PHL 315 02 - MEDICAL ETHICS
Spring, 2015
Lawrence P. Ulrich, Ph.D.
ulrichlp@udayton.edu
COURSE SCHEDULE
AND
READING ASSIGNMENTS


General
Homepage
Course
Homepage
Course Description
for Registration
Syllabus
Course Schedule
and Reading Assignments
Advance Directive Exercise

Essay on Care of the Soul in Medicine

A Model
Advance Directive

Readings

Web Conferences

Audio Chat Rooms

Threaded
Discussions
Bioethics
Website
Bioethics Library
Q & A
Ohio
Advance Directive
Ohio
DNR Comfort Care
Links

 

This is an on-line, web-based course, that is, the entire course is delivered over the internet using threaded discussions, web conferences (audio chat rooms), a short essay on Thomas Moore's Care of the Soul in Medicine, and a personal Advance Directive.

There are no classroom meetings in this course.

There are no examinations in the traditional sense of examinations. Writing assignments, except for the Advance Directive Exercise at the end of the course, will take the form of threaded discussions and the essay (500-700 words) on Thomas Moore.

COURSE ORIENTATION

This course will begin with an analysis and discussion of the ethical "tools" and basic concepts that underlie specific issues and cases that will be examined as the course progresses. In comparing the topics in this course schedule with the topics in the textbooks, you will find that this course will not, and cannot, cover all issues raised in medical practice and research. For this reason, the emphasis on ethical "tools" and basic concepts has great importance because those "tools" and concepts can be utilized and applied to the issues we cannot cover. The issues that the course does address are issues that are in the forefront of public and political discussion and will touch the lives of almost every consumer of healthcare either directly or indirectly.

NOTE: The Slide Shows are PowerPoint with audio voiceovers. So they effectively function as "lecture" summaries of the issues addressed in the particular week. Because of the voiceovers they may take a minute to download. They are flash files so they should download quickly. The narrated slide shows are generally coupled with side shows without narration so they can easily be downloaded and printed. I suggest that, in printing the slide shows, students choose the "handout" option, which prints 6 slides per page.

READINGS FOR THE COURSE

Since this is an online course, you may have to be more careful about the readings than you might be in a course conducted in the classroom. In some ways, you may think that "going to class" is sufficient and that readings are superfluous. That is not always the case in an online class. On the other hand, you may not always find the time to do all of the readings that are specified below. Some of the readings, for example, the Papal Encyclicals, are offered to you as enrichment or possibilities for future reading --- when you have a full-time job and lots of leisure time. But do the best you can and I will try to give you as much guidance as I can. Yell for help if you need it.

There is one special book that I want to call to your attention, Thomas Moore's
CARE OF THE SOUL IN MEDICINE: HEALING GUIDANCE FOR PATIENTS, FAMILIES, AND THE PEOPLE WHO CARE FOR THEM [2010]. (The earlier you begin reading this 244-page book, the better) In 1992 he wrote CARE OF THE SOUL: A GUIDE FOR CULTIVATING DEPTH AND SACREDNESS IN EVERYDAY LIFE. It is an astounding book. Since then he has written book after book, applying his ideas to various specific aspects of life. In April, of 2012, he conducted a conference in Dayton for Wright State University's Medical School. I thought so much of his writings that I flew from California to Dayton to participate in the conference. It was one of the greatest experiences of my life. So impressed was I, that I made the book required reading for my Medical Ethics course. [At the conference, I apologized to Thomas about requiring the book because "academic wisdom" says that the best way to "kill" a book is to make it required reading in a course. But he gave me his blessing anyway.] The reaction of my students has been astounding. They have loved the book and several even told me that it changed the way they thought about going to medical school and entering medical practice. There is a good bit of reading in this course and there are many important ideas to consider, but I want Thomas Moore's book to be an "overarching orientation" to the issues and problems we will be discussing. It is not a difficult book, but it does require concentration. And I will be wanting you to apply some of his insights to the issues you will be encountering. I will try to "tip you off" when this occurs. Also, I will be asking you to write an essay toward the end of the term  (about 500-700 words --- worth 100 points) about  three of the the issues he addressed that impressed you the most.

I suggest that, as you read through the book as the chapters are assigned in the various weeks, you make notes about the ideas that impress you the most. If you take this tactic, you will be well on the way to actually writing the essay that you are assigned. The deadline for this essay will be a "floating deadline," i.e. it can be submitted at any time between March 30 and April 13.


