Debating Health Care Ethics, Third Edition explores contemporary moral challenges in health care through a unique debate format, providing students with the essential tools to understand and critically evaluate the leading arguments in the field and to develop their own arguments on important moral problems in health care. The first three chapters explore the nature of arguments, philosophical methodology, and a range of leading normative ethical theories. The remaining chapters introduce students to moral problems in health care through dramas that feature complex scenarios involving patients, family members, and health care providers. Each drama is followed by a lively debate where the authors consider and evaluate rival arguments concerning the moral issues raised by the drama. The dramas encourage students to start thinking about ethical issues in health care. The debates then demonstrate how arguments are developed and criticized. These debates also encourage students to develop and defend their own arguments on these topics. This technique is more interactive and approachable than standard philosophical texts.
This third edition contains updated chapters and dramas that reflect recent changes in health care in Canada. One such change is to the chapter on euthanasia, which now includes a drama and a debate centred on the morality of legalizing Medical Assistance in Dying (MAiD). Other changes to the text are in response to the Covid-19 pandemic. These include updated chapters on the proper rules for prioritizing care in emergency situations (triage) and the moral limits of medical doctors’ administering unproven, alternative medications to patients who request them. The third edition also contains a drama and debate on autonomy and valid consent, and a drama and updated debate on the justice of a two-tier health care system, where one level of health care is available to all regardless of means, and another level of faster health care is available only to those with means.
Features:
Discussions of critical issues in health care from a Canadian perspective, while also examining the implications of international changes, such as the dissolution of Roe v. Wade in the United States
Provides students with the necessary background in arguments, philosophical methodology, and normative ethical theory
Real-life cases helping students to critically engage with important moral arguments and problems in health care
Pedagogically rich with learning objectives and review questions for each chapter, definition, background, technique, theory, and “up for discussion” questions boxes, along with new case boxes highlighting contemporary real-world examples of the issues
Instructor resources are available to ensure a smooth initial adoption of the text
Chapter 4 Autonomy and the Right to Refuse Treatment
Chapter 5 Medical Assistance in Dying
Chapter 6 Abortion
Chapter 7 Two-Tier Health Care
Chapter 8 Microallocation of Scarce Resources
Chapter 9 Alternative Medications and Professional Relationships
Glossary
Index
Biography
Doran Smolkin is a professor in the Department of Philosophy at Kwantlen Polytechnic University and a lecturer in the Department of Philosophy at the University of British Columbia who specializes in moral philosophy.
Patrick Findler is a professor in the Department of Philosophy at Kwantlen Polytechnic University who specializes in ethics and the philosophy of sport.
Warren Bourgeois is a professor emeritus from the Department of Philosophy at Kwantlen Polytechnic University who specializes in environmental ethics, moral philosophy, and the nature of persons and who has also taught at the University of Salzburg, Austria; the University of California, San Diego; and the University of British Columbia.
“This book invites students without prior experience in philosophy into a serious, informed and accessible dialog about some of the most important matters of health ethics in the Canadian context. The authors beautifully model how to have principled and respectful conversations about socially divisive issues, as they guide students not only on how to form their own considered views, but also how to fruitfully engage and learn from people they disagree with.”
—David Silver, Chair in Business and Professional Ethics, W. Maurice Young Centre for Applied Ethics, University of British Columbia
“Debating Health Care Ethics is an invaluable tool for faculty teaching health care law and ethics. By introducing the basics of how to structure an effective ethical argument, it helps students formulate and communicate their ideas on issues affecting health care delivery. The dramas and debates encourage the use of role-playing to learn about moral and ethical issues and help instructors engage students in the discussion of complex ethical dilemmas. While the book takes a Canadian perspective, it can be used by faculty in other countries to teach the mechanics of health care ethical decision-making. This book is a must for any health care instructor’s bookshelf.”
—Mary Helen McSweeney, Program Director, MS in Health Science, Towson University
“I was new to bioethics when I read an earlier edition of this book. The well-organized dialogues helped me understand the issues at hand. Each one clearly lays out the debate, presents the arguments, and highlights the contentious points. With this new edition, I appreciate its innovative dialogical approach, clarity, and accessibility even more. This book truly makes bioethics accessible to all.”
—Irwin Chan, Lecturer, Department of Philosophy, University of British Columbia
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