write 500 words pursuasive paper in support of abortion using medical ethics theories, principles, and medical ethics do not use religion including bibliography using MLA formart
Obstetrics is a specialty dealing with two lives, closed linked,
whose interests may not always coincide.Abortion raises a lot of
‘heat and dust’ during policy discussions.In some countries
elections have been lost on this issue. Hippocrates considered
termination of pregnancy as unethical. Time have changed and
abortion has been accepted by many societies, the
health of the mother being the most important consideration.
Abortion is one of the most controversial issues in today’s world.
People tend to turn to the law when trying to decide what is the
best possible solution to an unwanted pregnancy. ‘Antagonistic
relationship’ between the woman and her unborn child may occur.
Whether fetus in utero has rights before viability is a
subject of dispute and opinion. In any case, the embryo or fetus of
any age is protected by Hippocratic code.
Ethics is an essential dimension of the obstetrics
practice.Ethics is the disciplined study of mortality. Ethical
principles and virtues should be applied to all the physicians,
regardless of their personal, religious and spiritual beliefs.
Ethics may be extended to professional responsibility, mortality,
etiquette, values and attitudes. Ethics tends to be focused on
moral goods rather than natural goods.Obstetricians should have
their own professional ethical values, ethics core value and ethics
family values. While morality in behavior may be concerned with
one’s personal convictions and legality the result of what the
society considers acceptable, ethicality is often decided by
professional consensus. Thus, there is a thin line between what is
‘ethical’ and what is ‘legal’
Ethical issues are identified and framed through a ‘naturalized
bioethics’ approach. This approach critiques traditional bioethics
and gives attention to everyday ethics and the social, economic and
political context within which ethical problems exist. Moral
problems of healthcare extend well-beyond the issues that interest
the media and ethical experts. Expanding
our concept of an ethical problem to include the moral problems of
everyday life strengthens the moral imagination we need to create
‘good’ obstetric care. Ethical questions about health, illness and
medical care were once considered to be best left to the judgment
of physicians. Bioethics replaced the notion that ‘doctor knows
best’ with theoretically grounded approaches
to decision-making in medicine. In order to help resolve the
dilemmas that arise in healthcare, academic
MEDICAL ETHICS
bioethicists have called upon a number of ethical
theories-deontology, teleology, virtue theory, care ethics,
feminist ethics, to name a few but the day-to-day work of
bioethicists in the clinic and on research review committees is,
for the most part, guided by a method of ethical problem solving
known as ‘principalism’.authors set forth
four principles.
Respect for:
 Autonomy
 Beneficence
 Nonmaleficence
 Justice
Autonomy
This principle acknowledges the fact that the patient has a
perspective of her interest based on her values and beliefs. The
patient has the right to choose or refuse treatment. Autonomy in
Medical Ethics We live in the “time of the triumph of autonomy in
bioethics” in which “the law and ethics of medicine are dominated
by one paradigm-the autonomy of the patient”. This is perhaps not
surprising given that “from the outset, the conceptual framework of
bioethics has accorded paramount status to the value complex of
individualism, underscoring the principles of individual rights,
autonomy, self-determination and
their legal expression in the jurisprudential notion of privacy”.
The patient-doctor relationship only works when each can trust the
other.
Beneficence
A doctor should always have the best interest of the patient as the
supreme consideration. Doctor should assess objectively and
meticulously all the available diagnostic and therapeutic options
and to implement those that protect and promote the interest of the
patient by ensuring a balance of good over harm.
Nonmaleficence
A doctor must make sure that in the first place, he does no
harm.
Justice
It is the fair distribution of health resources and the decision of
who gets what treatment is fairness and equality. Central issue
concerns the moral status of the human fetus. It concerns the
nature and attributes that an entity requires to have ‘full moral
standing’ or ‘moral inviolability’ including a ‘right to life’. But
what of the human being, as it develops from newly fertilized ovum,
to pre-embryo, embryo, fetus, new born baby, to unequivocally
mature autonomous person with full moral standing including a moral
and legal right not to be killed at least.
First step in the evolution of ethics is the solidarity
with
the other human being, only one rule in medical ethics need concern
you-that action on your part which best conserves the interest of
your patient. Ethical dimensions are unique to obstetrics.There are
two interwoven patient interests, which may
be at odds. Abortion is an issue that overwhelmingly
MEDICAL ETHICS
Until recently, the mother was the patient to be cared for, fetus
was another maternal organ. Many advances in diagnosis and
treatment has now established fetus as a patient have contributes
to ethical and legal considerations involving the fetus.
Abortion involves killing of a fetus. By killing a fetus is
deprived of future of value. The loss of these
possible futures is bad. It makes the killing of a fetus
wrong. This is Don Marquis’s arguments against abortion which does
not rest on the logical promises. In the countries, when safe
abortion is illegal or unavailable, this results in self-imposed or
back street abortion and all the ills that flow from that injury,
infection, infertility, wastage of female life could be condoned in
ethical terms.
“The issue is not so much whether or when the embryo is deserving
of respect per se, but how much respect and value we accord to a
life that does not even know it is alive, relative to the respect
and value we have for the life of the woman who carries it”. To
compel women to bear unwanted children is form of ethical
despotism. In Mill’s words: Compelling each to live as seems good
to positive rest. If people are to be free, that freedom must
include freedom to make these difficult and extremely personal
choices. Promotion of freedom and the prevention of suffering are
fundamental goals, which society ought to support. Denying woman
abortion is, leading woman to reproductive end. Opponents of
abortion maintain that killing embryo or fetus is morally wrong.
But it is not established that either abortion or embryo
destruction is wrong all thing
considered. There are other important considerations that outweigh
our obligation not to destroy embryo
or fetuses. In the case of embryonic stem cell research, the
enormous potential to save people’s lives and to improve their
quality-of-life outweigh the wrong of the destruction of source of
some embryos. Abortion is inherently different from other
procedures because no other procedure involves the purposeful
termination of potential life. If the fetus is a person, then it
has the rights that belong to persons, including right to life. The
concept of person-hood, in other words is the bridge that connects
the fetus with the right to life Thus, in the system of human
rights, there is often a need to balance rights against each other.
The right to the life of the mother and the same right of the
fetus.
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