Albert Jonsen, the author of “A Short History of Medical Ethics”, covers more than two thousand years of renowned medical history in a mere hundred and twenty pages. He covers many cultural customs and backgrounds involving medical discourse, beliefs, and discoveries which have led to the very formation of the distinguished society we live in today. However, throughout this brief tour, Jonsen exploits the fact that even though there have been many cultural differences, there are a few common themes which have assimilated over the years and formed the ethics of medicine. The most prevalent themes of ethics presented in Jonsens text, are decorum, deontology and politic ethics. Decorum is referred to as both the professional etiquette and personal virtues of medicine. Deontology refers to rules and principles, and politic ethics expresses the duties physicians have to the community.
In each chapter Jonsen explains the significance of each theme, decorum, deontology and eventually politic ethics. In chapter one, Jonsen
In this chapter Dr. Thomas Percival is introduced. Percival first debuted the term “medical ethics.” Percival himself was an advocate of the classical decorum. He believed in the importance of the truth and emphasized sympathy, equality and patience. Chapters six and seven illustrates medical ethics in America. American doctors in this time were either self-taught or apprenticeship-trained. During these chapters the development of proper schools and education were initiated by the American Medical Association. In addition, the first anesthesia was introduced and debates soon began to spark in the world of medicine. The first concerning the unethical practice of inoculation. Then the discussion of abortion and later the use of anesthesia. Yet, in the very last chapter, Jonsen introduces a series of events which radically transformed the field of
The concepts discussed within the article regarding medicalization and changes within the field of medicine served to be new knowledge for me as the article addressed multiple different aspects regarding the growth of medicalization from a sociological standpoint. Furthermore, the article “The Shifting Engines of Medicalization” discussed the significant changes regarding medicalization that have evolved and are evidently practiced within the contemporary society today. For instance, changes have occurred within health policies, corporatized medicine, clinical freedom, authority and sovereignty exercised by physicians has reduced as other factors began to grow that gained importance within medical care (Conrad 4). Moreover, the article emphasized
The case of Marguerite M presents an ethical dilemma. Medical ethics play a special role in medicine and is directly concerned with its practice. Its role has continued to evolve as changes develop in
First, when we talk about ethics we talk about moral principles, what is good and what is bad. Throughout the book the author starts showing us the unethical things doctors use to do. For example, on Chapter 3 she writes “Like many doctors of his era, Telinde often used patients from the public wards for research, usually without their knowledge. Many scientists believed that since patients were treated for free
Kass, Leon. "Neither for Love nor Money: Why Doctors Must Not Kill." Public Interest. No. 94. (Winter 1989)
Veatch, Robert M.,"The Normative Principles of Medical Ethics." In Medical ethics. 1997. Reprint, Boston, MA: Jones and Bartlett, 1989 29-56.
Ethical principals are extremely important to understand in the healthcare field. Ethical responsibilities in any situation depend on the role of the healthcare worker and the nature of the decision being made. Healthcare administrators and professionals must make ethical decisions that can be an everyday or controversial situation. When making such decisions, it is imperative to consider the four major principles of ethics: autonomy, nonmaleficence, beneficence, and distributive. By using these four principles, ethical decisions can effectively be made. For the purpose of this paper, examined will be the example of the treatment of an uninsured homeless patient. Poor health care be a cause and a result of homelessness.
Ethical principles in healthcare are significant to the building blocks of mortality. The principles are beneficence, autonomy, justice, and nonmaleficence. Although these principles can be certainly followed they can also be disregarded. Beneficence is a theory that assures each procedure given is entirely beneficial to that patient to help them advance within their own good. For example, There was a young girl, the age of 17. She had been being treated at a small private practice since she was born. She was recently diagnosed with lymphoma and was only given a few more years to live. Her doctors at the private practice who had been seeing her for years were very attached to her and wanted to grant this dying girl her every wish. They promised
The healthcare industry consists of a broad expanse of careers, all requiring a strong use of ethics. As technology advances and businesses struggle to stay atop technological forefront, they must also increase the security of patient files. Medical offices have upgraded, for the most part, from paper charting to electronical. While growth and change is inevitable, the safety of patient confidentiality is top priority. Within this paper, the necessity and application of ethics in healthcare will be studied.
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.
9) Wall, L.L. (2006). The medical ethics of Dr J Marion Sims: a fresh look at the historical record. Journal of Medical Ethics, 32(6), 346-350. doi: 10.1136/jme.2005.012559
There are weaknesses in professional guidelines and rules because they are unable to provide the directives for moral reasoning and action is health care situations. Many people state that biomedical ethics provides a framework and emphasis on the person rather than the professional code and legal policy (Beauchamp and Childress, 2001). On the other hand they serve a purpose to provide some direction for professionals however codes of practise do not dismiss.
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
...e gap in attitudes between pre-medicalized and modern time periods. The trends of technological advancement and human understanding project a completely medicalized future in which medical authorities cement their place above an intently obedient society.
Diligence is a virtue. This is a theme Atul Gawande presents to the reader throughout Better: A Surgeon’s Notes on Performance. In each story, Gawande provides insight on medical studies he has previously embarked upon. For example, in “The Mop-up” the author tells us about a time when he went to India to observe the efforts to eradicate polio. Gawande explains how he followed a supervisor around and how vaccinations were performed. Additionally, in another chapter he debates on whether physicians should take part in death sentences. Throughout his adventures Gawande provides numerous enriching personal accounts of controversial events and what it is like to be a doctor; each with diligence playing a key part.
McGee, Glenn and Arthur L. Caplan. "Medical Ethics." Microsoft® Encarta® 98 Encyclopedia. © 1993-1997: Microsoft Corporation. CD-ROM.