for Non-Voluntary Active Euthanasia Philippa Foot’s Objection to Non-Voluntary Active Euthanasia 153 156 The Never-Best-Interest Objection to Non-Voluntary Active Euthanasia SUMMARY 158 REVIEW QUESTIONS NOTES 157 159 160 CHAPTER 6 INTRODUCTION DRAMA 163 DEBATE 165 ABORTION 161 161 Clarifying the Case and Identifying Relevant Facts MORAL ISSUES RAISED BY THE CASE Stating Our Positions 165 167 168 LEADING ARGUMENTS AGAINST THE MORALITY OF ABORTION Noonan's Argument 169 169 Marquis's Argument for the Wrongfulness of Abortion 173 The Argument That This Abortion Discriminates against the Disabled 177 Patrick’s Virtue-Based Argument for Why Abortion Would Be Permissible in This Case 180 The Right to Life Weighed against Marissa and Don’s Virtues 181 DORAN’S ARGUMENT THAT MARISSA AND DON’S DECISION TO ABORT WAS MORALLY PERMISSIBLE 185 The Rationality Criterion for a Right to Life The Life Criterion 185
186 The Sentience Criterion 187 The Addition of Rationality to Sentience 188 Objections to Doran’s Sentience-Based Criterion of a Right to Life 190
Contents SUMMARY 196 REVIEW QUESTIONS NOTES 197 CHAPTER 7 C-SECTION BY CHOICE INTRODUCTION DRAMA 197 199 199 200 DEBATE 205 Clarifying the Case and Identifying Relevant Facts MORAL ISSUES RAISED BY THE CASE Stating Our Positions 205 210 210 DORAN’S ARGUMENT FOR WHY WENDY’S DECISION IS MORALLY PERMISSIBLE DO POTENTIAL HARMS MAKE WENDY’S AUTONOMOUS CHOICE WRONG? Harms to the Baby 215 Harms to the Mother 222 Harms to Others besides the Baby and the Mother SUMMARY 227 REVIEW QUESTIONS NOTES 224 228 228 CHAPTER 8 INTRODUCTION DRAMA 234 DEBATE 236 TWO-TIER HEALTH CARE 232 232 Clarifying the Case and Identifying Relevant Facts MORAL ISSUES RAISED BY THE CASE Stating Our Positions 240 241 A LIBERTARIAN ARGUMENT 242 The Wilt Chamberlain Example 244 Is Redistributive Taxation Inherently Unjust? 245 The Complicity Objection to the Second Premise The Compassion Objection to the Second Premise AN EGALITARIAN ARGUMENT The Self-Respect Argument TWO-TIER ARGUMENTS 236 250 251 253 255 257 Is Two-Tier MRI Permissible If It Does Not Harm the Public Health Care System? 257 214 212 xi
xii Contents Is Two-Tier MRI Permissible If It Benefits the Public Health Care System? Warren’s Social Contract View on When Two-Tier MRI Is Justified Patrick’s Virtue-Based View on When Two-Tier MRI Is Justified 260 COMMENTS ON CANADA’S CURRENT PUBLIC HEALTH CARE SYSTEM FROM THE POLITICAL TO THE INDIVIDUAL CLOSING ARGUMENTS SUMMARY 264 264 266 268 REVIEW QUESTIONS NOTES 258 259 269 270 CHAPTER 9 MICROALLOCATION OF SCARCE RESOURCES INTRODUCTION 271 DRAMA 272 DEBATE 276 Clarifying the Case and Identifying Relevant Facts MORAL ISSUES RAISED BY THE CASE Stating Our Positions 276 277 278 MICROALLOCATION RULES: CLINICAL CONSIDERATIONS 279 Warren’s Argument for Fair Microallocation Rules: Worst First, First Come, and Hopeless Second 279 Doran’s Objection to the Sympathy Metarule Patrick’s Objection to the Sympathy Metarule 282 286 Objection to the Sufficiency of Hopeless Second 287 Minimize YPLL (Minimize Years of Potential Life Lost) Substantial Benefit Fair Turn 290 MICROALLOCATION RULES: NON-CLINICAL CONSIDERATIONS Moral Responsibility Innocents First 293 294 Third-Party Interests Public Interest Medical Interests 296 297 298 COLLECTING OUR THOUGHTS SUMMARY 301 REVIEW QUESTIONS NOTES 288 289 303 302 300 293 27:
Contents ¿ifj^^piËRlO ALTERNATIVE MEDICATIONS AND PROFESSIONAL RELATIONSHIPS INTRODUCTION DRAMA 304 304 306 DEBATE 310 Clarifying the Case and Identifying Relevant Facts MORAL ISSUES RAISED BY THE CASE Stating Our Positions 310 313 314 THE BEST INTEREST PRINCIPLE 314 Patrick’s Frog Toxin Counterexample to the Best Interest Principle THE AMPLE DISCRETION PRINCIPLE 317 318 Doran’s Indeterminacy Objection to Warren’s Principle 319 THE AMPLE DISCRETION PRINCIPLE REVISED: VALID CONSENT OF COMPETENT PATIENTS ONLY 321 Ample Discretion, Patient Competence, and Valid Consent Ample Discretion and Patient Autonomy 322 324 THE AMPLE DISCRETION PRINCIPLE REVISED (AGAIN): HARM AVOIDANCE 326 AGAINST THE REVISED AMPLE DISCRETION PRINCIPLE: THE DIVISION OF LABOUR OBJECTION 329 The Psychic Surgery Counterexample 331 More Counterexamples to the Ample Discretion Principle: Prayer and Other Unconventional Treatments FINAL THOUGHTS SUMMARY 336 REVIEW QUESTIONS NOTES Glossary Index 334 337 339 359 337 333 xiii
