PHL315 X1 - MEDICAL ETHICS
Winter, 2002
Lawrence P. Ulrich, Ph.D.
Lawrence.Ulrich@notes.udayton.edu
STUDY QUESTIONS
EXAMINATION 1

STUDY QUESTIONS
FOR
EXAMINATION
ON
2/5/02


1. What does it mean to have a right? Be able to elaborate upon the various elements involved in having a right.
2. Distinguish between legal and moral rights.
3. Explain how rights are derived from values.
4. Why are rights important?
5. Explain the trimester system in Roe v. Wade.
6. How has Casey supported Roe v. Wade and how has it amended it implementation? What two major issues does Casey introduce as a supplement to Roe v. Wade?
7. What test does Casey use to make decisions on procedures to procure an abortion? How does this test relate to the woman's exercise of her right to an abortion?
8. What position does Roe v. Wade take on the personhood of the fetus?
9. In what way can a moral community of commitment take a firm stand on the protection of the fetus even though a secular society does not?
10. Identify the characteristics of personhood as represented by Mary Anne Warren. Do you think this is a good way to think about persons and resolve the abortion controversy?
11. What does it mean to talk about "protectable human life?" Does this concept help to bring some common ground to the abortion controversy?
12. What does it mean to talk about the fetus as an "object of value?" Does this concept help to move the abortion controversy toward some reasonable resolution?
13. Upon what foundation does the assertion of John Paul II that the fetus is a person rest?
14. When attempting to resolve the abortion controversy does it really matter whether the fetus is a person?
15. Does Marquis' position make debates about the personhood of the fetus unnecessary?
16. What is Marquis' basic position on the immorality of abortion?
17. How does Engelhart characterize the "personhood" of the fetus?
18. What does Engelhart mean when he says that we should not confuse present predicates with future predicates?
19. What is Engelhart's distinction between a person in the strict senseand a person in the social sense?
20. Does Thompson's analysis of abortion provide any useful guidance in thinking about the relationship between the mother and the fetus?
21. Do you think there is any good reason for having an abortion? Justify your position with a philosophical analysis.
22. Do you think there is any situation when abortion is unjustified? Justify your position with a philosophical analysis.
23. How are the rights and interests of the mother and fetus weighed in Roe v. Wade.
24. What does it mean to talk about infertility as a disease?
25. In the technologies of assisted reproduction and cloning, what does it mean to treat the offspring as a commodity and/or as means?
26. Be able to formulate two arguments against assisted reproduction.
27. Be able to formulate two arguments in favor of assisted reproduction.
28. Is possible harm to offspring a serious reason to ban the technologies of assisted reproduction/cloning?
29. Do you think that the nature of the family and interactions in the family are substantially altered if assisted reproduction/cloning is utilized to generate offspring within the family?
30. Does embryonic stem cell research harm a "person?"
31. Does embryonic stem cell research compromise the value of human life?
32. Can embryonic stem cell research be justified in light of the promise it might hold for the curing of diseases that are now incurable?
33. How does the notion of substituted judgment fit into the case of Nancy Cruzan? Upon what principle of bioethics is it based.
34. How do the principles of bioethics apply in the case of Nancy Cruzan?
35. How does the notion of benefit to the patient fit into the case of Nancy Cruzan?
36. How does the use of an advance directive fit into the case of Nancy Cruzan?
37. What powers of the patient does the Supreme Court recognize in its Cruzan decision.
38. What problems does the Cruzan decision raise as far as the ethical treatment of patients is concerned?
39. Identify and elaborate upon the major principles in bioethics. Be able to apply the principles in case analyses.
40. Identify and elaborate upon three limitations on each principle.
41. Is the right to the exercise of autonomy absolute?
42. What kind of benefits need to be considered when applying the principle of beneficence?

You will be required to give an analysis of the case of  Hugh Finn  which is found at the end of this study guide.

ARTICLES FOR EXAM I

"The Language of Rights" (ERESERVE)
Macklin, Ruth. "Moral Concerns and Appeals to Rights and Duties." (ERESERVE)[helpful for the distinction between legal and moral rights]
Feinberg, J. "The Rights of Animals and Unborn Geneerations" (ERESERVE) [helpful, particularly in the earlier parts].
"Majority Opinion in Roe vs. Wade" (BE, 478)
Planned Parenthood of Southeastern Pennsylvania v. Casey (BE,482)
John Paul II. "The Unspeakable Crime of Abortion." (BE, 454)
Warren, MA. "On the Moral and Legal Status of Abortion" (BE, 456)
Engelhardt, H. Tristram. "Medicine and the Concept of Person"(ERESERVE)
Marquis, Don. "Why Abortion is Immoral" (BE, 463)
New York State Task Force on Life and Law. "Ethical Debates About Intertility and Its Treatments" (BE 527)
National Bioethics Advisory Commission. "Cloning Human Beings: Ethical Considerations."(ERESERVE)
"StemCells: A Primer." <http://www.nih.gov/news/stemcell/primer.htm>
Ulrich, LP. "The Case of Nancy Cruzan"
Ulrich, LP. "Ethical Principles for Healthcare Ethics"
"Principles of Biomedical Ethics." (BE, 39)

CASE FOR ANALYSIS

Hugh Finn was at the top of his game as a television news journalist when he had a serious traffic accident. He
suffered a crushed aorta that resulted in anoxia. His brain was deprived of oxygen for about 15 minutes. He never
regained consciousness fully. He was placed in an extended care facility and has been there for three years. He
was DNR in the facility. He has been tube-fed all this time and he regularly receives antibiotics for respiratory and
bladder infections. After one year a healthcare worker who had just finished giving him a bath heard him say: "You
can go now." Two years later a nurse assessing his condition said that when she walked into the room she heard
him say: "Hello." These were the only two vocal, or any other type of, responses from him in three years. After the
three years in the facility Mrs. Finn requested that the tube feedings be removed so that he could die in peace. She
said that her husband had often told her, when he was working on similar stories as a journalist, that he would not
want to live this way. Mr. Finn's brother rejected this proposal and petitioned the court to remove his sister-in-law
as surrogate. The neurological consult presented to the court declared that Mr. Finn was in a persistent vegetative
state. The laws of Virginia (where the ECF is located) consider PVS to be a terminal condition. Although Mr. Finn
did not have an advance directive, his spouse is considered by law to be his legal surrogate. The court ordered that
Mrs. Finn was a proper surrogate and that the tube feedings could be removed.

THE STUDY SESSION WILL BE ON MONDAY FEBRUARY 4,  AT 2 P.M.  IN MH 204.