Ethical Theories Ethical Theories Unit 5.

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Presentation transcript:

Ethical Theories Ethical Theories Unit 5

Ethical Principles Beneficence – principle of doing good Ethical Theories Ethical Principles Beneficence – principle of doing good rather than harm Nonmalificience

Ethical Principles Autonomy – principle that acknowledges Ethical Theories Ethical Principles Autonomy – principle that acknowledges individuals have freedom of choice and action when considering plans that affect them

Ethical Principles • Justice - the duty to give to each person what Ethical Theories Ethical Principles • Justice - the duty to give to each person what they deserve and can legitimately claim

Rights • Justified claims that individuals or groups can Ethical Theories Rights • Justified claims that individuals or groups can make upon others or upon society

The Principle of Formal Justice Ethical Theories The Principle of Formal Justice Equals must be treated equally, and unequals must be treated unequally. -attributed to Aristotle

Principles of Distributive Justice Ethical Theories Principles of Distributive Justice Egalitarian: the duty to give to each person an equal share

Principles of Distributive Justice Ethical Theories Principles of Distributive Justice Humanitarian: the duty to give to each person according to individual need

Principles of Distributive Justice Ethical Theories Principles of Distributive Justice Libertarian – the duty to give to each person according to individual effort, merit, or contribution

Libertarian Principle Ethical Theories Libertarian Principle Differences in individual merit, effort, or contribution translate into differential ability to afford insurance and/or access treatment. To a libertarian, these differences are not unjust. As health care has become increasingly a business, this principle has assumed a strong de facto position.

Principles of Distributive Justice Ethical Theories Principles of Distributive Justice Entitlement – everyone is entitled to whatever they get in the natural lottery at birth.

Entitlement Principle Ethical Theories Entitlement Principle Each individual is responsible for improving their lot in life. Inequalities between individuals in health, position, and wealth are tolerated. Aggression or harm against others and unjust acquisition of goods are prohibited.

Principles of Distributive Justice Ethical Theories Principles of Distributive Justice Utilitarian – the duty to give to each person according to the greatest good for the greatest number.

Utilitarian Principle Ethical Theories Utilitarian Principle Individual needs and wants are not considered. • Consideration is only given to providing that which will serve the greatest number. • Societal Beneficence vs. Individual Beneficence • Libertarian and Utilitarian are concerned with maximizing goods and minimizing harms = the Utility Principle.

Maximin Principle (John Rawls) Ethical Theories Maximin Principle (John Rawls) • The duty to give to each person according to the greatest benefit to the least advantaged. Each person is owed a fair opportunity to access health care. Persons must have both an equal chance and the means to access the opportunity. Persons are owed a “decent minimum” level of health care. Decent minimum of health care is provided by subsidizing health care by those that have the means to do so.

Two Levels of Debate The Individual Level Social Policy Ethical Theories Two Levels of Debate The Individual Level Social Policy

Issues to Consider Is health care a right of all citizens? Ethical Theories Issues to Consider Is health care a right of all citizens? If health care is a right, what is the “decent minimum” owed? What are the limits to the right of health care?

Ethical Theories Issues to Consider How do the rights to health care balance against other rights? To what extent do/should economic considerations intrude into clinical decision making?