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Instructors: Dr. Daly SCHEDULE Tuesdays, 4:30-7:30 p.m. Dr. Flower FOR Weiskotten Hall Annex Dr. Sondheimer ETHICS AND THE HEALTH Room 9299 PROFESSIONS (Spring 1984) DATE LECTURE READINGS January 24 A) Introduction to the Course (None) B) Concept of a Profession (None) (Thesis) January 31 A) Concept of a Profession Cogan, Morris L.,"Toward a Definition of (Critique and Analysis) Profession," Goldman, Alan, "Introduction," (Chapter 1) The Moral Foundations of Professional Ethics B) The End of Medicine Kass, Leon, "Regarding the End of (Thesis) Medicine and the Pursuit of Health" February 7 A) Health Margolis, Joseph. "The Concept of Disease" (*) B) (Movie: "Please Let Me Die") Imbus/Zawacki, "Autonomy for Burned Patients End of Medicine: Analysis When Survival is Unprecedented" Jackson/Younger, "Patient Autonomy and Death With Dignity" February 14 A) The End of Medicine: Critique Cassell, Eric, What Is the Function of Paternalism Medicine?" Dworkin, Gerald, "Paternalism" Beauchamp/Childress. Principles of Biomedical Ethics, Appendix II" B) Abortion: Medical In-Roads Bok, Sissela, "Ethical Problems of Abortion" Viability Thompson, Judith, "A Defense of Abortion" February 21 A) Abortion: Law and Morality Blackmun, "Roe v. Wade Hart, H.L.A., The Concept of Law, Laws and Morals" B) The Issue of Rights TBA (Students are encouraged to engage the recommended readings in ethical philosophy.) February 28 A) The Anatomy of a Moral Dilemma Beauchamp/Childress, ibid., "Chapter I B) Genetics: Medical In-Roads "Ethical and Legal Implications" from President's Commission.. March 6 A) Life and Death: Cultural Ayer, A.J., Elimination of Metaphysics" Intersection TBA B) Life: The Person Noonan,John, "An Almost Absolute Value in History Armstrong, Robert. The Right to Life" English, Jane, Abortion and the Concept of a Person"

Tooley, Michael, "Abortion and Infanticide" March 13 A) Death: A History of Definition Ad Hoc Committee (HMS), A Definition of Irreversible Coma Rachels, James "Active and Passive Euthanasia" Veatch, Robert, "Defining Death Anew..." B) Death: Analysis of a Problem Schiffer, R.B., "The Concept of Death: Traditional and Alternative Jonas, Hans, (from) "Philosophical Reflections on Experimenting with Human Subjects" BACK GROUND READINGS: The texts offered on this list range from the highest, most abstract levels of philosophical speculation to the most immediate, most practical concerns of the practicing professional. Ethics and the Health Professions presumes that some degree of familiarity with the complete range of readings is a necessary condition for any meaningful engagement with the issues of the course. In particular, as the student enters into a research topic he/she will discover (typically) that the topic drives the inquiry from the most practical to the most highly philosophic. This list is meant to facilitate such an inquiry. Ethical Theory: (Historical) Plato, Meno Republic Aristotle, Nichomachean Ethics Epicurus, Letters and Fragments Epictetus, The Discourses Saint Augustine, Confessions Joseph Butler, Sermons Immanuel Kant, Groundwork for the Metaphysics of Morals John Stuart Mill, On Liberty Utilitarianism Friedrich Nietzsche, Beyond Good and Evil Ethical Theory: Sellars and Hospers, Readings in Ethical Theory. New York: (Contemporary) Appleton-Century-Crofts, 1970. Taylor, Paul W., ed. The Moral Judgment: Readings in Contemporary Meta-Ethics. New Jersey: Prentice-Hall, 1963. Theory Transition: Thomas Hobbes, Leviathan (Political/Economic) John Locke, Two Treatises of Government (Historical) Jean-Jacques Rousseau, Social Contract Edmund Burke, Reflections on the Revolution in France

