Quick Quiz

1
Quick Quiz

• Physician v. Patient

2
Truth Confidentiality

• Which definition did Garrett use for lying?
• Speech against the mind
• Speech intended to deceive others
• Uttering falsehoods when others reasonably expect
  truth
• Uttering falsehoods against the mind
• Uttering falsehoods in general

3
Truth Confidentiality

• A Natural Secret is
• Something kept secret about your nature
• Something that would naturally harm a person if
  divulged
• Something kept secret about your body
• Something that would alter your nature if known
• Something that is unnatural to know

4
Truth Confidentiality

• What is bad about revealing a promised secret?
• Revelation treats promisee as a means only, not
  as an end
• Revelation entails harmful effects
• Breaking promises is only bad if it has harmful
  effects
• A and B
• B and C

5
Truth Confidentiality

• If the physician says I am going to prescribe
  something that often helps in these cases and has
  no bad side effects, but is in fact prescribing
  a sugar pill (which does often help and has no
  bad side effects), the physician
• has not lied because the sentence uttered is true
• has not lied because the patient believes what
  the doctor wants them to believe
• has not lied because the patient believes the
  truth
• has lied because the patient concludes what the
  doctor intends and knows to be false (this drug
  will help me)
• has lied because it is never right to mislead
  someone

6
Truth Confidentiality

• A secret is knowledge that a person has a right
  or obligation to conceal, is
• a mistaken definition because some secrets are
  just beliefs
• a mistaken definition because some secrets are
  wrong
• a mistaken definition because secrets are always
  wrong
• a correct definition because its in the book
• a correct definition because wrongfully held
  secrets are called something else

7
Truth Confidentiality

• A Tarasoff duty is a duty to
• Share pregnancy information with parents of
  minors
• Tell the truth to terminally ill patients
• Suspend judgment about lying co-workers
• Protect your employer by concealing malpractice
• Warn third parties of threats against them

8
General Biomedical Ethics

• The main goal of health care is
• extend life
• alleviate suffering
• optimize happiness
• A, B, and C are co-equal
• Who knows?

9
Informed Consent

• The classification of people as children,
  intellectually disabled, or the pleasantly
  confused
• Tells us they are not suited to give informed
  consent
• Tells us they can never be guilty of negligence
• Tells us nothing about their ability to consent
• Tells us little about their ability to consent
• Is always illegitimate and degrading to persons

10
Informed Consent

• Among the competing rules for determining what
  information is needed in informed consent,
  Garrett likes
• Patient preference and professional custom
• Patient preference and prudent person
• Prudent person and subjective disclosure
• Professional custom and subjective disclosure
• None of the rules rules are too limiting

11
Informed Consent

• The overarching, important consideration
  governing the information in informed consent is
• It must be strictly medical
• It must be communicated free of emotion
• It must understood by the patient
• It must be delivered in writing
• It must be technically accurate

12
Informed Consent

• Coercion and Undue Influence are thought to ruin
  the ability to give informed consent because they
  interfere with
• Competence
• Voluntariness
• Disclosure
• Understanding
• Dignity

13
Paternalism v. Autonomy

• Paternalism, weak or strong, is considered by
  both Vaughn and Garret to be
• A guide to treating the incompetent
• A guide to treating the competent
• To be avoided if possible
• B and C
• A, B and C

14
Paternalism v. Autonomy

• Paternalism trying to benefit a patient
  irrespective of or contrary to
• a parents wishes
• a fathers wishes
• that patients wishes
• that patients wishes, only if competent
• a physicians wishes

15
Paternalism v. Autonomy

• Therapeutic Privilege is
• The patients right to the latest therapies
• The doctors duty to use the latest therapies
• The doctors right to deceive a patient for their
  own good
• The patients duty to refuse therapies they
  cannot afford
• The privilege to use therapeuts

16
Paternalism v. Autonomy

• According to the Garrett book, strong paternalism
  is justified for the government to
• Protect the rights of others
• Protect the patient from physical harm
• Protect a patient from financial harm
• Protect an overriding state interest
• Protect a hospital from liability

17
Answers

• 2C, 3B, 4D, 5D, 6B, 7E, 8E, 9D, 10C, 11C, 12B,
  13E, 14C, 15C, 16D