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HU245 Ethics. Unit Two Seminar. My Dog. Old Business!. Unit One Discussion. New Business!. Unit Two Readings: Nonconsequential Theories Bioethics. Consequentialist Theories. Consequentialist theories claim that the morality of an action depends only on its consequences.
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HU245 Ethics Unit Two Seminar
Old Business! • Unit One Discussion
New Business! • Unit Two Readings: • Nonconsequential Theories • Bioethics
Consequentialist Theories • Consequentialist theories claim that the morality of an action depends only on its consequences. • It only considers the result of actions and not principles or rules in determining morality.
Types of Consequentialist Theories • Ethical Egoism argues that each person should act in their own self interests. • Act Utilitariansim argues that each person should act in a way that produces the greatest happiness for everyone. • Rule Utilitarianism argues that each person should follow rules that tend to produce the greatest happiness for everyone.
Weaknesses of Consequentialist Theories • Requires person to predict the future and all possible outcomes. • Can easily be used to justify questionable actions (the ends justifies the means).
Types of Nonconsequentialist Theories • Divine command theory argues that we should obey the laws of God. • Kant’s Categorical Imperative states that we should always act in a way that is based on reason, duty, and would be considered ethical if everyone acted in the exact same way. Also, people should be treated as a ends and not as a means.
Weaknesses of Nonconsequentialist Theories • Divine Command requires a high degree of interpretation skills. • Variety of religions makes standards hard to develop for all. • Can be rigid and ignore outcomes
Variations on Nonconsequentialist Theories: Ross’ Prima Facie • W.D. Ross argued that we can rely on several prima facie (at first glance) duties to guide most ethical questions • Fidelity: telling the truth • Reparation: making up for wrongs • Gratitude: recognizing what has been done for us • Justice: preventing the improper distribution of good and bad • Beneficence: helping others • Self-Improvement: obligation to improve our character • Nonmaleficence: not injuring others
Advantages and Disadvantages of Ross • Sets up principles but does not avoid recognizing outcomes of actions. • What criteria determine prima facie duties? • When is one duty "stronger" than another?
Variations on Nonconsequentialist Theories: Justice Principles • Justice is associated with rights, fairness, and equality. These are major concerns in both social and business ethics. • Distributive Justice: How should good and bad be distributed in society? • Equal shares? • Need? • Effort? • Merit? • Social Contribution? • Retributive Justice: How should we punish wrong? • Compensatory Justice: How should we compensate those who are injured by wrong?
John Rawls: A Theory of Justice • Rawls puts forth two main principles: • Equality Principle: There must be freedom for all • Difference Principle: Any inequality is permissible to the extent that it is to everyone’s advantage (i.e. paying a surgeon more than sales clerk). • Achieving this equality would be based on redistribution of wealth and using the “Veil of Ignorance”.
Advantages and Disadvantages of Rawls • Allows for individual freedom but calls for equitable distribution of wealth. • Efforts to redistribute wealth violates the principle of property and limits individual freedoms as pointed out by Robert Nozick and other libertarians. • Redistribution of wealth may reduce incentive to work hard and efficiently.
None of the Above? • Some argue that ethics cannot be “known” as we know scientific fact and thus all debate on ethics is a matter of opinion and not based on logic (nonobjectivism). • Some argue that all ethics are cultural and thus relative to society and reject the concept of a moral absolute.
Seminar Question 1 • Has the bureaucratization and centralization of health care information eroded medical confidentiality? • Issues to Consider • Is it easier to get to information? • Are electronic files more or less secure than paper files?
Seminar Question 1 Continued • How important is it that your own medical information be kept private?
Seminar Question 1 Continued • Have concerns about privacy (or its lack) ever affected decisions you have made about your own health care? • Should you seek treatment in the same facility you work at? • Do people avoid seeking mental healthcare for this reason?
Seminar Question 2 • Are there cases where society benefits significantly when medical information is released?
Seminar Question 2 Continued • Do you think that medical confidentiality should be breached in these cases? • Is this a case for utilitarianism or rights? • Can virtue ethics apply?
Pros and Cons of Centralized Records • Pros • Prescriptions more legible • Share medical information instantly to avoid negative drug interactions • Locate and contain outbreaks of disease faster • Reduces costs • Cons • Could lead to discrimination for employment • Could lead to public embarrassment