 

 

You will notice that there are generally two versions of each slide show. One is a narration, a sort of mini-lecture on the topic. The second is simply the slides without narration. The link to the slides without narration will allow you to print the slide show quickly and retain a hard copy of the slide show. I suggest that, when you select "print," you chose the "handout" option. This allows you to print 6 slides per page; you can save a lot of paper doing it this way.  

 

NOTE THAT, FOR THE PURPOSES OF THIS COURSE THE "WEEK" BEGINS ON MONDAY WITH SUNDAY BEING THE LAST DAY OF THE PREVIOUS WEEK. (VERY BIBLICAL)

 

Week 1: January 12 --- Course Begins with Ethical Theories.

 

    Taking Sides: Clashing Views on Bioethical Issues, Introduction, "Biology, Medicine and Ethics," pages 218-230 and pages 235-236.

Medical Ethics: Accounts of Ground-Breaking Cases, "Ethical Reasoning, Moral Theories, Principles, and Bioethics." pages 1-18.

   

There will be a great deal of discussion in the media about "The Affordable Care Act" (Obamacare") in the Spring and Summer term. [The U.S. Supreme Court will pass down a significant decision at the end of June. (They always wait until the last day of term to announce a decision on a controversial issue. I suspect they have their bags packed and sitting their to their chairs; They announce the decision, grab their bags and run off for their summer vacation.)]  Please remember, as you listen to these discussions, that this legislation is primarily about "healthcare insurance"---who should be covered, what should be covered, the method of payment for the insurance and whether the Federal Government should be in the business of dictating the terms of healthcare insurance. I suggest that you read this chapter early in the term so that you will be able to make intelligent assessments about those discussions.
The emphasis of this course is on the "clinical" values and principles of the medical encounter (relationship) among the patient, the legitimate surrogates and the physician and other healthcare providers. The insurance coverage issue is secondary; or is it?

"The Coming Failure of 'Accountable Care,'" Wall Street Journal (02/19/13).

The "Affordable Care Act" is extremely complex and most people (including legislators) do not understand very much of it. If you would like to take a shot at understanding it, you might want to try ObamaCare Survival Guide: The Affordable Care Act and What it Means for You and Your Healthcare by Nick J. Tate [ISBN 978-0-89334-862-5] available at bookstores for about $20 or on line at www.humanixbooks.com. The law and its regulations, including its impact on taxes, are in the process of changing your future.

 
 

   

 Ulrich, LP. "Ethical Systems in Healthcare Ethics"

        Slide Show: Natural Law.(6:28 min.) Download without Narration: Natural Law.

        Slide Show: Divine Command Ethics. (7:02 min.) Download without Narration: Divine Command Ethics.

        Slide Show: Deontology. (15:56 min.) Download without Narration: Deontology.

       JS Mill, Utilitarianism. "What Utilitarianism Is." [For the ambitious student.]
        Slide Show: Utilitarianism. (16:42 min.) Download without Narration: Utilitarianism.Slide Show:

 

 

Week 2: January 19 [January 19-Holiday-Celebrating the life of Dr Martin Luther King, Jr.]  --- Course Continues with Ethical Theories and Begins a Discussion of Ethical Principles.

 

    Moore, Thomas. Care of the Soul in Medicine. "Introduction," pages xiii-xxvi.

    Moore, Thomas. Care of the Soul in Medicine. Chapter 2,"The Body is the Soul," pages19-35.   

    Ulrich, LP. "Ethical Systems in Healthcare Ethics"

        Slide Show: Virtue Ethics. (16:09 min.) Download without Narration: Virtue Ethics.

        Slide Show: Feminist Ethics. (3:20 min.) Download without Narration: Feminist Ethics.

 

                Task: January 24 - January 31 --- Threaded Discussion 1 on the Most Effective Ethical System for Addressing Healthcare Issues.

 

    Moore, Thomas. Care of the Soul in Medicine. Chapter 4, "The Spirituality of Medicine," pages 55-71.  

    Ulrich, LP. "Ethical Principles in Healthcare Ethics."

        Slide Show: Principle of Autonomy. (14:02 Min.) Download without Narration: Principle of Autonomy.

