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Biomedical Ethics Simmons
Final Exam
35
Philosophy
Undergraduate 3
12/10/2008

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Cards

Term

Defining Death

Traditional Definition

Definition

No respiration, pulse, heartbeat.

Term

Defining Death

Persistent Vegetative State

Definition

Cerebral cortex suffers permanent, irreversible damage-stem functions- involuntary movements (yawn, grimace). Awake, not aware, up to 20 years at $30,000 per year.
Term

Defining Death

Whole-Brain Definition

Definition

Integrated system of heart, lungs, brain cease function.

Argument: widely accepted as clear, legal definition of death.

Term

Defining Death

Higher Brain Definition

Definition

Cerebrum ceases functioning- thoughts & feelings, pain & emotions cease to function.

Argument: breathing body is not a person- personhood ends

Term

Arras

Competence

Definition

Ability to perform a task- requires decision-making ability.

Term

Arras

Capacities Needed for Competence

Definition
  1. communication & understanding- capacity to recieve and process info, cognitive and communicative abilities, ability to understand alternatives and future consequences
  2. Reasoning & Deliberation- capacity to draw inferences, compare alt. outcomes, employ probableistic reasoning--ability to make decisions relative to a reasonably consistent and stable set of values.
Term

Arras

Possible Criteria for Deciding for Others

Definition
  • what would patient say if he/she were able to communicate?
  1. Prior Values
  2. Evidentiary Behavior (pulling out tube)
  3. Best Interest Standard
Term

Arras

Criteria for Persistive Vegetative State

Definition

Patient can't feel pleasure or pain anymore, no hope of life's good in the future, no interests, cannot be benefited or harmed.

Term

Arras

Critique for Marginally Functional Patient

Definition
  • depends on cognitive impairment, experiences some of life's pains and pleasures--not competent enough to make health care decisions- life-sustaining treatment is in the patient's best interest.
Term

Vatican

Definition of Human Person

Definition

Unified totality of corporeal and spiritual.

Term

Vatican

Respect for Human Embryos

Definition
Fruit of human generation--from first moment demands unconditional respect due to a human.
No: experimentation, freezing, alternation, or commercial trafficking.
Term

Vatican

2 Meanings of Conjugal Act

Definition

  1. Unitive
  2. Procreative
Term

Vatican

3 Reasons Why in Vitro is Not Permissible

Definition

  1. Never permissible to separate 2 aspects of conjugal act.
  2. Contraception is not permissible.
  3. Not permissible as substitute for conjugal act.
Term

Macklin

Paying for Egg Donation & Surrogacy

Definition

$ is for time, inconvenience, not for egg or baby. Paying for time & risk is ok, paying for product is not.

Term

Macklin

Paying for Sperm

Definition

People are paid for the product, not time or risk.

Term

Macklin

Determining Whether Exploitation has Occurred

Definition

Exploitation occurs if too little or too much $$ is offered.

Term

Macklin

Narrow Interpretation of Respect for Persons

Definition

If autonomy is preserved, person is respected.

Term

Macklin

Broad Interpretation of Respect for Persons

Definition

Humans are uniquely valuable- so respect is required.

Term

Macklin

Is it ethical to pay donors?

Definition

By Narrow Perspective- yes, as long as autonomy is respected

By Broad Perspective- Principle of respect for humans is violated.

Term

Macklin

Conclusion

Definition

Commodification of human beings for any purpose is unsavory and ought to be avoided. Yet, unsavoriness is not a moral category, so prohibition is not justified.

Term

Steinbock

The Interest View

Definition

A being can have interests only if it can matter to the being what is being done to it. If nothing at all can possibly matter, it has no interests. Sentience is necessary for moral standing.

Embryos have no interests, rights, welfare of their own.

Term

Steinbock

Respect for Embryos as Symbols

Definition

Disrespectful to create embryos for crassly commercial purposes.

Term

Steinbock

Dead Body Analogy

Definition

Has no moral standing, still holds value to us.

Term

AMA

3 Criteria for Manipulation of Benign Traits

Definition
  1. Genetic manipulation would have clear & meaningful benefit to the child
  2. No trade-off with other characteristics or traits
  3. All citizens must have equal accessto genetic technology
Term

AMA

Defenses of Prenatal Testing

Definition
  1. reproductive choice--allows for chance to have babies w/ no genetic disorder
  2. elimination of disease
  3. early detetion-prepare for birth
  4. improvement (intellectually, physically)

Term

AMA

4 Objections to Prenatal Testing

(1&2)

Definition
  1. Judicious use of social resources to improve health- benefits must benefit and burden everybody equally.
  2. Potential for discriminatory practices
    1. misinterpretation of data may lead to elimination of people from gene pool
    2. use of selection to pursue traits that shouldn't matter--gender, diseases.
Term

AMA

4 Objections to Prenatal Testing

(3&4)

Definition
3. Eugenics- improvement of hereditary qualities or traits through genetic selection (improvement not defined) --> slippery slope may lead to alternation of humanity- richer becoming healthier
4. Treating children as products--consumerist view of reproduction--fetuses treated as products rather than autonomous beings.
Term

AMA

Four Criteria for Permissibility of Genetic Selection

Definition
  1. Financial Cost- individual vs. society
  2. Pain & Suffering (outweighs joy?)
  3. Life Span
  4. Quality of Life (mobility, interaction, communication, interests)
Term

AMA

Devaluing of People with Conditions

Definition
  1. Shouldn't have been born --unfit to be a human.
  2. Research/resources for treatin, curing, caring fur condition reduced.
  3. Elimination of certain groups (deaf, blind, etc.)
Term

Eddy

Individual vs. Society

Definition
conflict arises when individual uses disproportionate amount of health care services without paying for it.
Term

Eddy

Pooling Resources

Definition

Spread high cost of health care through insurance, medicaid, medicare, HMOs, charities. Ideally each individual draws only his/her fair share.

Term

Eddy

Public Health Perspective (1st Position)

Definition

Looking at the problem with no disease, resources should be used efficiently- preventative and early care should be given.

Term

Eddy

Patient's Perspective (2nd Perspective)

& Problems

Definition

Treat specific diseases--use resources to optimize patient's care.

Problems--> difficult todetermine when patient gets disproportionate amounts of $

Term
Ryan
Critique of Symbols argument
Definition
Respect for things that have no rights is cultural and not always followed.
Term
Ryan
Creation of Embryos for Reproduction vs. Research
Definition
Separates embryos from human ideal for procreation.
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