PHIL 21611 Topics in Medical Ethics: Examining the Moral Boundaries of Medicine
Constant changes in healthcare settings, coupled with rapid advancements in technology, lead to increasingly complicated ethical dilemmas: Who decides what - patients, doctors or family members - and on what basis? What is the telos of the medical profession and how does it bear on what doctors can and cannot provide their patients? Can doctors refuse to provide treatment for conscientious reasons? Are abortions, assisted suicides, organ sales and surrogacy morally permissible? In this course, we attempt to answer these (and other) pressing questions. We will commence the course by analyzing two key concepts which are utilized in medical ethics debates: autonomy and paternalism. We will examine the value of autonomy and its relation to the question of competence, the difference between autonomy and authenticity, and the vexed question of when and how paternalism is justified. We will then discuss questions surrounding the telos of the medical profession, the physician’s duties as derived from this telos, and the circumstances, if any, in which the physician can deviate from this telos. We will also examine circumstances in which physicians can refuse to provide treatment on conscientious grounds. We will then proceed to examine specific medical ethical dilemmas surrounding the beginning and end of life. We will discuss ethical questions pertaining to abortion and parents’ right to refuse medical care for their newborn children, while examining the moral standing of fetuses and newborns. We will also examine ethical questions surrounding the autonomy, wellbeing and interests of demented patients, while raising broader philosophical questions pertaining to the nature of personal identity. Finally, we will discuss the moral permissibility of euthanasia and the right to assisted suicide. We will conclude the course by analyzing some of the key characteristics of markets, as well as their moral limits, and utilize our analysis in order to understand the moral status of organ sales and surrogacy.