Showing posts with label bioethics conference. Show all posts
Showing posts with label bioethics conference. Show all posts

July 18, 2009

Dr. Jameela George, MB BS: Black Market Organ Transplantation & Medical Tourism

Dr. George is a Christian bioethicist in India speaking today on medical tourism, those who are in pursuit of cost efffective, faster or better private medical care. In India there is medical tourism in many areas including cardiology, joint replacement, organ transplants, etc.Reasons for medical tourism include availability and low cost of services.With the cost of a heart valve replacement costing $10,000 as opposed to the $200,000 in the US. The following are some highlights from her presentation:

Surrogacy tourism - Wombs for Rent
Often contracted through hospitals in India.Surrogates live in dormatories or "baby farms."
Ethics issues: Exploitation, concept of family, comodification of physiological process.
Surrogates are paid $5000 - $7000, a relatively low cost.

Kidney Tourism
Donors enticed to go abroad for removal and subsequent tranplantation of their kidneys.
The first human kidney transplant - Boston 1954
Transplantation of the liver followed in 1963 and heart in 1967
The kidney is the most wanted organ for transplantation

Worldwide about 1.2 million suffer from kidney failure. In Israel the average wait is 4 years. Worldwide 50k transplants are performed annually.About 285k people are on dialysis in the US.

Laws about Organ Transplantation
Brazil - illegal to sell organs (1997)
1998 law -all Brazilian adults are organ donors at death

Iran
Kidney sales are legal and regulated

India
Transplantation of Human Organs Act of 1994
Altruistic donation of organs from close family members
Donation b y those who are emotionally attached to the recipients
The Act permits transplantation of various cadaver organs including kidneys

Countries practicing Black market organ trans
India, China, Russia, Turkey, Moldova, Romania...

Partners in Black Market Organ Transplant Business in India
  • Surgeons and medical teams
  • managers of hospitals
  • organ brokers
  • jobless people
  • tourism industry
Kidney donors can earn up to $2500
Recipients pay as much as $25k in India

Measures to decrease organ gap
  • Prevention of renal failure
  • Increase of domestic supply
Controversial solutions
  • Routine recovery from cadavers-implied consent
  • legalising sale of organs
  • legalizing rewarded gifting of unrelated donors
  • upgrading facilities to harvest and transport organs from resource poor settings
Ethical Issues in BMOT
  • Lack of respect for person
  • Coercion
  • Exploitation
  • Social Justice
  • Violation of Human Dignity

July 16, 2009

The Theological Roots of...Human Dignity: Dr. David Gushee

David Gushee provided a survey of the concept of human dignity throughout the Old and New testaments. Below are a few highlights.

Old Testament
"Transcendent legal/moral standard over human life creates a critically important human equality before the law. "

"The grounding of all moral obligation in God's law had a deep impact on the understanding of human law."

On Shalom
Shalom - the dream of God for a redeemed world, for an end to our division, hostility, fear, drivenness and misery.

Shalom happens when humans stop killing each other, and therefore life's dignity is honored at its fundamental level.

Shalom means: Delight, obedience to God (the precondition of shalom), the healing of broken bodies and spirits, enough to eat and drink, an inclusive community, the rebuilding of the human community

New Testament
Matthew 4 - Jesus did 2 new things
1. turned the eschatological future into an inaugurated eschatological present
2. Embodied the kingdom of justice, peace, and healing, in which human beings at last treat others and are treated, as God originally desired.

Jesus' inclusive ministry in a religious culture in which:
  • Women were devalued
  • Leaders subjugated human well being to legal observance
  • Sinners treated as beyond the pale of God's care
  • Children were devalued
  • The sick ere often cast out of the community
  • The occupying Romans were hated
  • Tensions between jews and Samaritans
  • A woman on her own faced desperate financial challenges
  • Social-economic divisions were acut
In sum, Jesus smashed the religious, cultural, economic, and political barriers of his context and demonstrated love, respect, and inclusion toward people of all descriptions. Jesus taught "good news" that God loves human beings with an immeasurable love.