        Slide Show: Principle of Beneficence. (14:28 Min) Download without Narration: Principle of Beneficence.

 

Week 3: January 26 --- Course Concludes the Discussion of Ethical Principles and Begins the Analysis of Basic Concepts.

   

    Moore, Thomas. Care of the Soul in Medicine. Chapter 6, "Healthcare: A Job or a Calling." pages 89-100.   

    Ulrich, LP. "Ethical Principles in Healthcare Ethics."

        Slide Show: Principle of Justice. (14:15 Min.) Download without Narration: Principle of Justice.

        Slide Show: Principle of Parentalism. (10:08 Min.) Download without Narration: Principle of Parentalism

 

                Task: WEB CONFERENCE 1 --- Clarifying Ethical Systems and Principles. [01/26, 01/28/01/30]

 

    Patient Dignity

       

      Moore, Thomas. Care of the Soul in Medicine. Chapter 12, "Respect for the Body," pages 163-177.

      Ulrich. LP. "The Assertion of Personal Dignity."

            Slide Show: Preserving Patient Dignity. (14:14 Min.) Download without Narration: Preserving Patient Dignity.

      Miller, Bruce. "Autonomy and the Refusal of Life-Saving Treatment." ERESERVE.

            Slide Show. Four Senses of Autonomy. (11:57 Min.) Download without Narration: Four Senses of Autonomy.

      Ulrich, LP. "The Role of the Virtues in Conducting the Moral Life."

            Slide Show: On the Virtues of Patients and Professionals. (8:23 Min.) Download without Narration: On the Virtues of Patients and Professionals.

            Slide Show: Nancy Cruzan. (12:05 Min.) [Same as Week 9.] Download without Narration: Nancy Cruzan.

            Slide Show: Surrogate Decision Making. (9:50 Min.) [Same as Weeks 9 and 13.] Download without Narration: Surrogate Decision Making.

 

Ethics and the Law. An analysis of the interactions of ethics and the law with illustration from the cases of Karen Quinlan, William Bartling, Paul Brophy and Nancy Cruzan.

 

 Week 4: February 2 --- Course Concludes the Analysis of Basic Concepts.

 

    Physician-Patient Relationship

      

   Moore, Thomas. Care of the Soul in Medicine. Chapter 1, "Caring for People, Not Just Bodies," pages 3-17. 

   Moore, Thomas. Care of the Soul in Medicine. Chapter 3, "The Healing Milieu," pages 37- 54.

   Ulrich, LP, "The Physician-Patient Relationship."

            Slide Show: The Goals of Medicine. (15:06 Min.) Download without Narration: The Goals of Medicine.

            Slide Show: The Physician as Professional. (17:39 Min.) Download without Narration: The Physician as Professional.

            Slide Show: The Physician-Patient Relationship in the Clinical Setting. (15:18 Min.) Download without Narration: The Physician-Patient Relationship in the Clinical Setting.

            Slide Show: Confidentiality as Protection. (8:13 Min.) Download without Narration: Confidentiality as Protection.

            Slide Show: Confidentiality --- Reasons for Disclosure. (11:37 Min.) Download without Narration: Confidentiality --- Reasons for Disclosure.

 

Task: February 3 - February 11 --- Threaded Discussion 2 on the Case of Nancy Cruzan. [Reading is same as Week 9.]

 

    Informed Consent and Decisional Capacity

 

    Moore, Thomas. Care of the Soul in Medicine. Chapter 5, "Bad News." pages 75-87.      

   Ulrich, LP, "Informed Consent."

            Slide Show: The Dynamics of Informed Consent: Part 1: Features. (10:53 Min.) Download without Narration: The Dynamics of Informed Consent: Part 1: Features.

            Slide Show: The Dynamics of Informed Consent: Part 2: Styles. (15:53 Min.) Download without Narration: The Dynamics of Informed Consent: Part 2: Styles.

      Taking Sides: Clashing Views on Controversial Bioethical Issues, Issue 1, "Is Autonomy Still Central to Medical Ethics?" pages 2-23.

          Ulrich, LP, "Decisional Capacity."

            Slide Show: Determining Decisional Capacity, Part 1: Features. (10:44 Min.) Download without Narration: Determining Decisional Capacity, Part 1: Features.

            Slide Show: Determining Decisional Capacity, Part 2: Tests. (10:50 Min.) Download without Narration: Determining Decisional Capacity, Part 2: Tests.

