Medical ethics with related hot

problems

Weiwei Liu (Vivian)

Public Health and Management Department
E-mail: weiweiliu521@hotmail.com

Todays topic:

Teaching guide and exams

The main topics of the course
Introduce yourself & how do you think of
the course?
Separate groups for presentation & group
discussion

Exams:

Attendance & Performance (20%)

Presentation (30%)

Final exam (50%)

The object of Medical Ethics

1. Doctor and Patient relationship
2. The moral relationship between medical personnel
3. Relationship between medicine and society

4. Ethics of medical research

Outline:

The Guide: Basic Bioethics and Principles (3 lectures)

How to deal with Doctor-Patient Relationship? (4
lectures; 2 presentation)
Ethical issues of genetically modified food (4 lectures; 2
presentation)
Euthanasia & Hospice Care (4 lectures; 2 presentation)
Reproduction Technology & Organ Transplantation
ethical issues (4 lectures; 2 presentation)

References:

Tom Beauchamp, James Childress: Principles of

Biomedical Ethics, Oxford University Press.
Ronald Munson: Intervention and Reflection:
Basic Issues in Medical Ethics, Wadsworth
Publishing Company.

Thinking?

Why the doctor-patient relationship

deteriorate? How to improve?
If the relative do not agree with the
operation, what will the doctor do?
Where is the organ transplantation from?
Should the reproduction technology-Clone
be permitted?
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Some medical ethics problems

Clone
Transplantation
Euthanasia
How to deal with Artificial cultivation of
vegetable

Whats Bioethics?

Bioethics is researching and discussing

life science and health care fields related
ethical issues.
Ethical issues is about what to do
(essential ethics) and how to do
(procedure ethics) . How do the
technology do and how do the ethics do?

Difference among Moral/Ethic/Law:

Moral

You should better do

self-examination by
consciously

Ethic

You must be
certain binding
force

Law

You should force

compulsive

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Solution of ethical dilemma:

Analyzing case: whether Euthanasia should

not be legislation or condoms Should not
be promoted to use.
Analysis of the concept : human being,
death, assisted reproductive technology.
Value analysis : Mode of death.
Analysis of argument : Human cloning is
unreliable.
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Q1: Doctor-Patient relationship

ethical issues

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Cut off the relationship between doctors

income and patients payment

If the doctor want to buy a car or a house depends

on how many patients pay cost, can restore the
patient's trust, improving the doctor-patient
relationship?
When the doctor suggested during the operation,
the patient will want to: the proposal motive is to
patient best interests, or for doctors and hospitals
economic interests?
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1 cognition and choices of professional

behavior
2 how to meet customers (patients) need?
3 how to reduce doctor-patient conflict?
4 how to improve the quality of services?
5 how to satisfy the customers (patients)?

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Q2: ethical issues of genetically

modified food

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Summary

of overall cognitive level about

consumers on genetically modified food safety.

Influence on consumer attitude factors of genetically modified food

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Summary of overall cognitive level about consumers on

genetically modified food safety

First, consumers of genetically modified food knowledge level

is not high, hold more negative attitudes

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Consumers to genetically modified food safety cognition

Overall cognitive level

Consumer attitude factors

Individual
characteristics

Negative attitude
Regional differences

perceived
Characteristics
types

Our consumer

Regional differences

Media effects

Information media

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Q3: Death Ethics-euthanasia &

hospice care

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Euthanasia:

Euthanasia refers to patients or relatives

(where patients cannot express their will case)
wishes and requirements, the doctors
recognized the situation is for the terminally
ill, unable to save, close to death etc.. Then use
of medical methods to make it without pain
through the death process.

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The different types of

euthanasia:

Voluntary active euthanasia: typical

Voluntary passive euthanasia: abandoning
treatment
Non voluntary active euthanasia: the patient loses
consciousness
Non voluntary passive euthanasia: let death

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Brainstorm: euthanasia =? suicide

Whether euthanasia equals suicide?

Whether euthanasia should be allowed?
Whether euthanasia is a dignified death?

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ultimate concern-Hospice Care

Ultimate concern, first appeared in

Christianity, it is realistic concern with the
corresponding. The so-called real concern,
refers to the life world and secular affairs. It
refers to the human existence ultimate ideal,
the ultimate meaning of hunting.

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Q4: ethical issues about both

reproduction technology & organ
transplantation

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1. The ethical dilemma of artificial

fertilization:
Dilemma 1: how to consanguineous
relationship sustain?
Dilemma 2: whether let the afterworld
know the truths?
Dilemma 3 if there is conflict between
father in biology & foster father, whos
right should be maintained?
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2. Surrogate mother ethical

dilemma:

Dilemma 1:

The identification of parents

Dilemma 2
Whether it is moral for renting
uterus by the surrogate
mother?

Dilemma 3
The suffering risk
during the surrogate
births process

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3. Clone
Clone is named asexual
reproduction technology,
which uses single plant
or creatures random
cell, to produce another
completed generation
according to the matrix.

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4. Organ transplantation:

Organ transplantation is a medical

care method using intact function
organ transplant to a useless organ
(cause by disease, harms etc.), to
safe patients life, improve patients
health status.
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Ethical problem of Organ

Transplantation
Q1:

Brain death standard

controversy

Q2:

Q3:
The life significance

Sources of organ and

use of controversy

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Thank you for your

attention!!

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