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Deontology vs utilitarianism
Deontology vs utilitarianism
Ethical medical controversy
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According to the dictionary, ethics are moral principles that govern a person’s behavior or conducting of an activity. It is a vital component in the medical field because it deals with moral dilemmas that might arise due to conflicts in duties or obligations as well as their potential outcomes. Bioethics is based on four key principles: autonomy, beneficence, justice and nonmaleficence. Medical professionals must employ a systematic approach when establishing these principles in their decision-making. While ethical principles are precise by definition, the implementation of these principles are more complex. What happens when more than one contradictory ideals come into question? For instance, when obligation to the patient and duty to society are misaligned. When it comes to decision-making, two principle ethical theories play a major part: deontology and utilitarianism. Though deontological and utilitarian theories agree on the significance of certain principles i.e. autonomy, the reasons they do so are very different. These differences will be briefly examined to gain a deeper understanding of each theory and to help determine which, if any, ethical theory applies best in the medical profession and if these theories are adequate guidelines for medical professionals. Application of these principles to healthcare requires a prior understanding of both …show more content…
The doctor-patient relationship should be deontological because such a relationship requires the doctor to treat the patient with respect and as ends in themselves. Deontology is a duty based ethics, therefore, what one person should do in relation to another regardless of the “maximum benefit”. The deontological perspective gives doctors the motivation to do good for each patient they meet. It values the carefulness of each individual and thus cements the doctor-patient
Alan Goldman argues that medical paternalism is unjustified except in very rare cases. He states that disregarding patient autonomy, forcing patients to undergo procedures, and withholding important information regarding diagnoses and medical procedures is morally wrong. Goldman argues that it is more important to allow patients to have the ability to make autonomous decisions with their health and what treatment options if any they want to pursue. He argues that medical professionals must respect patient autonomy regardless of the results that may or may not be beneficial to a patient’s health. I will both offer an objection and support Goldman’s argument. I will
According to Terrence F. Ackerman, as of the 1980s the American Medical Association had to include the respect for a person’s autonomy as a principle of medical ethics (Ackerman 14, 1982). This includes having the physician provide all the medical information to the patient even if the information could cause negative implication onto the patient. The physician is also expected to withhold all information of the patient from 3rd parties (Ackerman 14, 1982). Although it is seen as standard in today’s world, in
Patient autonomy was the predominant concern during the time of publication of both Ezekiel and Linda Emanuel, and Edmund D. Pellegrino and David C. Thomasma's texts. During that time, the paternalistic model, in which a doctor uses their skills to understand the disease and choose a best course of action for the patient to take, had been replaced by the informative model, one which centered around patient autonomy. The latter model featured a relationship where the control over medical decisions was solely given to the patient and the doctor was reduced to a technical expert. Pellegrino and Thomasma and the Emanuel’s found that the shift from one extreme, the paternalistic model, to the other, the informative model, did not adequately move towards an ideal model. The problem with the informative model, according to the Emanuel’s, is that the autonomy described is simple, which means the model “presupposes that p...
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
Health-Care provision becomes extremely challenging when dealing with complicated circumstances that require professional competence in resolving ethical dilemmas. Physicians have a responsibility to apply medicine within an ethical framework that is beneficial to patients while conforming to existing laws. Such a direction is difficult due to the mix of varying values, preferences, interests and existing regulations. Here, a clear guidance on best approaches to help physicians solve ethical dilemmas is helpful. This paper explores the four component model moral framework, which physician can apply to specific cases to resolve ethical dilemmas that arise in the general healthcare.
Ethics are the basic principles of right and wrong. In the story "Flowers for Algernon," a man named Charlie Gordon has a very low IQ. He is taught in a night school and visits two doctors to see if he can get smarter. He has an operation tested on him that triples his IQ, but the effects wear off and he ends up less smart than he was before the operation. The actions of the doctors were very controversial. Charlie Gordon's doctors did act ethically when they performed the surgery to make him smarter.
