Required Text:
Munson, Ronald. Intervention and Reflection: Basic Issues
in Medical Ethics. Fifth Edition. New York: Wadsworth,
1996.
Course Goals:
This course is designed to introduce you to some of the central issues
of medical ethics. Ethics addresses questions such as ‘How should
I act?,’ ‘How do I decide whether one way I could act is morally better
than some other way?,’ and ‘Are different ethical systems equally acceptable,
or are some people's values just wrong?’ Medical ethics addresses
these questions in the context of patient care and the distribution of
medical attention, and seeks to determine which actions or options in medical
practice are obligatory, which permissible, and which impermissible.
By the end of the course you should be familiar with the major ethical
theories relevant to medical practice, and be able to apply these theories
to ethical issues.
We will address several topics specific to medical ethics, including terminating impaired infants, the distribution of limited medical resources, and genetic engineering. Special attention will be paid to the ethical aspects of the most common interactions between patients and healthcare providers.
Required work:
| First week | Monday | Syllabus and introductory discussion |
| Wednesday | Ethical Theory: Munson, pp. 2-37 | |
| Friday | Passover—no class--READ Munson, pp. 108-122 | |
| Second Week | Monday | Treating or Terminating Impaired Infants: Engelhardt, pp. 129-135 |
| Wednesday | Treating or Terminating Impaired Infants: Weir, pp. 135-141 | |
| Friday | Treating or Terminating Impaired Infants: Robertson, pp. 123-129 | |
| Third Week | Monday | Treating or Terminating Impaired Infants: Rachels, pp. 171-175 |
| Wednesday | Research and Informed Consent: Munson, pp. 334-356 | |
| Friday | Research and Informed Consent: Principles of the Nuremberg Code, p. 412, Lasagna, pp. 356-362 | |
| Fourth Week | Monday | Research and Informed Consent: Jonas, pp. 362-371 |
| Wednesday | Research and Informed Consent: Drane, pp. 385-389 | |
| Friday | Treatment and Informed Consent: Munson, pp. 265-278 | |
| Fifth Week | Monday | Treatment and Informed Consent: G. Dworkin, pp. 278-288 |
| Wednesday | Treatment and Informed Consent: Bok, pp. 290-298, Review for Midterm | |
| Friday | Midterm examination | |
| Sixth Week | Monday | Genetic Engineering: Munson, pp. 434 – 455 |
| Wednesday | Genetic Engineering: Purdy, pp. 455-460, Kass, pp. 461 – 469 | |
| Friday | Genetic Engineering: Kevles, pp. 469-473 | |
| Seventh Week | Monday | AIDS and Its Issues: Munson, pp. 216 – 230 |
| Wednesday | AIDS and Its Issues: Mohr, pp. 230 – 234 | |
| Friday | AIDS and Its Issues: Steinbock, pp. 234 – 241 | |
| Eighth Week | Monday | Allocating Scarce Resources: Munson, pp. 559 - 573 |
| Wednesday | Allocating Scarce Resources: Rescher, pp. 573 – 582, Annas, pp. 582 – 586 | |
| Friday | Allocating Scarce Resources: Alcoholics and Transplantation, pp. 593 – 597 | |
| Ninth Week | Monday | Memorial Day—no class |
| Wednesday | National Health Care Systems: Munson, pp. 610 – 631 | |
| Friday | National Health Care Systems: An Ethical Framework for Access…, pp. 631 - 639, Nielsen, pp. 640 – 645 | |
| Tenth Week | Monday | Concepts of Health and Disease: Caplan, Arthur. “The Concepts of Health, Illness and Disease,” and Pörn, Ingmar. “An Equilibrium Model of Health” [Course members only may access these readings by clicking on the authors' names.] |
| Wednesday | Concepts of Health and Disease: Boorse, Christopher. “On the Distinction between Disease and Illness” and Richman and Budson. “Health of Organisms and Health of Persons” [Course members only may access these readings by clicking on the authors' names.] | |
| Friday | Review for final exam (Exam will be 8-11 am on Monday 11 June) |
| This page currently maintained by Ken Richman | |
| Please direct any questions or comments to
the Chair of the Department.
Copyright 1999 Kalamazoo College. All rights reserved. |