ETHIK Logs
(1) It violates her dignity, (2) she is exploited, (3) she is reified (reduced to a womb). None justifies a ban in principle: dignity is respected if she gives valid consent, and exploitation and reification depend on the pay, the working conditions and how the arrangement is des...
Q What is informed consent, and how does it relate to medical paternalism and shared decision-making?
Informed consent is the minimum of patient autonomy: without it, any medical intervention is a (punishable) bodily injury. Paternalism puts the patient's well-being above their will; shared decision-making combines the doctor's medical knowledge with the patient's own goals and v...
Q What are the strengths and weaknesses of the four-principles approach?
Strengths: open to different moral convictions and to the specifics of each case, a search matrix for spotting conflicts, a structure for working through them, broad acceptance in a pluralistic society, and more transparency. Weakness: limited problem-solving power, since it rare...
Q How does digitalisation change patient empowerment and the doctor-patient relationship?
Information becomes more symmetrically distributed (apps, electronic patient records) and expectations rise ("Dr. Google"), but informed consent needs good-quality information, and knowledge alone does not create autonomy. The doctor's role shifts towards explaining (coach, inter...
Q What is the overall conclusion of the ethical analysis of surrogacy?
The arguments are not sufficient for a ban in principle. The suffering of involuntary childlessness weighs heavily, the harm to the child is not empirically proven, and the objections from the surrogate's side depend on how and where surrogacy is arranged. This suggests a regulat...
Q Which ethical questions does medical research raise, for example with stem cells and research on peo...
Stem cells may in Switzerland only be taken from "surplus" IVF embryos that have no chance of survival anyway; therapeutic cloning aims to grow the patient's "own" replacement tissue; research with children is problematic, but so is doing no research with them at all; and globali...
Q Which instruments make up the ethical framework within medical institutions?
Laws, guidelines (e.g. from the Swiss Academy of Medical Sciences, SAMW), statements of ethics commissions, internal guidelines and directives, forums for ethical discussion such as an ethics committee, case discussions, and procedures for ethical decisions in acute situations su...
Q In a future scenario of family caregiving, a working daughter cares remotely for her mother with Par...
Whether everyone will have equal access to it (the lesson of the digital divide), whether stronger monitoring of frail elderly people needs safeguards for their privacy and dignity, and how far technology may substitute for being there in person.
The scenario "Angels in the Floor...
Q What is medical ethics, and why does medicine need an ethics of its own?
Medical ethics is an applied ethics (Bereichsethik) that asks what is morally required, permitted and acceptable in dealing with human illness and health, both in medicine as the art of healing and as a science. It is needed because patients are vulnerable, dependent on others, w...
Q What is the difference between gene therapy, human enhancement and transhumanism?
Gene therapy treats a disease by correcting a genetic defect; enhancement uses medical or biotechnological interventions whose goal is not primarily therapy or prevention but improving a healthy person; transhumanism is a school of thought whose central aim is transforming the hu...