Medical Park Case Study

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Medical Park Case Study



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She made an appointment with a naturist practitioner who specialized in homeopathy and herbal medicine. Before her appointment, she browsed in the Nutra-Medica Shop, which carried nutritional supplements , vitamin and mineral products, homeopathic remedies, and herbal formulas. The Acupuncture Alternative Does a patient have the right to access non-Western forms of medical treatment? The Case of the Depressed Patient What are the ethical questions involved when depression impairs seriously ill patients' ability to make decisions?

The Case of the Long-Distance Cancer Treatment A patient wants to access treatment near his home at a facility that is not on his managed care plan. Why should a physician have to be the one who does this? This is a difficult subject because it involves reproductive issues. In our culture, reproductive liberty, the freedom to decide when and where to conceive a child is highly protected, and this can make these cases much more difficult. Case 1: There are two types of surrogacy. One type involves a surrogate mother who uses her own egg and carries the baby for someone else. The other type is a "gestational surrogacy" in which the mother has no genetic tie to the child she carries.

In the case presented, a gestational surrogate is used. A woman, after a bout with uterine cancer had a hysterectomy surgical removal of the uterus. Before, its removal, however, she had several eggs removed for possible fertilization in the future. Now married, the woman wishes to have a child with her husband. Obviously she cannot bear the child herself, so the couple utilizes a company to find a surrogate mother for them. The husband's sperm is used to fertilize one of the wife's eggs, and is implanted in the surrogate mother. Though the surrogate passed stringent mental testing to ensure she was competent to carry another couple's child, after carrying the pregnancy to term, the surrogate says that she has become too attached to "her" child to give it up to the couple.

A legal battle ensues. In the United States it is illegal to pay a person for non-replenishable organs. The fear is that money will influence the poor to harm their bodies for the benefit of the rich. Do you see a parallel between this case and this law? Can allowing surrogate mothers to be paid for their troubles allow poorer women to be oppressed? If yes, does this change if you can "easily" have a child? Note: Over , children in the U. However, most are older, have several siblings, or have special needs. On their website, the AMA says "that surrogacy contracts [when the surrogate uses her own egg], while permissible, should grant the birth mother the right to void the contract within a reasonable period of time after the birth of the child.

If the contract is voided, custody of the child should be determined according to the child's best interests. What's a reasonable time? In a way can you steal the surrogate's child? One of the main arguments against the use of surrogate mothers is that carrying and giving birth to a child is such an emotional event that it is impossible to determine if the surrogate will be able to give up the child. Though adults enter into the contract, the child could ultimately suffer if a long custody battle ensues as it could in states where surrogacy contracts hold no legal value, such as Virginia. With the possibility of such battles, do you think it is acceptable for parents to use a surrogate mother?

Do you think that if the surrogate is awarded the baby, this could cause emotional harm to the child? A married couple wishes to have a child; however, the 32 year old mother knows that she is a carrier for Huntington's disease HD. HD is a genetic disorder that begins showing signs at anywhere from years of age. Its symptoms begin with slow loss of muscle control and end in loss of speech, large muscle spasms, disorientation and emotional outbursts. After years of symptoms HD ends in death. Feeling that risking their baby's health would be irresponsible, the couple decides to use in vitro fertilization to fertilize several of the wife's eggs. Several eggs are harvested, and using special technology, only eggs that do not have the defective gene are kept to be fertilized.

The physician then fertilizes a single egg, and transfers the embryo to the mother. Approximately 9 months later, the couple gives birth to a boy who does not carry the gene for the disorder. Is this a case of eugenics? Would it be acceptable for the parents to select for sex as well, or should they only select an embryo that does not have HD? How would this be different? Is it ethical for this couple to have a baby when the mother could begin showings signs of HD when the baby is just a few years old?

With this technology possible, would it be ethical for this couple to have a child without genetically ensuring it would not have the disease? What if we did not have this technology, would it be ethical for a known carrier to have a child? If not, how far should this carry? The possibility of terrorists using biological weapons on the citizens of the United States has been a major topic in the press for the last several years. Smallpox has been speculated to be the perfect biological terror agent because of the potency of the virus, and because of the lack of herd immunity present in the US population.

The following case presents a possible way in which the virus could be released in the population and a possible response. The questions following the case involve the ethics surrounding the government's response. Smallpox initially has flu-like symptoms, which are recognizable days after exposure. After days of flu-like symptoms, the fever begins to decrease, and pox will form. It is possible that if terrorists were to use the smallpox virus, that they would genetically modify it.

If this were the case, then the vaccine may not prevent all of the disease symptoms for those vaccinated. Date: June 22, A year-old man is brought into a New York City emergency room with a degree fever, and what he believes is chickenpox Varicella. After a brief examination, the year-old physician is puzzled because the pox do not appear to be typical of the varicella-zoster virus. Worried, he calls in another physician for her opinion. She takes one look at the patient, determines he has small pox, and immediately orders him to be quarantined.

Though he is given excellent treatment, and had been in perfect health a few days earlier, the patient dies 7 hours after admittance to the hospital. His co-workers are all given mandatory vaccines as well, as are all people living in his apartment complex. They also ship stored quantities of the vaccine to all of the cities where the man had flown to for work.

The vaccines are offered to citizens of these cities. Finally, all people, along with their families who had been on the man's flights in the weeks preceding the appearance of the disease are forced to receive the vaccine. The terrorist would have been contagious but would not have shown symptoms. Virtually every person the man came into contact with would have gotten the virus. An LA woman on the flight is religiously opposed to vaccines. Under California law she can normally refuse vaccines on religious or personal grounds. However, the government says she must receive the vaccine or face mandatory quarantine.

What do you think of this?

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