"The paradox of the incarnation is that when divinity stooped low and took on humanity, humanity revealed its loliness and yet was elevated through God's mercy."

Jesus died for "the world" - everyone, people in all states, conditions, nations and orientations toward God and neighbor. Everyone should matter to us because everyone matters to God

Christ rose in a body, the victory of God over evil, and the resurrection marks the triumph of life.

Acts depicts rapidly growing church...more inclusive and hospitable community ethos.
Paul offers an expansive theological effort to defend transformation of relationships (Gal 3:28) All divisive human distinctions are transfigured and overcome through Jesus Christ.

Momentum toward radically inclusive and egalitarian community
Multi-ethnic, multi-racial, gender-inclusive, class-inclusive community

What emerged...
Congregations that believed that in their own experience of transformed human relations lay the beginnings of the redemption of the world.
"Only because God became human is it possible to know and not despise real human beings...this is not because of the real human being's inherent value, but because God has loved and taken on the real human being. The reason for God's love for human beings does not reside in them..." D. Bonhoeffer
"A secular, rootless human dignity ethic may be the best that our culture thinks it can manage. But Christians know not only that we can do better but that we must do better and that the resources for doing better are embedded in our tradition."

We must claim our own rich, theological heritage.

May 1, 2009

Banking on Life Conference

Watch for blogposts and Facebook/Twitter updates from the Banking on Life Conference all day tomorrow. Speakers include David Prentice, James Baumgartner, John Cusey, Josephine Quintavalle, and others. For more info, go here.

July 22, 2008

NARAL on the Secular/Religious Divide

Yesterday I mentioned in a post that fragmented thinking "has taught people to believe that certain matters are to be addressed by their doctors and certain matters are to be addressed by their pastors." In other words, an error often made within the Christian community is the split between the "spiritual" and everything else. Obviously, Christians aren't alone in this regard, perhaps they are taking cues from NARAL?

On NARAL.org, it states: "If you are facing an unintended pregnancy, it is important that you talk about your feelings and emotions with someone you trust, be that a family member, a close friend or a member of the clergy. It is also important that you consult a health care professional to discuss your options."

Did you catch that? You can talk about your feelings and emotions with your clergy--not the truth, but your feelings and emotions. The role of clergy in this circumstance is purely therapeutic where the role of the health care professional is about the facts, the "options." This fact/feeling divide is grounded in assumptions about the nature of religion, that it has nothing to contribute to the decision at hand. By relegating religious leaders to the domain of emotions, it deems them irrelevant to any discussion related to the fate of the pregnant woman and the unborn child. As well, it assumes that abortion is primarily a medical decision and that there are no spiritual dimensions to the situation. They have determined, as an organization focused on "health care," that philosophical/theological reflection has no place in discussing "the options."

It also needs to be pointed out that they believe in the myth of the purely secular, that they and abortion providers have no worldview commitments.

So you're wondering why this is news. It isn't to me, but for some, it needs to be clarified that the worldview being expressed here has a view of religion as fiction, or something created by culture. For them, life begins only at birth because that is when a person begins to be enculturated. The meaning of life isn't found in anything metaphysical, but in the influence of culture who has created meaning for itself. Until birth, there is no meaning, rendering preborn life meaningless.
Sent via BlackBerry by AT&T

July 21, 2008

Staking a Claim: Women, Theology, & Bioethics

Dorothy Sayers, theologian, lecturer, author of detective fiction, and friend to C.S. Lewis, responded to the question of what is a “woman’s point of view” as it pertains to literature and finance. She said “…don’t be silly. You might as well ask what is the female angle on an equilateral triangle.”[1] The point to be taken from this exchange is that for those things which are a matter of basic fact, there is only one perspective and that is a human perspective. As it pertains to other matters, Sayers continues,

“…I prefer to think that women are human and differ in opinion like other human beings…you can not ask for ‘the woman’s point of view,’ but only for the woman’s special knowledge…’”[2]