 

                Task: WEB CONFERENCE 2--- Clarifying Basic Concepts. [02/03, 02/04, 02/05]

 

Week 5: February 9 --- Basic Issues with Abortion.

 

            Slide Show: The Definition and Classification of Rights. (13:36 Min.) Download without Narration: The Definition and Classification of Rights.

            Slide Show: Basic Orientation to Issues in Abortion, Part 1: Personhood. (16:50 Min.) Download without Narration: Basic Orientation to Issues in Abortion, Part 1: Personhood.

    Medical Ethics: Chapter 4, "Abortion: The Trial of Kenneth Edelin." pages 83-105.

    Taking Sides: Clashing Views on Controversial Bioethical Issues, Issue 8, "Is Abortion Immoral?" pages 136-156.

    Engelhardt, HT. "Medicine and the Concept of Person." ERESERVE.

    

  Week 6: February 16 --- Ethical and Legal Abortion Cases.

 

            Slide Show: Basic Orientation to Issues in Abortion, Part 2: Roe v. Wade. (14:36 Min.) Download without Narration: Basic Orientation to Issues in Abortion, Part 2: Roe v. Wade.

            Slide Show: Basic Orientation to Issues in Abortion, Part 3: Later Supreme Court Decisions. (16:46 Min.) Download without Narration: Basic Orientation to Issues in Abortion, Part 3: Later Supreme Court Decisions.    

    U.S. Supreme Court. Roe v. Wade (1973)  U.S. SUPREME COURT WEBSITE. At least read the Syllabus. The ambitious can read the majority and minority opinions.

    Planned Parenthood v. Casey, 505 U.S. 833 (1992).  U.S. SUPREME COURT WEBSITE. At least read the Syllabus. The ambitious can read the majority and minority opinions.

    Gonzales v. Carhart (April, 2007) U.S. SUPREME COURT WEBSITE. At least read the Syllabus. The ambitious can read the majority and minority opinions.

    The really ambitious can try this: Partial-Birth Abortion Ban Act of 2003.mht Abortion Ban Act of 2003,  US Congress.

            Slide Show: Basic Orientation to Issues in Abortion, Part 4: Footnotes. (10:38 Min.) Download without Narration: Basic Orientation to Issues in Abortion, Part 4: Footnotes.

HUMANAE VITAE Encyclical Letter of Paul VI on Contraception (1968).

 

        Task: 02/18 - 02/25 --- Threaded Discussion 3 on GONZALES v. CARHART.

 

Task: WEB CONFERENCE 3. Abortion and the "Personhood" of the Fetus. [02/17, 02/19, 02/23]

 

Week 7: February 23 --- Ethical Issues in Assisted Reproduction.

 

        Slide Show: Infertility. (5:28 Min.) Download without Narration: Infertility.

        Slide Show: Basic Orientation to Assisted Reproduction. (16:05 Min.) Download without Narration: Basic Orientation to Assisted Reproduction.

    Medical Ethics: Chapter 6, "Assisted Reproduction, Multiple Births and Elderly Parents." pages 106-127.

    Medical Ethics: Chapter 7, "Embryos, Stem Cells, and Cloning." pages 128-149.

 

DONUM VITAE. CONGREGATION FOR THE DOCTRINE OF THE FAITH. INSTRUCTION ON RESPECT FOR HUMAN LIFE IN ITS ORIGIN
AND ON THE DIGNITY OF PROCREATION REPLIES TO CERTAIN QUESTIONS OF THE DAY
Joseph Cardinal Ratzinger (later elected Pope Benedict XVI) 1987 [Reflections on in vitro fertilization].

 

INSRUMENTUM LABORIS. EXTRA ORDINARY GENERAL ASSEMBLY. THE PASTORAL CHALLENGES OF THE FAMILY IN THE CONTEXT OF EVANGEL.IZATION. Synod of Bishops directed by Pope Francis, Vatican City, 2014.

 

 

Week 8: March 2 --- Ethical Issues in Genetic Research and Gene Therapy Focusing on Stem Cell Research. MARCH 5  --- MARCH 8 - MID-TERM BREAK. [Who are they trying to kid?]

 

    Medical Ethics: Chapter 6, Assisted Reproduction, Multiple Births, and Elderly Parents. pages 106-127.

