Summary of Non-maleficence in Bioethics
Key Principles of Bioethics
Autonomy: Respect a person's right to make their own decisions.
Non-maleficence: Do no harm.
Beneficence: Act with the intent to do good.
Justice: Treat everyone fairly and equally.
Non-maleficence
Definition: Prohibition against causing harm to others without justification.
Moral Presumption: Extends to all sentient beings, not just humans.
Justification for Harm: Harm is only permissible with special justification.
Types of Harm
Experiential Harm: Pain, distress, suffering.
Dysfunction: Loss of functioning without death.
Loss/Deprivation: Loss of goods or opportunities.
Death: Considered a significant harm due to loss of potential life experiences.
Ethical Considerations
Harm vs. Benefit: Harming someone for no good reason is unethical.
Special Circumstances:
Self-defense
Consent by the harmed individual
Minor harm to prevent greater harm
Risk of Harm: Actions that risk harm are also considered unethical.
Medical Assistance-in-Dying
Modalities:
Forgoing life support
Increasing pain medication to relieve suffering (may hasten death)
Terminal sedation (inducing a coma)
Physician-assisted suicide (PAS)
Euthanasia (intentional killing by a physician)
Concerns with Euthanasia
Coercion: Patients may feel pressured to choose euthanasia.
Errors: Misjudging a patient's eligibility for euthanasia.
Slippery Slope: Acceptable practices may lead to morally unacceptable ones.
Role Morality: Conflicts with the ethical obligations of healthcare providers.