Women today have differing points of view in matters of bioethics, yet the same experience of womanhood, though always with some exceptions. But the most dominate expression of this experience, this “special knowledge,” is not from the voice of evangelical women who, as theologians, can provide meaning and communicate hope, but from secular feminism. This is not to suggest that there are no evangelical women engaging in theological dialogue, but as it pertains to being an influential, prophetic voice in bioethics—in the academy, church, and in popular culture—few women address bioethical matters in this way. A cross-centered evangelical bioethic offered through the theological voice and experience of women can serve as an apologetic for a Christian worldview, helping to put to rest the suspicion and charges of female oppression by evangelicalism and evangelical bioethics that are often made by secular feminism, charges that view human autonomy as the highest value. In society and within the community of evangelical bioethics, woman as theologian offers a unique and fresh perspective to all levels of discussion, from academic scholarship and education to more public activist roles.

Secular Feminist Bioethics
Women’s issues, especially those related to women’s health and bioethics including abortion, pregnancy, contraception, and reproductive technologies have by default, come under the domain of secular feminism in popular culture. For years, since the second wave of feminism leading to Roe v. Wade until now, these women’s issues have been addressed primarily by secular feminist voices, and by specifically feminist bioethics. Academic journals like The International Journal to Feminist Approaches to Bioethics, blogs like the Women’s Bioethics Project, and popular organizations like NOW and the Feminist Majority exist to develop the next generation in the academy and in popular culture. The website of Women’s Bioethics Project states

Women’s health concerns have always been at the core of the Women’s Bioethics Project’s work. Moving beyond narrow conceptions of women’s health, we will be focusing on issues such as aging, women’s participation in medical research, the impact of traditional care giving roles on women’s lives, and end-of-life decision making. We have a series of initiatives planned to help bring these issues to the attention of the media, increase women’s involvement, and impact public policy.

It is clear that the focus women’s issues is expanding beyond what has been traditionally conceived of as important to women—contraception, abortion rights, infertility, reproductive technologies, and so on. And while feminist bioethics are expanding, with the persuasive power of mythical neutrality, evangelical women as theological bioethicists have yet to speak prominently in the theological academy, church, and in culture to these issues. With all of these voices speaking to women of all ages, and with women eagerly listening, it has to be asked, where are the theological voices of evangelical women? In there book, Living on the Boundaries: Evangelical Women, Feminism, and the Theological Academy, Pohl and Creegan ask similarly, “where are the good women?”[3] The gender discussions within evangelical circles are no doubt a contributing factor to the scarcity of evangelical women as theological bioethicists. But whether complementarian or egalitarian as it relates to women’s roles in the church and family, there is ample support in Scripture for women to be a strong voice in the academy, church and culture without concern for compromising conservative views of gender roles.

Staking a Claim Among Women
One might wonder why theologically-informed female voices need to be available as prominent voices in the church, academy and culture. There are no new metaphysical truths to be uncovered, we have a grasp on what the bible teaches on human dignity and the great commandment to love our neighbor, so why does the gender of the messenger have any relevance? Aren’t the prominent, sound voices of evangelical men in bioethics enough? I am especially thankful for all those I have and continue to learn from in the field, but I also see the gap of influence of women on other women – and on men, who, as a member of the human race, experiences life a bit differently. The way to answer the question about the importance of women’s voices is to see the women who have sought women’s voices due to their “special knowledge,” their experience. The female evangelical theologian in bioethics can offer a fresh and unique perspective, not because she offers new knowledge on the basis of her womanhood, but because she identifies with the same joys and pains of half of the people in our culture. The previously mentioned organizations have a great deal of influence in our culture not because they force their message on women or anyone else, but because women want to hear from them. Women are listening to these women, and these women come from all parts of society including the church. Even further, the fragmentation of faith and reason has led to further splits in our thinking, and quite noticeably between health and reproduction and our spirituality. Concerns about women’s health in the evangelical church often receives limited preemptive attention because this fragmentation has taught people to believe that certain matters are to be addressed by their doctors and certain matters are to be addressed by their pastors.

