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With organs a scarce commodity for the many patients needing transplants, doctors are forced into making tough decisions that sometimes determine who gets to live. Each year, more than 1, Canadians' names are added to transplant wait lists, according to the Canadian Transplant Society. One-third of those who need a new organ never receive one, according to Canadian Blood Services. With not enough organs for patients, doctors must make tough decisions about who even makes it onto a waiting list. Mark Selkirk, a long-term alcoholic, died in , two weeks after being diagnosed with acute alcoholic hepatitis. Debra Selkirk, his widow, is preparing a constitutional challenge of that policy, arguing it violates Canadians' right to universal health care. Part of the reason, he explains, is that patients need to follow strict guidelines for medication and taking care of themselves after surgery. If they don't adhere to these rules, their body could reject the liver and they could die. There are other conditions where doctors may suggest similar tactics for potential transplant candidates, he said, including asking morbidly obese people to lose weight or smokers to quit. In the case of an alcoholic, Schafer says it doesn't matter if a liver transplant would extend their life by 20 years if they abstain from drinking and only 10 years if the fall off the wagon. ethics on doctors dating patientsEthics on doctors dating patients - really
No specialty faces more diverse and challenging ethical dilemmas than palliative medicine. What is the best way to plan ahead for the end of life? How should physicians respond when patients refuse treatments likely to be beneficial or demand treatments not likely to be? Who makes medical decisions for patients who are too ill to decide for themselves? Other ethics texts have explored these issues but often from an academic perspective that overlooks the practical realities of clinical medicine.
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There has been considerable philosophical work during the last two decades, especially in the United States but not limited to there, in a relatively new field called medical ethics. My aim in this paper is to explore click illumination that body of work might offer to our understanding of the quality of life.
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If one looks only to the medical ethics literature explicitly addressing the notion of the quality of life, there are few sustained analyses of it and of its role in various medical and health care contexts. Consequently, it is necessary to look more broadly to issues and areas of research that often do not explicitly address the quality of life, but that nevertheless have an important bearing on it. I believe there are two main areas of work in medical ethics that fit this criterion. The second is the development of valuational measures of outcomes of health care treatments and programmes; these outcome measures are designed to guide health policy and so must be able to be applied to substantial numbers of people, including across or even between whole societies.
The two main parts of this ethics on doctors dating patients will address these two main bodies of work. Before doing so, however, several preliminary issues need to be briefly addressed. Another conceptual framework commonly employed for evaluating health care outcomes is the assessment of the benefits and burdens of that care http://www.xgs.in/blog/japanese-filipino-dating-site/soho-dating.php the patient and sometimes for others as well.
Martha Nussbaum and Amartya Sen
Still another common conceptual framework often employed looks to the effects of health care on patients' interests, with a ethics on doctors dating patients interests standard particularly prominent for patients ethics on doctors dating patients preferences cannot be determined. These and other conceptual schemes are not fully interchangeable in health care, much less in broader contexts. Nevertheless, they all have in common their use in evaluating health care outcomes for patients and their p. I shall freely draw here on each of these conceptual frameworks, and others, though indicating where differences between them become important.
Medicine ethiics health care often affect a person's life in only some limited areas or respects. It is common in much philosophical work on theories of the good for persons or of a good life to distinguish doctlrs broad kinds of theory. While this classification misses some distinctions important for my purposes here, it provides a natural starting point. These three alternative theories I will call the hedonist, preference satisfaction, and article source theories of a good life.
The particular kinds of conscious experience are variously characterized as pleasure, happiness, or the satisfaction or enjoyment that typically accompanies the successful pursuit of our desires. Particular states of the person that do not make reference to conscious experience, such as having diseased or healthy lungs, and particular activities, such as studying philosophy or playing tennis, are part of a good life on this view only to the extent that they produce the valuable conscious experience. Preference satisfaction theories take a good life to consist in the satisfaction of people's desires or fating.
I here understand desires or preferences as taking states of affairs as their objects: for example, my desire to be in Boston on Tuesday is satisfied just when the state of affairs of my being in Boston on Tuesday obtains.

This is to be distinguished from any feelings etuics satisfaction, understood as a conscious experience of mine, that I may experience if I am in Boston on Tuesday. The difference is clearest in cases in which my desire is satisfied, but I either do not or could not know that it ethics on doctors dating patients and so receive no satisfaction from getting what I desire: for example, my desire that my children should have long and fulfilling lives, a state of affairs that will only fully obtain p.
Other corrections of preferences have also been supported by proponents of the preference satisfaction theory that are compatible with its underlying idea that ultimately what is good for persons is that they should get what they most want or prefer. The third kind of theory holds that at least part of a good life consists neither of any conscious experience of a ethjcs hedonist sort nor of the satisfaction of the person's corrected preferences or desires, but instead consists of the realization of specific, explicitly normative ideals.
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Ideal theories will differ both in the specific ideals the ethics on doctors dating patients endorse and in the place they give to happiness and preference satisfaction in their full account of the good for persons. The account I will develop of quality of life judgements in health care strongly suggests that it is a mistake to let the attractions of a simple, unified theory of a good life force a choice between the hedonist and preference satisfaction theories. The quality of life judgements made in medicine and health care also help some to fill in the content of a theory of a good life. A major issue concerning ethical judgements generally, and judgements concerning a good life in particular, is the sense and extent to which such judgements are objective or subjective.]
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