PHLB09H3 Lecture Notes - Lecture 2: Paternalism, Kantianism, Fetus
Document Summary
Paternalism the patient is given options to be autonomous eg: occasionally disoriented/softening diagnosis for feelings. Pro: only if benefit outweighs restriction of a. Enabling future a justified restriction (currently on autonomy only the recovery or restoration of autonomy) Now competent patient can refuse what justifies refusing treatment for children. Medical futility: treatment useless b/c little to no benefit. Physician can reject request out of b. Utilatarianism driven by b, may justify p max happiness. Act u rightness depends on happiness max by individual actions (less harm more benefit) permit deception is one instance. Rule u rightness depends on happiness max by rules governing class of actions (reject if it becomes paternalistic if they lie to you) Kantianism: utility cant weaken respect for persons as ends. Elizabeth bouvia (page 78) instance where a successful battle against patternalism. Competent/quadriplegic degenerative arthritis, seeks to die physicians refuse. Treating someone without consent = battery without informed consent.