Crucial to the future of evangelical bioethics is the proactive willingness to develop theologically informed women bioethicists for work in the seminary, in the church, and in culture. Women continue to dominate church membership—60% as recently reported by Barna—and continue to enter into higher education in increasing numbers. Evangelical women who desire theological training find themselves in strange territory, one stating “I guess I’ll be too liberal for most evangelical institutions and too conservative for most mainline schools.”[4]

The Scriptures contain numerous stories of women’s experiences as it relates to matters of reproduction and even end of life scenarios. There are obviously profound theological implications of these stories—the barrenness of Hannah and Sarah, the end-of-life grief of Mary and Martha, sisters to Lazarus—as well, there are practical lessons to be communicated to women in our world today. God cares about the details and he is not uninvolved in our lives. For evangelical women in theology today, the task is to take every thought captive to the obedience of Christ by taking ownership of these bioethical issues that have thus far been dominated by secular feminism.

The scope of this discussion is focused on the value of theologically-informed women’s voices for the sake of women, though it does not preclude the importance of her influence on men. But in terms of God’s calling on the ministry to women, I believe we can find direction for this work in Titus 2.

Typically viewed as instruction for how older women are to mentor younger women in keeping the home, I believe we can with all integrity see the broader implications of this passage in our contemporary culture. Titus 2:3-5 states:

Older women likewise are to be reverent in behavior, not slanderers or slaves to much wine. They are to teach what is good, and so train the young women to love their husbands and children, to be self-controlled, pure, working at home, kind, and submissive to their own husbands, that the word of God may not be reviled.

Bioethical issues never operate in a vacuum, and a decision—whether related to reproductive technologies or end of life questions—will always involve members of one’s own family. For the woman as theologian and bioethicist, with her special knowledge as woman, daughter, and perhaps as wife and mother, has the opportunity to teach “what is good” to women in the academy, church, and culture. But we must be willing to take our place in culture and no longer be willing for women’s issues to be owned by the voice of secular feminism. Through this, we may see the new trends develop in society at large in how we view human nature, life, the unborn, and the disabled. Ultimately, then, women as theological bioethicists have one more way to advance God’s kingdom to his glory. WFC


[1] Are Women Human? Dorothy Sayers Wm. B. Eerdmans Publishing Company (November 15, 2005) p. 41

[2] Ibid, p. 43

[3] Living on the Boundaries: Evangelical Women, Feminism And the Theological Academy. InterVarsity Press, June 2006. Page 31

[4] Ibid, 41.

July 19, 2008

LIVE BLOGCAST: Health Care & the Common Good: Dr. Edmund Pellegrino (Final Thoughts)

All the dimensions of politics and the health care system are designed to care for the individual. Health is a desirable end, medical care is a need.

Should religion be engaged in the dialectical discourse? As Pellegrino discusses this I'm reminded of the works of H. Tristram Engelhardt discussing the role of religion in the public square and the notion of agreement among "enemies."

Autonomy started as a negative right but has become from a right of neglect to a right to demand treatment to the extent of micromanagement at the bedside. While wanting to preserve the autonomy of the patient, we also need to consider the autonomy of the health professional.

In clinical ethics, there need to be absolutes. Without them, morality will be left to the courts.
Augustine says 'an unjust law is no law.' Today conscience clauses are under threat and the value-free doctor is the most desirable.

Pellegrino very interestingly recommends bedside clinical ethics education. It takes a socratic approach, takes it out of the abstract and into reality. It seems this approach brings the clinician into a more intimate relationship with the patient.

"Inane thinking" about the hippocratic oath that pervades bioethics today. Pellegrino says that the hippocratic oath/ethos are not the whole of medical ethics. It is a statement of morality.

LIVE BLOGCAST: Health Care & the Common Good: Dr. Peter Lawler

Peter Augustine Lawler is Dana Professor and Chair of the Department of Government and International Studies at Berry College. He teaches courses in political philosophy and American politics and has won several awards from Berry for doing so.