    Taking Sides: Clashing Views on Controversial Bioethical Issues, Issue 12, "Is the Use of Medical Tools to enhance Human Being Morally Troubling?"  pages 247-266.

    Taking Sides: Clashing Views on Controversial Bioethical Issues, Issue 15, "Should Scientists Create Artificial Organisms?" pages 293-310.

    "StemCells: A Primer." <http://stemcells.nih.gov/info/basics/basics1.asp>

    "Stem Cell Advance" Wall Street Journal, 060707.

        Slide Show: Issues Raised in Stem Cell Research. (12:18 Min.) Download without Narration: Issues Raised in Stem Cell Research.

 

      Task: WEB CONFERENCE 4--- Relationship of Abortion, Assisted Reproduction, and Embryonic Stem Cell Research. [03/01, 03/02, 03/03]

 

 

Week 9: March 9 --- Basic Concepts in Understanding End-Of-Life Decisions.

 

   Moore, Thomas. Care of the Soul in Medicine. Chapter 13, "Healed by Illness," pages 181-190.

   Moore, Thomas. Care of the Soul in Medicine. Chapter 14, "Nurturing the Soul," pages 191-204.

 

John Paul II, Evangelium Vitae.(1995) [Bonus Links] Encyclical on various healthcare issues.

John Paul II, Fides et Ratio. (1998) [Bonus Links] Encyclical exploring the relationship of faith and reason.

John Paul II, Veritatis Splendor. (1993) [Bonus Links] Encyclical exploring some fundamental questions of the Church's moral teaching.

teaching.

 

        Slide Show: Self-Determination. (14:51 Min.) Download without Narration: Self-Determination.

        Slide Show: Surrogate Decision Making. (9:50 Min.) [Same as Weeks 3 and 13.] Download without Narration: Surrogate Decision Making.

        Slide Show: Finitude. (11:25 Min.) Download without Narration: Finitude.

        Slide Show: Right to Refuse Treatment.(14:22 Min.) Download without Narration: Right to Refuse Treatment.

        Slide Show: End-Of-Life Issues: Quality of Life. (15:11 Min.) Download without Narration: Quality of Life.

        Slide Show: End-Of-Life Issues: Means to Extend Life. (10:34) Download without Narration: Means to Extend Life.

        Slide Show: End-Of-Life Issues: Euthanasia. (17:19 Min.) Download without Narration: Euthanasia.

        Slide Show: End-Of-Life Issues: Pain Control. (8:28 Min.) Download without Narration: Pain Control.

        Slide Show: End-Of-Life Issues: Nutrition and Hydration.. (10:38 Min.) Download without Narration: Nutrition and Hydration.

    Beauchamp, TL. "Introduction: Intending Death: the Ethics of Assisted Suicide and Euthanasia." ERESERVE.
    Medical Ethics: Chapter 3, "Requests to Die: Terminal Patients,  pages 38-58.

    Medical Ethics: Chapter 4, "Comas: Karen Quinlan, Nancy Cruzan, and Terri Schiavo," pages 23-50.

    Ulrich, LP. "The Case of Nancy Cruzan." [Same as Week 3.]

        Slide Show: Cruzan. (12:05 Min.) [Same as Week 3.] Download without Narration: Nancy Cruzan.

        American Medical Association, Council on Ethical and Judicial Affairs. "Guidelines for the Appropriate Use of Do-Not-Resuscitate Orders."  ERESERVE.

        Slide Show: End-Of-Life Issues: CPR/DNR. (13:18 Min.) Download without Narration: End-Of-Life Issues: CPR/DNR.

        Slide Show: End-Of-Life Issues: Terminal Condition. (14:55 Min.) Download without Narration: End-Of-Life Issues: Terminal Condition.

        Slide Show: End-Of-Life Issues: Adjusting the Time and Manner of Dying. (7:41 Min.) Download without Narration: End-Of-Life Issues: Adjusting the Time and Manner of Dying

          

        Task:   WEB CONFERENCE 5. Clarifying Basic Concepts in End-Of-Life Decisions. [03/10, 03/12, 03/15]

 

Week 10: March 16 --- More Basic Concepts Involved in Making End-Of-Life Decisions.

