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Lecture 7

KINE 2P41 Lecture Notes - Lecture 7: Health Promotion, Morality Play, Distributive Justice


Department
Physical Education and Kinesiology
Course Code
KINE 2P41
Professor
Jarold Cosby
Lecture
7

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PEKN 2P41
November 7, 2014
Lecture 7- Diffusions of Innovations: promoting Ethics and Full Body Scans
How can we use ethics to look at the story of SARS?
Reasoning by Values
Society
Individual
Reasoning by Value
World view-Medicare vs. pay for care
o American vs. Canadian models of care
Basic Principles-discuss today
Rules and Codes-physicians, pharmacists etc.
o Eg. Catholic pharmacists providing birth control to unwed mothers
o Eg. Seeing 200 patients in a day
Decisions- at the bedside, at the cash register
o Focus on Nov. 21: Prescribing Health
o Also be talking about this each week in terms of… what would YOU pay
for?
We can reason by values
But- what are the values that actually guide our decisions?
Basic Principles
Bio Ethics
Autonomy
o Respected for persons individual rights
Veracity
o Always be truthful
Beneficence
o Doing good, optimizing benefits over burdens
World View
Basic Principles
Rules ad codes
Decisions
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Non-Maleficence
o Not doing harm
Justice
o A group of norms for distributing benefits, risks, and costs fairly
Autonomy
Respect for person and individual rights
Individual is free to choose
o Self determination
Problem-Seat-belts- when do we restrict autonomy?
Informed consent
o Only works if patient understands, professional shares information
o Special case of health professionals
o They all have the info
Walking is good exercise (e.g. Health Canada guide), but should
we send a much more complex package for full disclosure?
SARS: Autonomy vs. Social good?
o Rights and freedoms restricted by medical people- quarantine
Veracity
Always be truthful
Must provide factual, truthful information so public can decide
Problems of motivation
o “This wont hurt a bit”
o “You look great”
o “In 7 days, I can make you a man”
o “No pain, no gain”
SARS Research? -Evidence hierarchy
o Professional guesses
Did not know what was going on
Political motivations to “bend” truth, appear in control?
o Canada fell behind
Responsibility to public to do better?
Say nothing vs. “officials” appearing to act?
o Infrared assessment at airports
Beneficence
Doing good, optimizing benefits over burdens
Mercy, charity, and action that benefits another
Fine when bedside vigil was all society could offer
Now-life support, early birth organ transplants etc..
o Cost-benefit
SARS
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