Adam Smith, Wealth of Nations Feuer, Lewis S., Marx and Engels: Basic Writings on Politics and Philosophy. New York: Doubleday, 1959. Theory Transition: Friedman, Milton. Capitalism and Freedom. Chicago: Chicago (Political/Economic) University Press, 1962. (Contemporary) Galbraith, John, The Galbraith Reader. New York: Bantam, 1977. Harrington, Michael, The Twilight of Capitalism. New York: Simon and Schuster, 1976. Hayek, Friedrich, The Road to Serfdom. Chicago: University of Chicago Press, 1944. Nozick, Robert. Anarchy, State, and Utopia. New York: Basic Books, 1974. Rawls, John. A Theory of Justice. Cambridge: Harvard, 1971. Beauchamp, Tom, and Childress, James, Principles of Biomedical Ethics. New York: Oxford University Press, 1983. Beauchamp, Tom, and Walters, LeRoy, Contemporary Issues in Bioethics. New York: Wadsworth, 1982.

SCHEDULE (con't.) DATE LECTURE READINGS March 20 (No class) March 27 A) Case Seminars (Cases to be distributed in advance of the class) B) Interim Discussion (No Readings: Students are encouraged to prepare (Wine and Cheese) by a general review. The hope is that such review might help to focus and sharpen questions.) April 3 A) Selected Topics TBA (*) B) Student Papers Aril10 A) Selected Topics TBA B) Student Papers Aril17 A) Selected Topics TBA B) Student Papers April 24 A) Selected Topics TBA (*) B) Student Papers May 1 A) Wrap Up Lectures TBA (*) B) General Discussion (Wine and Cheese) --NOTE: AN ASTERISK (*) INDICATES THAT A WRITING ASSIGNMENT IS DUE ON THE DATE SO NOTED WRITING ASSIGMENTS: FEBRUARY 7th: APRIL 3d: APRIL 3d: MAY 1st: Analytical Essay on The Concept of Disease" by Joseph Margolis --3 pages (maximum) Typed/dble. sp. (approx. 750 words) Term Paper Topic: Issue Analysis --3 pages (maximum) typed/dble. sp. Term Paper --15 to 20 pages (typed/dble.sp.) Take-home Final Examination: Case Study --5 pages (maximum) --Each student will be assigned (and provided with) a case on April 24 th. Note: Due dates are serious. Moderate tardiness will be tolerated but may well result in penalties. Extreme tardiness may result in the rejection of the work. ORAL ASSIGNMENT: April 3d to April 24th: During the A Session of these four weeks, each student will present a 10-20 minute account of his/her term paper research. Given the range of time involved, anything from a progress report to a partial reading of a finished project is acceptable. Minimally, the presentation must offer an accurate analysis of the issue in question and at least an

adumbration of what the author/researcher sees as the direction he/she will be/is taking. BACKGROUND READINGS: (con't.) (Basic Anthologies:) Ramsey, Paul. Ethics at the Edges of Life. New Haven: Yale Univeristy Press, 1978. Shannon, Thomas and Manfra, Jo Ann. Law and Ethics. New York: The Paulist Press, 1982. There are an extraordinary number of collections of articles in the area of medical ethics. The reason for this is that this subject matter is addressed primarily in the form of journal articles and the like. Listed here are only a few of the most popular. Gorovitz, Macklin, et. al., Moral Problems in Medicine. New Jersey: Prentice-Hall, 1983. Mappes, Thomas, and Zembaty, Jane, eds. Biomedical Ethics. New York: McGraw-Hill, 1081. Reiser, Dyke and Curran, eds. Ethics in Medicine. Cambridge: MIT, 1977. Addendum: Is it important for students engaging in research in these areas that both Byrd Library (Syracuse University) and the Le Moyne College Library have in their reference sections a series known as The Philosopher s Index. These volumes have cross-referenced author and subject-matter listings of most of the articles written during any given year (the volumes go back maybe a decade?) on subjects in philosophy. By using these listings one can find reference to the necessary journals et.al., Both libraries will have many of the important journals in stack.