A truly progressive society would subordinate technological process to personal progress.

John Locke - "My body is my property"
Autonomy trumps in our culture.

Locke - In an individualistic society, the only hold the older people have on the young is money.

Immediate crisis in health care is productivity over care giving.

Care should be given in the most personal way possible, knowing that each human being is more than a human being with interests.

LIVE BLOGCAST: Health Care & the Common Good: Solutions (Dean Clancy - Continued)

Question:
What about illegal immigrants and health care?
Response: Federal mandate that any hospital that takes Medicare must care for anyone who enters ER.

Question:
Would you put a cap on medical malpractice suits?
Response: Would all caps be just? More consideration must be given to the victims of medical malfeasance.

LIVE BLOGCAST: Health Care & the Common Good: Solutions (Dean Clancy - Continued)

Obama's Health Care Plan
1. Mandate employer coverage
Subsidize covereage or through payroll tax
2. Expand public coverage
Create a private "Medicare" option to compete with private plans
Would cost 30% less than other insurers and attract 40 million enrollees
Expand Medicaid and SCHIP eligibility
140-150 million people, or about half the US population would be on Medicare or Medicaid
3. Regulate private insurance
Define a minimum basic benefit package
Create a federal health care watchdog called the Exchange.
Mandate coverage of children
Regulate insurers' premiums and profits.

McCain's Health Care Plan
1. Create a voucher-like system for private insurance
Eliminate tax exclusion ($150 billion per year)
Create a refundable health insurance tax credit of $2500 for an individual, $5000 for a family
2. Enhance price competition by permitting purchase of health insurance across state lines
3. Create a Guaranteed Access Plan subsidy for people with pre0existing conditions
Assistance based on income level
Impose "reasonable limits on premiums"
4. Expand Health Savings Accounts (HSAs)

Differences
Obama would grow public programs and control costs through greater regulation and administered pricing
McCain would grow the indivudual market and control costs through greater competition among insurers

Similarities
Both plans would bring more cost control to the system
Both plans claim to build on the existing system
Bot plans claim to promote affordability and choice
Both plans would almost certainly have the effect of greatly shrinking or eliminating the employer-based system.

Jim Capretta's Four-Point Plan
Cap tax exclulsion, create limited tax credit
Give states regulatory flexibility, with state "exchanges"
Convert Medicare into a form of defined contribution
Implement incrementally

Dean Clancy Additions
Completely relieve states of Medicaid spending burden
Combine Medicare and Medicaid into a single federal program based on poverty and disability rather than age. No more Medicare benefits for millionaires and billionaires.

LIVE BLOGCAST: Health Care & the Common Good: Solutions (Dean Clancy)

The Common Good
Definitions:
1. The good of the whole community
2. The highest good for each of us
3. Communal virtue and happiness, built upon the virtue and happiness of individuals, families, towns, etc.

Levels
1. First order questions (what is right or just?)
2. Second order questions, what should be done?
3. Both sets of questions require debate, deliberation and participation by citizens.

Dean will get into Obama and McCain's health care proposals at some point into the discussion, be sure to check back for more details on that.

Problems in health care
1. Rising costs and coverage gaps
2. Changing roles and declining professionalism of caregivers
3. Ethical quandaries arising from science and technology
4. Cultural and political problems

Clancy points out that medical inflation must end and that government's share is about 1/2 and growing.

July 18, 2008

LIVE BLOGCAST: Ancillary Care Perspective: Deadly Denial of Dental Care (Case Study)

Moderator: Dr. Claretta Dupree

Panelists: Eileen Clark, Pat Emery, James Grear, Rochelle Moore, Barbara White

Overall health requires good oral health. In what way can society provide more access to dental care. Where does the moral obligation to be concerned with the common good come into play? Is there a professional obligation or does it land squarely in the domain of Christian values.

