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jan 25.docx

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University of Ottawa
Dean Lauer

Chapter 2 – bio ethics Jan 25/13 The ethical allocation of resources How should scare goods including medical goods be distributed? - Health care like, drinking water, bridges, and other infrastructure is a shred commodity. Vs. Free market Kant: distributive justice attempts to distribute goods fairly. But pay or health care allows important good to be bought by those with $ which is irrelevant to justice – internal operating principal (holy) Utility – inefficient US model spends more money and gets less benefits. – let’s look at cost vs. benefit. US has more costs than benefits Hippocratic medicine  Health care was attuned ot nature and body rhythms  Death was more accepted part of the life cycle  All beings are defined by their limit (peras) which makes the thing what it is. - Respect for natural being of things (natural development). When Aristotle talks about virtue – seek the mean, be moderate. Being moderate, we’re not trying to be something we’re not. We’re trying to claim our own being – be comfortable with who we are, where we are in our life (our fate). Comfortable with our personal biography, comfortable with our family, comfortable with where we live – don’t push boundaries. New science  Nature is mechanical (biology is chemistry)  Science is the exercising “dominion and control over nature”  Death is a problem to solved  The body is a medical phenomenon. - Scientific revolution – Francis Bacon. - Control body/control nature and force it/ament it so these natural limits of life and death are expanded. Utilitarian approaches  Can justify privileging some who may be of great benefit to society with scarce health care resources (rare organ transplants, continuous blood transfusion, etc) – model from book. In Kantian – take a random sampling bc everyone is an equal as everyone else.  Cannot answer to fairness of not treating all equally. Deontological approaches:  Fairness to each is primary - Blind to age, disability, income, etc - Choosing opens the door to discrimination, persuasion, ec - Examples: first come, first served or random selection - BUT: resources will be used inefficiently. Itself, ethically problematic – kidney to an old man equal to giving a kidney to a teenager. In terms of efficiency – doesn’t seem just (so much waste). Virtue based approaches Situate care not just as part not just medical/technological (an extreme technological manipulation of body) but address the relational/spiritual as well. (Theres more than just physical aspect of life)  Help people die well
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