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PHI 413 Topic 3 Discussion Question one

PHI 413 Topic 3 Discussion Question one

Topic 3 DQ 1

The four principles, especially in the context of bioethics in the United States, has often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. How would you rank the importance of each of the four principles? How do you believe they would be ordered in the context of the Christian biblical narrative? Refer to the topic Resources in your response.

REPLY TO DISCUSSION

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Some Tips for our Discussions:

As you all are thinking about topics to bring up on the discussion board, I thought I might offer some tips to deepen the discussions.

  1. If you are responding to a post where someone provides an interesting concept, try to brainstorm a case study that might be relevant to that concept. For example, your texts brings up the situation of surrogate motherhood while discussing the principle of autonomy. There are many case studies related to surrogate motherhood that challenge the principle of autonomy.
  2. While thinking about case studies, you might also search youtube for appropriate videos that are relevant to our discussions. If you find a relevant video, post it in the discussion thread and ask a thought-provoking question to continue the discussion. If you do this, it will count as a substantive post.
  3. Quote something from one of our readings that you either agree or disagree with. After providing the quote, explain your agreement/disagreement and ask a thought-provoking question to continue the discussion. If you do this, it will count as a substantive post.

Overall, I’m still happy with what I’m seeking on the discussion board. Keep up the great work!

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The four principles, especially in the context of bioethics in the United States, has often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. How would you rank the importance of each of the four principles? How do you believe they would be ordered in the context of the Christian biblical narrative? Refer to the topic Resources in your response.

I would rank the four principles in this order: Nonmaleficence, respect for autonomy, beneficence, then justice. The reason why I would rank the principles in this order is because I feel like doing no harm of others should be first. Following respecting a persons wishes/wants, then preventing harm to others. Lastly, justice as the fourth in line as last principle. Although principles are prima facie binding, this means that the principles or duties must be fulfilled unless they conflict on a particular occasion with an equal or stronger principle, obligation, or duty (Hoehner, 2020).

 

I believe that this order is in the context of the Christian biblical narrative as followed: beneficence, respect for autonomy, nonmaleficence, then justice. I think it would be ordered this way since in the Bible, us as humans are to protect/prevent others from harm others so that is why beneficence would be first. Autonomy should be next since humans are creation of God and we were given morals and the ability to respect others. Then nonmaleficence as humans are to not cause harm to others. Justice as last again due to it meaning providing fairness and being impartial to others.

References:

Hoehner, P. J. (2020). Biomedical Ethics in the Christian Narrative. Practicing dignity: An introduction to Christian values and decision making in Health Care. Retrieved  from https://lc.gcumedia.com/phi413v/practicing-dignity-an-introduction-to-christian-values-and-decision-making-in-health-care/v1.1/#/chapter/3

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Hi

I appreciate your viewpoint. I think that above them in the ranking is the respect for anatomy this is because respect for other people

PHI 413 Topic 3 Discussion Question one

PHI 413 Topic 3 Discussion Question one

is vital and should be observed regardless of the situation. Except the individual is not mentally capable of making decisions.

The second is Beneficence where harm is prevented and all that is done is for the benefit of other people the third is non-maleficence where people are obligated not to harm other people and finally justice. Here fair distribution is necessary for all people whether in terms of benefits, risks, or costs. However, I think that the ranking of these principles depends on the situation at hand. For example, I could say, Beneficence in this scenario is first because I would be performing the principle of positive beneficence by acting to help the person that collapsed, before even asking them for their permission if it’s ok to help them (Lawrence, 2007).

Reference

Lawrence, D. J. (2007). The Four Principles of Biomedical Ethics: A Foundation for Current Bioethical Debate. Journal of Chiropractic Humanities, 14(34-30). DOI: http://dx.doi.org/10.1016/S1556-3499(13)60161-8

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Hello Alycia,

Good post. Bioethics is a subfield of ethics that concerns the ethics of medicine and ethical issues in the life sciences raised by the advance of technology. The issues dealt with tend to be complex and controversial (i.e., abortion, stem cell research, euthanasia, etc.). In addition, bieothics usually also involves questions of public policy and social justice. As such, the complexities of bioethical discussion in a pluralistic society are compounded. There have been several different approaches to bioethical questions put forth that have to do with the theory behind ethical decision making (Fathallah et al., 2020). Three positions have been prominent in the discussion principalism (also known as the four principle approach), virtue ethics, and casuistry. For this lecture, it will be useful to outline principalism and to describe the general contours of a Christian approach to bioethical issues

References

Fathallah, R., Sidani, Y., & Khalil, S. (2020). How religion shapes family business ethical behaviors: An institutional logics perspective. Journal of Business Ethics163(4), 647-659.

CA

Chinyere Abanifi

Sep 15, 2022, 12:17 PM

Published

Every day, as we provide healthcare for people with different values living in a pluralistic and multicultural society, we are faced with ethical decisions, both little and significant.

Autonomy, beneficence, nonmaleficence, and justice are the four guiding principles. I must first clarify each of the four guiding principles:

Autonomy is the acceptance of another person’s right to choose their own path of action and the encouragement of independent judgment.

Beneficence-being compassionate, and having a strong desire to do good are all pillars of our patient advocacy.

 

Nonmaleficence-Core values of the medical oath and nursing ethics. Avoiding harm or hurt.

 

Justice -is the equitable allocation of resources after consideration of the advantages and disadvantages of various options. Justice implies that all persons, regardless of what they have contributed or who they are, have an equal entitlement to the goods provided.

 

I believe that nonmaleficence is essential because no one should harm another person. Then I would advise beneficence because it is imperative to avoid hurting others. Because society should divide risks and benefits equally, justice would come in third. Autonomy would be the last item to lose, because if the other three were gone, nobody would respect anyone’s autonomy. They would be placed in order of importance in the Christian narrative as beneficence, nonmaleficence, autonomy, and justice. All actions are good because they aid others. Nonmaleficence places a high importance on doing no damage .

 

Depending on their convictions, each person has the freedom to make their own decisions. Justice must be administered honestly, whether it be distributive, restorative, or punitive. Each person has a different viewpoint on how people should be classified but everyone needs to live in a society that is secure and safe.

References

Hoehner, P. J. (2020). Biomedical Ethics in the Christian Narrative. Practicing dignity: An introduction to Christian values and decision making in Health Care. Retrieved  from https://lc.gcumedia.com/phi413v/practicing-dignity-an-introduction-to-christian-values-and-decision-making-in-health-care/v1.1/#/chapter/3

 

Tevan, C.M., & Gottlieb, L.J. (2018). The four-quadrant approach to ethical issues in burn care. American medical association journal of ethics. https://journalofethics.ama-assn.org/article/four-quadrant-approach-ethical-issues-burn-care/2018-06

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