This has been an enlightening discussion on the topic of dental health, leading to more worldview questions. Christians don't have the corner on benevolence, but the Christian worldview makes sense of the good, gives it meaning.

If we can't get our community leaders and key people actively involved in advocating for those in need, how can we help? It isn't just about Christians, advocacy needs to be a community solution. And the solution can't always be about working harder, but worker smarter in as much as existing systems permit, though recognizing shifts must eventually occur in the existing systems.

LIVE BLOGCAST: Health Care in the United States: Strengths, Weaknesses, and the Way Forward (James C. Capretta, Ethics and Public Policy Center)

Ethics & Public Policy Center.

US health care is employment based. Employer participation protects private sector orientation and innovation.

If you get down to it, what's happening is the ability to organize care for the patient is difficult.

Pushing health care down to the state regulatory level is crucial.

LIVE BLOGCAST: Professionalism in Peril, Dr. Gene Rudd

When we lose sight of our core values, we risk moral meltdown in health care.

Professional adultery-medicine has its mistresses. More physicians now are employees rather than partners in private practice. Do those institution share our moral obligations? Are patients merely customers?

Autonomy-We have given it such priority that it comes without warnings. In a relativistic society we have a moral obligation to communicate the "thou shall not's."

Transition from covenant to contract - a move from moral obligation to legal obligation. Trust is an essential part of health care, but trust is eroding.

Dr. Gene Rudd is from the Christian Medical & Dental Association and provided a very insightful plenary talk on professionalism in health care and what that means from the perspective of our Judeo-Christian tradition.

July 17, 2008

LIVE BLOGCAST: Patient Perspective (Clinical Ethics): "Common Good" Case for Today

Moderator: Robert Orr, MD
Panel: Sam Casey, JD; John Dunlop, MD; Pat Emery, MSN, RN; Daniel McConchie, MA; and Pastor Keith Plummer, PhD (Cand)

Clinical ethics looks at the patient with the obligations of beneficence and compassion.

Case: Peter is 10 3/4 years old. 2 months - severe cardiomyopathy. 7 months received heart transplant. 27 months, severe rejection episode with cardiac arrest and hypoxic brain damage. Now he has markedly diminished renal function. Transplant? sever coronoary artery disease. Re-transplant?

KP - Are there other children?
RO - Mom is single, no siblings

PE - What does Mom want?
RO - let's assume she will want to pursue these things?

DM - What is the prospect for longterm dialysis?
RO - Covered by medicaid,

JD - Other issues with new organs?
RO - Kidney's might quit earlier than heart, likely not a combined transplant. Each transplant has a high chance for success.

SC - if successful, what is the longterm prognosis?
RO - Rest of body seems to be functioning well. Nothing in particular anticipating to take his life in the forseeable future.

RO - Mom wanted more education to care for him. Son is in institution and she cares for him on weekends. Mom content with his level of function.

DM - Child's level of cognition?
RO - Nonverbal. First able to sit at age 4. now he can walk with assistance. Can drink from a cup but needs assistance with self-feeding. Is in diapers, doesn't speak. Tries to mimic sounds. Loves music.

PE - Mother's support system?
RO - well connected

PE - mother's level of education?
RO - high school/college

SC - Concern: child is profoundly disabled. Other child on transplant list are otherwise normal. Are their listing criteria?
RO - Criteria: Adequate, cognitive attention.

SC - does this listing violate American's with Disabilities Act?
RO - What if this child were in PVS?

SC - if the child is PVS, that doesn't mean that the AwDA doesn't apply.
RO - Allocate upon some neutral criteria? Is there discriminatory criteria that the law points out?

Other questions/comments:
Something within this child that keeps him alive.

How much would all this cost. Public money that might be spent on more otherwise healthy children?

Has he had seizures? No

What is the relationship between his suffering and what he might have to gain?
Is that appropriate given his cognitive state?

Does he recognize his mother and respond differently to other people?

Is he in crisis right now? (no)

...the discussion continues...

