Medical Ethics - University of Michigan



Medical Ethics Initial Schedule

Check online for continuously updated schedule that supersedes this one.

You need to use the online schedule to get the LINKS.

|Date |Topics |Readings |Slides, Notes, Assignments |

| | |Study aid: “How to Read a Philosophical Essay” (see link from online|Study Guides (check online)|

| | |schedule) | |

|Introduction to Bioethics: Basic Concepts and Theories |

|W, 9/9 |Introduction to the course. |A case study illustrating and anticipating some core bioethical issues |

| | | |

|Attendance | | |

|and your | | |

|grade: see link from | | |

|online schedule | | |

|M, 9/14 |Introduction to basic ethical concepts |“Introduction to Bioethics” | |

| |and theories |Links to both of these are available on the online schedule. | |

|The Caregiver-Patient Relationship: Autonomy vs Paternalism |

|W, 9/16 |Autonomy and the refusal of treatment |Cowart and Burt, “Confronting Death” | |

| |Video: Dax case |Baumgarten, “The Concept of ‘Competence’ in Medical Ethics” | |

| | |Baumgarten,“The Concept of Autonomy” | |

|M, 9/21 |Test 1 (20 minutes) on basic concepts |Guiora, “Freedom of Information vs Freedom from Information” |Link to study guide from |

| |and theories |Gewande, “Whose Body Is It, Anyway” |online schedule |

| |The extent and limits of autonomy | | |

|W, 9/23 |Informed consent: how much information? |Canterbury v Spence” | |

| | |Brody, “Transparency…” | |

|The Nature of Limits of Medicine |

|M, 9/28 |A conservative view of medicine |Kass, “The New Biology” | |

|W, 9/30 |An expansive view of medicine |Munson and Davis, | |

| | |Germline Genetic Therapy” | |

| | |Article in 11/30/08 New York Times with my comment. Original | |

| | |source | |

|M, 10/5 |Guest and campus lecture: Dr. Randoloph Nesse, “Darwinian Medicine,” 1030 CB. Time: 4:30-6 (our regular class| |

| |time) | |

| |This lecture is part of the campus’s year-long series of events marking the 200th anniversary of Charles | |

| |Darwin’s birth and the 150th anniversary of the publication of Origin of Species. | |

| |Randolph Nesse is a professor of psychology and psychiatry and a leading figure on Darwinian medicine. His | |

| |main theme is showing how understanding Darwinism can influence medical practice. You can learn more about | |

| |him on his website. | |

| |Reading: | |

| |Nesse and Williams, “Evolution and the Origins of Disease” | |

|The Caregiver-Patient and Caregiver-Caregiver Relationship: Various Issues |

|W, 10/7 |Confidentiality |Tarasoff | |

|M, 10/12 |Caregiver rights and responsibilities |Kroeger-Mappes, “Ethical Dilemmas for Nurses | |

| | |Conscientious objection | |

|Euthanasia and End-of-Life Issues |

|W, 10/14 |The issue of euthanasia (introduction) |Rachels, “Active and Passive Euthanasia” | |

| |Active and passive euthanasia |Sullivan, “Active and Passive Euthanasia…” | |

| | |Rachels, “More Impertinent Distinctions…” (first half) | |

|M, 10/19 |For and against voluntary active |Rachels, “More Impertinent Distinctions …” (second half) | |

| |euthanasia |Callahan, “When Self-Determination Runs Amok” | |

|W, 10/21 |Planning ahead for end-of-life care |Battin, “The Least Worst Death” | |

| | |“Your Life, Your Choice” | |

|M, 10/26 |Decisions for the incompetent. |Robertson, “Examination of Arguments…” | |

| |Origin and role of ethics committees |Engelhardt, “Ethical Issues in Aiding the Death of Young Children.” | |

| |Deciding for a child: the case of Kenny.| | |

|W, 10/28 |Test 2: 45 minutes |Hardwig, “Is There a Duty to Die?” |Study guide forthcoming |

| | |Ackerman, “The ‘Duty to Die’ versus the Duty to Help the Ill Stay | |

| |(Time permitting) |Alive” | |

| |Is there a duty to die? | | |

|Justice in the Use of Scarce Resources |

|M, 11/2 |Right to Health Care vs Rationing Health|UN, “The Right of Everyone…” | |

| |Care |Singer, “Why We Must Ration Health Care” | |

| | |Lamm, “Doctors Have Patients…” | |

|W, 11/4 |Two opposing views on medical care |“Economic Justice and American Politics” | |

| | |(unpublished, written by instructor) | |

| | |Sade, “The Political Fallacy…” | |

| | |Pellegrino, “Altruism…” | |

|M, 11/9 |What moral obligation does government |President’s Commission, “An Ethical Framework…” | |

| |have to provide health care? | | |

|W, 11/11 |Microallocation: Who Shall Live When Not|Rescher, “The Allocation of Exotic Medical Lifesaving…” | |

| |All Can Live? |Childress, “Who Shall Live…” | |

|M, 11/16 |Tough allocation decisions |Persad, Wertheimer, Emanuel, “Principles for Allocation…” | |

| | |Cost-effectiveness analysis in the UK and US (two NY Times articles)| |

|M, 11/18 |Age-based rationing? |“Even 90-year-olds are having open-heart surgery”: Link to very | |

| | |timely article in recent (11/11/08) NY Times on exactly this issue. | |

| | |Alternate link to article as Word file | |

| | |Callahan, “Aging and the Ends of Medicine” | |

| | |Childress, “Ensuring Care…for the Elderly” | |

|M, 11/23 |Voluntary risks to health |Cappelen and Norheim, “Responsibility in Health Care: A Liberal | |

| | |Egalitarian Approach | |

| | |Cohen, et al, “Alcoholics and Liver Transplantation” | |

|Genetics and New Reproductive Technologies |

|W, 11/25 |Genetic selection and screening. Is | |Do you want to know your |

| |there a moral obligation not to have a |Purdy, “Genetics and Reproductive Risk: Can Having Children Be |genetic profile? Two timely|

| |genetically seriously disadvantaged |Immoral?” |articles in The New York |

| |child? |“A modest proposal”: using genetic information to reduce health care|Times |

| | |costs |You might want to look |

| | |Kass, “Implications of Prenatal Diagnosis for the Human Right to |again at the article in |

| | |Life” |11/30/08 New York Times |

| | | |with my comment |

|M, 11/30 |Stem cells and “cloning for research” |President’s Council Report | |

| |(sometimes called “therapeutic cloning”)|Kass, “The Wisdom of Repugnance” | |

| | |“Strong, “The Ethics of Reproductive Cloning” | |

|W, 12/2 |Surrogate motherhoood |Steinbock, “Surrogate Motherhood…” | |

| | |Anderson, “Is Women’s Labor a Commodity?” | |

|December 7 and 9: Student reports/panels, Review, and/or New Topics |

|W, 12/7 and 12/9 |Topics to be announced. Student reports may also come earlier and then the schedule for above topics will be revised |

|M, 12/14 |Final Test |Study guide forthcoming |

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