Philosophy Department

1200 Academy St. Kalamazoo, MI 49006

PHI 495

Biomedical

Ethics

Professor Ken Richman

Humphrey House 201
tel: 616/337-7077

Course Description and Requirements
 
 

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:

Grading:
The midterm exam will count for 30% of your grade.  The final exam will count for 40% of your grade.  The in-class presentation will be graded as a group project, not individually, and will count for 15% of your grade.  Your position paper will count for 15% of your grade.  The frequency and quality of your class participation can also affect your final grade for the course, especially if your average for the course falls between two grades.
 
Readings:
The following list of readings is subject to change.  I will announce the assignments each class for the next class.  All of the readings listed below are in the required textbook except for those on concepts of health.
 
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)
 
 
 
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Updated 15 March 1999