LIVE BLOGCAST: Health Care & the Common Good: Dr. Edmund Pellegrino (continued)

Question: Has there been any official reaction to the article by Steven Pinker on the uselessness of human dignity?

Response: (Qualified as own opinions) Not a very intellectual engagement of ideas.

Question: Systems are not the answer...?

Response: First order questions are ethical/theological. IOW, what does it take for a society to pursue the common good? It's never been defined in the public arena. So which systems are helpful with regard to their ethical content. It's about getting clarification on the ethical implications of systems.

Question: The obligations to provide health care for people in need and suffering....how far does this extend?

Response: One of the conditions would have to be that any medical treatment that we're going to use or include...is going to have to be proven as effective. But are we committed to health care as a common good as an ethical concern or economic concern? Health care cannot be a commodity and the marketplace has no heart. We give it a heart by thinking about our obligations.

LIVE BLOGCAST: Health Care & the Common Good: Dr. Edmund Pellegrino (continued)

Mark 1:34 And he healed many who were sick with various diseases, and cast out many demons. And he would not permit the demons to speak, because they knew him.

"We have one virtue, that is the virtue of charity." Dr. Edmund Pellegrino

"With ethics alone you'll neither satisfy God nor fulfill your intrinsic possibilities. God is the Holy One. Goodness is one of the names of him whose essence is inexpressible. And he desires not only obedience to the commands of the 'abstract good,' but also your personal affection. More, he wants you to risk love and and the new existence that springs from it. Only in love is genuine fulfillment of the ethical possible." The Lord by Romano Guardini
First order question of a good society, obligations to see that people have what they need.

The notion that we are interconnected as human beings, we have responsibilities to each other. What happens to one happens to the rest of us. Whenever we can do something to recognize that we are members of a conjoined society, that is why the the common good is so crucially important.

Closing statement: Do we want to be passive bystanders? Do we not want to contribute to the relief of those who suffer? Is the picture we give....do we want to be seen as doing the Pontius Pilate act and not taking responsibility for others? What kind of society do we want to be?

LIVE BLOGCAST: Health Care & the Common Good: Dr. Edmund Pellegrino (continued)

All human beings have an inherent dignity that comes from the fact that they have been created equally. Agreed upon by the United Nations. The common good does not discriminate because we are all human beings.

What are some conditions for the common good? Everyone needs them, and someone needs to provide them. These are some elements
1. Security
2. Privacy
3. Education
4. Tolerance
5. Interaction
6. Freedom
7. Health
8. Peace
9. Medical care
10. Interaction
Objections to health care as the common good: why should we care for those who don't care for themselves? We must allow for the flourishing of every human being.

Can we be part of the human community if we are denied health care as a common good?
Benevolence is more important to a good society than autonomy. Not helping the sick undermines the kind of society we want to be (Adam Smith)

The function of a society as a whole is to preserve the above elements for a human being to flourish as a human being.

LIVE BLOGCAST: Health Care & the Common Good: Dr. Edmund Pellegrino

Chairman of the President's Council on Bioethics, Dr. Pellegrino begins the conference with thoughts on the state of health care in the U.S. The debate about health care ethics in America has gone on for a long time and for the most part it has been argued in terms of economics, finance and practicalities - all important. But Pellegrino suggests that maybe these questions are secondary to other ethical matters. What obligations do we have to the ill? What does a good society owe to it's citizens? How do we judge among the programs available that we are meeting society's needs? How do we determine that we are a good society in this regard?

Health care for the common good, what does it mean? Many people move from reason to emotion in addressing this question. Pellegrino goes through 3 theories,
Aristotelean, Liberal, and Communitarian perspectives on the common good.

July 16, 2008

Live Blogging: CBHD Bioethics Conference

Beginning tomorrow night, I'll be live blogging the 15th ANNUAL CONFERENCE ON BIOETHICS at Trinity International University. The Conference, Health Care & the Common Good, will feature speakers Edmund Pellegrino, MD, Robert Orr, MD, Claretta Dupree, PhD, Peter Lawler, PhD, and others.