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.
It is this reflection and analysis that allows medical ethics to progress throughout the years as ideas and thinking evolves, and for previous treatments to be reevaluated. Due to the philosophical nature of medical ethics, the definitions and frameworks vary throughout the world. Theories are influenced by not only the branch of philosophical thinking
There are two essential components that compose the legal right of patient autonomy. The first component involves the patient having the capacity and ability to make a willful decision. The second component involves the autonomous decision itself which relies on independent informed decision making process. The first components is well illustrated by Justice Benjamin Cardozo in the 1914 court case of Scloendorff v. Society of New York Hospital where he stated that “every human being of adult years and sound mind has a right to determine what shall be done with his own body...”. The second component is better illustrated through the process of informed consent as the person who is autonomous may find him or herself constrained from acting freely due to the fact that the physician or hospital didn’t ensure that the patient had adequate comprehension of the information provided.
When analyzing the use of the Internet and how information is accessed over the web, the ethical aspect of the Internet plays a fundamental role. Ethical theories are all about the consequences of actions and how we should behave; they are the foundations of ethical analysis because they are the viewpoints from which guidance can be obtained along the pathway to a decision. These theories concentrate on various points and predict the outcomes to reach an ethically correct decision. Within the scope of cyber ethics, the best way to have a better understanding about it is to look at two important theoretical approaches in ethics usually referred to as deontology and utilitarianism. Deontology is an ethical theory that is characterized upon the actions, moral, worth and rules, while utilitarianism is the consequence of the action taken in a given situation and looks for the happiness of people as that is the greatest good.
John Dalberg-Acton once said that, “absolute power corrupts absolutely”, however what is often the case is that just a little bit of power can corrupt in a economy that has high unemployment rates, and low job security. In mid to lower level management there are individuals who use their position to dictate what employees do while on the job. According to Kellerman (2004), management has a lot to gain from dictating rather than cooperative work. Benefits of a boorish manager are primarily financial, although the benefits of bad management are usually short lived and result in high turnover. additionally, roughly 75% of employees report that their boss is the direct cause of their stress as reported by Robert Hogan an expert on personality assessment
Utilitarianism and Deontology From the scenario, we know that Archer is an accountant in a small company, and she always strive to provide the best for her son, so she want to send her son to the private school. However, the tuition of private school is higher than her salary, and she has no time to get part time job either, so she embezzle money from her employer. The scenario often occurs in the real life, so is her action morally right? Generally, people would think that she is wrong because she stole the money. However, if we apply different ethical theories to analysis the scenario, we will get different answer.
Basic terminology Ethics: the roles and principles that determine which human actions are wright and which are wrong. Bioethics: concerns what is the right or wrong in relation to human life and the life and death decisions. Values: the enduring attitudes and beliefs developed through life experiences and influence one’s behaviour.
In non-emergencies, it also can be difficult to understand the difference of medical and personal ethics. There are times when practitioners have to know that they will be unable to abide by their patient's wishes. We must clarify, and disclose to our patients that they will no longer be able to care for them. In healthcare, we are beginning to see many changes.
What I have found to be most interesting about both Deontology and Utilitarianism isn’t their approach to ethics, but rather their end goal. Deontology promotes “good will” as the ultimate good; it claims that each and every person has duties to respect others. On the other hand, Utilitarianism seeks to maximize general happiness. While these may sound rather similar at first glance (both ethical theories essentially center around treating people better), a deeper look reveals different motivations entirely. Deontology focuses on respecting the autonomy and humanity of others, basically preaching equal opportunity. Utilitarianism does not specify any means by which to obtain happiness—happiness is its only mandate. While happiness sounds like a great end goal, it is a rather impractical one and the lack of consideration of motivations and means of utility-increasing actions has some serious negative consequences. I prefer Deontology over Utilitarianism for its focus on individual’s rights, opportunity, and personal autonomy.