Ethical Decision-Making ModelLetter to The Client&...
Ethical Decision-Making Model
Ethical Decision-Making Model
Letter to The Client
REF: Insights and Recommendations on
Following our conversation where you expressed
your intention of visiting Holland for a physician-assisted suicide, I would
like to give you my professional advice. As your doctor, I do understand that
it is becoming unbearable for you to continue living in pain, something that
has made you see death as looming.
From an ethical professional perspective,
physician-assisted suicides are not right since they go against the
significance of the sanctity of life. It is imperative that you comprehend the
fact that human life is sacred since from the religious customs, humankind were
made by God in His image and as a result, all human beings are a representation
of God. Human life is very significant, and not even a single human life should
be extinguished (Carr, 2009, p.12). Even unreligious people or the atheists
have instinctive convictions regarding the intrinsic value of human life.
The ambiguity of life continues to taunt at
people even after it comes to an end. The intervention of man into this
mysterious death process that leads human beings towards their postmortem
commencing of another life is an act of disrespect as well as an impermissible
and illogical interference of the creature in God s will. It is wrong to
substitute the authority of the Life-giver by the man.
Even though there is some logic in your desire
to undergo a physician-assisted death, it is probable that this desire emanates
from your need to avoid or bring to an end the unbearable pain which has been
brought up by this terminal illness. However, there some logical questions that
arise such as the ethical aspect of such the motive of this action (Jeffrey,
2009). Physician-assisted death for one’s individual dignity is paradoxical and
self-contradictory: How can one honor oneself by making oneself nothing? Even
in case one assumes that dignity consist exclusively in sovereignty, is it not
a mortification to claim that sovereignty reaches its pinnacle exactly as it
disappears? The deaths that people most admire are those that knowing that a
person is dying, he or she faces the fact frontally along with acting accordingly:
setting their affairs in order; arranging what could be last meetings with the
people they love, and hitherto, with the strength of soul as well as a small
reservoir of hope, with which they continue to live and work (Carr, 2009,
Kidder’s Ethical Checkpoints
Kidder’s Ethical Checkpoints comprises of nine
checkpoints that ought to be utilized in making ethical decisions (Phil, 2011).
The first checkpoint is to recognize that there is a moral issue. In
considering assisting someone to take away their lives, a moral issue about
life exists. The second step is to determine the actor, that is, to whom the
problem belongs to. In the issue of physician-assisted suicides, the problem
belongs to the society as well as the client who wished to take away his life.
This step seeks to find the person(s) who are morally obligated as well as
empowered to act in this moral issues of suicides that are assisted by
physicians. It is imperative to note that all of us are involved, by means of
the society, even though it is only a few who are responsible.
The third step involves the gathering of the
relevant facts so as to arrive at a decision that is ethical in nature. At this
point, facts are distinguished from assumptions. Good decision-making calls for
a good comprehension of the underlying facts. The details gathered the motives
of physician-assisted deaths, that is, the character that is reflected in the
context. Then, a test for the right versus wrong of physician-assisted deaths
should be carried out. One of the tests on the ethical issues would include the
legal aspect of this action. Currently, in our State, it is illegal to carry
out physician-assisted deaths, and that explains why the client prefers to go
for that issue in Holland. Another test includes the stench test, which
examines whether the issue goes against the moral principles. It is immoral to
assist another human being to take away his life, making the issue fail the
stench test. The Mum test is the golden rule as it relates to whether as a physician
would do that. The fifth step is to test for the right versus wrong paradigms.
The next step is to apply the resolution principles. The seventh step entails
investigating the “trilemma” option. The eighth step now entails making the
decision. Kidder’s final step involves the revisiting as well as reflection of
the decision that had been made.
In conclusion, doctors should not be permitted
to terminate the life of a person who is suffering as this is ethically wrong.
This is because life is sacred, and physician-assisted suicides undervalue the
sanctity of life. Technology has made the dying process to become complicated
as it helps in making people live longer lives. As a result, the use of
technology for the critically ill patients ought to be withdrawn so as to let
the death process occur naturally.
Carr, M. F. (2009). Physician-assisted suicide: Religious perspectives on death with dignity.
Tucson, Ariz: Wheatmark.
Jeffrey, D. (2009). Against physician assisted suicide: A palliative care perspective. Oxford:
Phil, V. I. (2011). Understanding Ethics and Ethical Decision-Making. Xlibris Corporation.