Debating Health Care Ethics begins with an excellent overview of the nature of arguments, philosophical methodology, and normative ethical theory. In the remaining chapters, the authors explore moral problems in health care of interest to Canadians through dramas, case studies, and dialogues. This approach makes vivid these real-world issues and demon strates how arguments are developed, as well as criticized, defended, and reformulated, from multiple philosophical perspectives to deal with these moral problems. Rich with boxed features that encourage reader participation and demystify complex con cepts, this new edition indudes an expanded discussion on feminist ethics, a case study on euthanasia that highlights recent changes to Canadian law, and an update on fetal conscious ness that informs the debate on abortion. Supplementary resources available to instructors indude an ethics case reporting form, a sample syllabus, and sample essay and exam ques tions. This engaging and accessible edition will greatly benefit students in philosophy, health studies, and nursing. |
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| isbn | 9781773381060 1773381067 |
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| spelling | Findler, Patrick 1962- Verfasser (DE-588)1195737890 aut Debating health care ethics Canadian contexts Patrick Findler, Doran Smolkin, and Warren Bourgeois Second edition Toronto ; Vancouver Canadian Scholars 2019 xix, 371 Seiten txt rdacontent n rdamedia nc rdacarrier "In this updated second edition, Debating Health Care Ethics explores contemporary moral challenges in health care, providing students with the essential tools to understand and critically evaluate the leading arguments in the field and to develop their own arguments on important moral problems in health care. Written in a clear and concise way, the textbook’s first three chapters explore the nature of arguments and ethical theories, while the remaining chapters introduce students to moral problems in health care through case studies and dramas that feature complex scenarios involving patients, family members, and health care providers. Each case study and drama is followed by a lively debate where the authors defend their unique approaches to the dilemma. This new edition now includes more gender inclusive dramas, an expanded discussion of feminist ethics, a case study on euthanasia that highlights changes to Canadian law, and an update on fetal consciousness that informs the debate on abortion. Emphasizing critical issues in health care from a Canadian perspective, this essential textbook will benefit students in philosophy, nursing, and health studies."-- Medizinische Ethik (DE-588)4074672-0 gnd rswk-swf Kanada (DE-588)4029456-0 gnd rswk-swf Medical ethics / Canada / Textbooks Éthique médicale / Canada / Manuels d'enseignement supérieur Medical ethics Canada Textbooks Manuels d'enseignement supérieur Kanada (DE-588)4029456-0 g Medizinische Ethik (DE-588)4074672-0 s DE-604 Smolkin, Doran 1963- Verfasser (DE-588)1195738013 aut Bourgeois, Verne Warren 1947- Verfasser (DE-588)173110088 aut Erscheint auch als Online-Ausgabe, PDF 978-1-77338-107-7 Erscheint auch als Online-Ausgabe, EPUB 978-1-77338-108-4 Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=031515587&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=031515587&sequence=000003&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Findler, Patrick 1962- Smolkin, Doran 1963- Bourgeois, Verne Warren 1947- Debating health care ethics Canadian contexts Medizinische Ethik (DE-588)4074672-0 gnd |
| subject_GND | (DE-588)4074672-0 (DE-588)4029456-0 |
| title | Debating health care ethics Canadian contexts |
| title_auth | Debating health care ethics Canadian contexts |
| title_exact_search | Debating health care ethics Canadian contexts |
| title_full | Debating health care ethics Canadian contexts Patrick Findler, Doran Smolkin, and Warren Bourgeois |
| title_fullStr | Debating health care ethics Canadian contexts Patrick Findler, Doran Smolkin, and Warren Bourgeois |
| title_full_unstemmed | Debating health care ethics Canadian contexts Patrick Findler, Doran Smolkin, and Warren Bourgeois |
| title_short | Debating health care ethics |
| title_sort | debating health care ethics canadian contexts |
| title_sub | Canadian contexts |
| topic | Medizinische Ethik (DE-588)4074672-0 gnd |
| topic_facet | Medizinische Ethik Kanada |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=031515587&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=031515587&sequence=000003&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT findlerpatrick debatinghealthcareethicscanadiancontexts AT smolkindoran debatinghealthcareethicscanadiancontexts AT bourgeoisvernewarren debatinghealthcareethicscanadiancontexts |