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Chapter 38 : Bioethical Issues: A Decision-Making Model

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Abstract:

While medical bioethical issues are not derived solely from advances in biotechnology, the new knowledge and powers the biotechnologies provide will force people and governments to wrestle with ethical issues they have never had to address. Teachers have found the bioethics decision-making model, described in this chapter, to be helpful in channeling productive thought and debate. The basic steps, objectives, preparation and resources of this model are explained in detail. Two example cases follow with sample workups and decisions to demonstrate the process. In the field of biomedical ethics, certain guides are well established. The moral-action guides or principles can be divided into four major principles and several secondary ones. Following the prescribed, step-by-step procedure laid out in the model greatly reduces the chance of getting off track. After reading this chapter and completing the exercises, students will have learned the basic principles that guide ethical decision making, become familiar with internationally accepted codes of conduct, learned and practiced a process for making decisions on bioethical issues, learned that some issues present dilemmas to which there is no one right answer. The chapter presents six possible decisions, but the possibility exists for more.

Citation: Kreuzer H, Massey A. 2008. Bioethical Issues: A Decision-Making Model, p 554-567. In Molecular Biology and Biotechnology: A Guide for Teachers, Third Edition. ASM Press, Washington, DC. doi: 10.1128/9781555816100.ch38

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Figure 38.1

“Box” of example case study 1: Frank and Martin.

Citation: Kreuzer H, Massey A. 2008. Bioethical Issues: A Decision-Making Model, p 554-567. In Molecular Biology and Biotechnology: A Guide for Teachers, Third Edition. ASM Press, Washington, DC. doi: 10.1128/9781555816100.ch38
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Image of Figure 38.2
Figure 38.2

“Box” of example case study 2: Mr. Johnson.

Citation: Kreuzer H, Massey A. 2008. Bioethical Issues: A Decision-Making Model, p 554-567. In Molecular Biology and Biotechnology: A Guide for Teachers, Third Edition. ASM Press, Washington, DC. doi: 10.1128/9781555816100.ch38
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Download as Powerpoint

References

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1. Beauchamp, Tom L.,, and James Childress. 2001. Principles of Biomedical Ethics. Oxford University Press, New York, NY.
2. Beauchamp, Tom L.,, and LeRoy Walters (ed.). 1999. Contemporary Issues in Bioethics. Wadsworth Publishing Co., Belmont, CA.
3. Burley, J. (ed.). 1999. The Genetic Revolution and Human Rights. Oxford University Press, Oxford, United Kingdom.
4. Caplan, Arthur L. 1995. Moral Matters: Ethical Issues in Medicine and the Life Sciences. John Wiley & Sons, Inc., New York, NY.
5. Engelhardt, H. Tristram. 1996. The Foundations of Bioethics. Oxford University Press, New York, NY.
6. Harron, Frank,, John Burnside,, and Tom Beauchamp. 1983. Health and Human Values: Making Your Own Decisions. Yale University Press, New Haven, CT.
7. McGee, Glenn. 1999. Pragmatic Bioethics. Vanderbilt University Press, Nashville, TN.
8. Pence, Gregory. 2003. Classical Cases in Medical Ethics. McGraw-Hill, New York, NY.
9. Peterson, James C. 2001. Genetic Turning Points: the Ethics of Human Genetic Intervention. William B. Eerdmans Publishing Co., Grand Rapids, MI.
10. Veatch, Robert. 2002. Basics of Bioethics. Prentice Hall, Upper Saddle River, NJ.

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