 

    Harvard Criteria for Brain Death. "Harvard University ad hoc Committee, A Definition of Irreversible Coma," ERESERVE

        Slide Show: End -Of-Life Issues: Definitions of Death. (13:31 Min.) Download without Narration: End-Of-Life Issues: Definitions of Death.

        Slide Show: Thinking about Futility. (11:35 Min.) Download without Narration: Thinking about Futility.

    Schneiderman, LJ et al. "Medical Futility, Its Meaning and Ethical Implications."  ERESERVE.

    Taking Sides: Clashing Views on Controversial Bioethical Issues, Issue 5, "Is 'Palliative Sedation' Ethically Different from Active Euthanasia?" pages 95-112.

    "Futility Policy: A Sample of the Possible."

    "Trauma Death" Futility vs. Miracles.

 

            Task:  March 19- March 26 --- Threaded Discussion 4 on W;T

 

Week 11: March 23--- Understanding Physician-Assisted Suicide.

 

    Moore, Thomas. Care of the Soul in Medicine. Chapter16, "The Soulful Doctor and Nurse." pages. 225-234.

 

        Slide Show: Survey of Issues in Physician-Assisted Suicide. (15:43 Min.) Download without Narration: Survey of Issues in Physician-Assisted Suicide.

        Slide Show: Physician-Assisted Suicide in Oregon. (15:57 Min.) Download without Narration: Physician-Assisted Suicide in Oregon.

        Washington Death with Dignity Act (2008), Effective 03/02009.   

 

Information in  The Desert Sun (01/21/15).
Oregon and Washington have allowed Physician-Assisted Suicide by virtue of a vote of the people. New Mexico and Montana have allowed Physician-Assisted Suicide by a court decision. Vermont has allowed Physician-Assisted Suicide by a vote of the Legislature. There are efforts in California to put Physician-Assisted Suicide on the ballot in 2016. It has failed twice in California, the second time by a 10% smaller margin than the first time.

 

 

   

 

 

 

 

 

Medical Ethics: Chapter 2, "Requests to Die: Non-Terminal Patients." pages 19-37.

    Taking Sides: Clashing Views on Controversial Bioethical Issues, Issue 6, "Should Physicians Be Allowed to Assist in Patient Suicide?" pages 113-134.

    Annas, GJ. "The Bell Tolls for a Constitutional Right to Physician-Assisted Suicide." ERESERVE.
    Annas, GJ. "The Promised End --- Constitutional Aspects of Physician-Assisted Suicide." ERESERVE.

        Slide Show: Vacco v. Quill. U.S. Supreme Court Decision on Physician-Assisted Suicide. (12:29 Min.) Download without Narration: Vacco v. Quill. U.S. Supreme Court Decision on Physician-Assisted Suicide.

        Slide Show: Washington v. Glucksberg. U.S. Supreme Court Decision on Physician-Assisted Suicide. (8:08 Min.) Download without Narration: Washington v. Glucksberg. Supreme Court Decision on Physician-Assisted Suicide.

    U.S. Supreme Court. Vacco v. Quill. (1997) U.S. SUPREME COURT WEBSITE. At least read the Syllabus. The ambitious can read the majority and minority opinions.
    U.S. Supreme Court. Washington v. Glucksberg. (1997) U.S. SUPREME COURT WEBSITE. At least read the Syllabus. The ambitious can read the majority and minority opinions.

    Physician-Assisted Suicide in Switzerland. Wall Street Journal. 11/22/02.

    Oregon Death with Dignity Act: The Law and Other Links.

    California Compassionate Choices Act (2007).

 

            Task: WEB CONFERENCE 6. Patients' Choice of Physician-Assisted Suicide. [03/23, 03/24, 03/28]

 

Task: March 28 - April  09 --- Threaded Discussion 5 on "Universal" Healthcare.

 

 

Week 12: March 30 --- Allocation of Healthcare Resources: "Universal" Healthcare? [EASTER RECESS --- 04/02-04/06]

 

        

Medical Ethics: Chapter 18, "Medicine and Inequality." pages 347-365.

    Bloche, MG. "Clinical Loyalties and the Social Purposes of Medicine." ERESERVE

    Senator Barak Obama's Plans for Universal Healthcare.

        Slide Show: Resource Allocation, Part 1: An Ethical Overview. (18:39 Min.) Download without Narration: Resource Allocation, Part 1: An Ethical Overview.

