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Autonomy's Role In Ethical Dilemmas

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In my mind the most important unanswered question raised during our class meeting would be, “how to decide what to do in a situation like case 5-2 and living with the decision afterwards” case 5-2 regarded the 77 year old Jamaican woman and the dilemma the doctor was in, in terms of discharging her or keeping her and raising the prices for the other patients. During class we discussed what people would do but because I have different ideas on what I would have done. If I had decided to discharge her I would remember it all the time. I would feel so broken inside for doing that. I would neglect a person’s life to accommodate my place of employments financial situation. Further, the question is, how does a person or myself handle living with the effects of a decision that one is forced to make? …show more content…

I believe the most important point with the readings of chapters 6, 7 and 8 for this week is the way paternalism plays into ethical cases. Sometimes it is easy and others very difficult to solve a dilemma that might require paternalism, but in cases like 6-2, the case about the twelve year old girl that seems to be mature enough to reject a heart transplant that also has her parents on board. The doctor however doesn’t agree. The point to me is should paternalism be given to the doctor after court hearings? It’s a very complicated case. Beneficence and autonomy are clashing in this

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Atul Gawande in his article “Whose body is it, anyway?” introduced couple of cases, which discussed a controversial topic, doctors dealing with patients and making important medical decisions. These are difficult decisions in which people might have life or death choices. Who should make the important decisions, patients or doctors? Patients don’t usually know what is better for their health and while making their decisions, they might ignore or don’t know the possible side effects and consequences of these decisions.

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I think he could have relied heavily on non-maleficence in a strict sense of the term that doctor should not do any harm. Also, throughout all four cases I believed that we relied heavily on taking into account how the family would be affected by the decision, which shows a utilitarian perspective. I also, noticed that when it came down to the final decisions autonomy of the patient was not always respected by all three of us, such as the car accident victim. She wanted death, but we all denied her because we were worried about her mental health. Although with autonomy we should have still respected her wishes, if we were solly basing our decision on

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