         Slide Show: Resource Allocation, Part 2: A Formula. (5:00 Min.) Download without Narration: Resource Allocation, Part 2: A Formula.      

        Slide Show: Managed Care, Part 1: Boon or Boondoggle. (13:04 Min.) Download without Narration: Managed Care, Part 1: Boon or Boondoggle.

        Slide Show: Managed Care, Part 2: Special Problems. (8:37 Min.) Download without Narration: Managed Care, Part 2: Special Problems.

Essential Features of Obamacare --- The Affordable Care Act.

Medical Ethics: Chapter 18, "Ethical Issues of the Affordable Care Act," pages 333-354. [Same reading as Week 1]

"The Coming Failure of 'Accountable Care,'" Wall Street Journal (02/19/13).

The "Affordable Care Act" is extremely complex and most people (including legislators) do not understand very much of it. If you would like to take a shot at understanding it, you might want to try ObamaCare Survival Guide: The Affordable Care Act and What it Means for You and Your Healthcare by Nick J. Tate [ISBN 978-0-89334-862-5] available at bookstores for about $20 or on line at www.humanixbooks.com. The law and its regulations, including its impact on taxes, are in the process of changing your future.

 

Task: BEGINNING OF SUBMISSION OF CARE OF THE SOUL IN MEDICINE ESSAYS. [03/30] FINAL DUE DATE [04/13] EARLY SUBMISSIONS ARE ALWAYS WELCEOME.

 

 

            Task: WEB CONFERENCE 7. The Principle of Justice and Healthcare Allocation. [03/29, 03/30, 03/31]

 

            Task: March 28 - April  09 --- Threaded Discussion 5 on "Universal" Healthcare.

 

Week 13: April 6 --- Basic Assumptions Regarding Advance Directives.

 

    April 8 - Last day to withdraw with a record of "W."

 

    Moore, Thomas. Care of the Soul in Medicine. Chapter 15, "A Practical Guide for Patients."

    Ulrich, LP. "Advance Directives."

        Slide Show: Surrogate Decision Making. (9:50 Min.) [Same as Weeks 3 and 9.] Download without Narration: Surrogate Decision Making.

        Slide Show: Advance Directives, Part 1: Planning for Dying. (10:31 Min.) Download without Narration: Advance Directives, Part 1: Planning for Dying.

        Slide Show: Advance Directives, Part 2: Kinds of Advance Directives. (9:07 Min.) Download without Narration: Advance Directives, Part 2: Kinds of Advance Directives.

        Slide Show: Advance Directives, Part 3: Powers of Attorney. (6:14 Min.) Download without Narration: Advance Directives, Part 3: Powers of Attorney.

        Slide Show: Advance Directives, Part 4: Advantages and Disadvantages. (8:49 Min.) Download without Narration: Advance Directives: Part 4: Advantages and Disadvantages.

        Slide Show: Advance Directives, Part 5: Power. (8:04) Download without Narration: Advance Directives, Part 5: Power.

    Taking Sides: Clashing Views on Controversial Bioethical Issues, Issue 4, "Have Advance Directives Failed?" pages 62-95.

 

       Task: WEB CONFERENCE 8. Advantages and Disadvantages of Advance Directives. 04/08, 04/09, 04/12.

 

Week 14: April 13 --- How to Write an Advance Directive and State Laws on Advance Directives.

 

April 13 is Final due date for Care of the Soul in Medicine essay.

 

    Ulrich, LP. "A Model Advance Directive." Index webpage for this course.

         Gawande, Atul. "The Way We Age Now."

 

 

Week 15: April 20 --- State Laws on Advance Directives.

 

     For the state forms for advance directives CLICK HERE.

    For California Q&A on Advance Directives CLICK HERE. [This is a pdf file; if the message says it cannot display some fonts, just click "OK" and the

     Q&A should come up.]

    Ohio Advance Directive Law (1991) (Outline).

    Ohio Comfort Care Law (1991) (Q&A).

           

Task: April 22 --- ADVANCE DIRECTIVE DUE AT 9:00 a.m.   EARLY SUBMISSIOINS ARE ALWAYS WELCOME.

04/24 Last day of class.

        Slide Show: Farewell. (0:25 Min.)

 

  Week 16: April 27 --- Exam Week. [This does not affect us. NOW, aren't you glad you took this course?)