PDA

View Full Version : Modern Moral Dilemmas


Hevvin Machine
05 Apr 2009, 06:09 AM
Reading through the very interesting discussion on "assisted suicide" brought something to mind. Over the course of the last few centuries, particularly the last one or so, the human race has become faced with an array of moral issues that simply didn't exist when most of our moral codes were being formed. Nearly all revolve around the side-effects of new technology, like the end of life issues being discussed are the product of modern medicine.

For nearly all of history death simply wasn't much in our control. Most people didn't even get old, they died from some accident or illness. The working assumption was always that any given person wanted to go on as long as possible. Most people with a really painful and debilitating condition also died rather quickly. Today this is still somewhat true, but more and more people wind up trapped by modern technology in lives that are ugly and painful. We just don't have the historical references for dealing with that in a moral way.

Most of the arguments seem to come from some sort of dogma that doesn't take into account the entirety of the situation. In theory I agree that people should be able to make their own decisions, but I have been around long enough to know that it isn't always that simple. In fact, it hardly ever is. People often choose things with very murky motivations. Kevorkian's last "patient", if I recall correctly, wasn't even ill. She was angry with her family and got even with them by dying. And there are people out there who might be more likely to encourage Granny to get on with leaving them some money if their house is being foreclosed on. Imagine how much money an HMO might save if a small reduction in the pain medication they pay for increased the number of patients who chose the less expensive suicide option over extended care. These are just a few of the moral issues that haven't been addressed.

Then there is the whole Schaivo disaster. What about people who cannot make a decision for themselves? Due to our lack of clarity she wound up with the worst of all worlds. They couldn't end her physical life humanely with drugs or something, so they killed her body with starvation and dehydration! AFAIK she was already gone and didn't feel anything. If there was even a tiny glimmer of awareness that was horribly cruel. If not, then none of it mattered anyway.

I'm not claiming to have answers. What I am saying is that we are faced with many such problems. Issues that we just don't have precedents to go on. End of life issues are one, environmental changes are another, our global economy is yet another. We need to come up with new ways to view emerging moral dilemmas.

We also need to ask ourselves before inventing new technology:"What potential moral dilemmas are we creating and how can we deal with them?" instead of just inventing and letting someone else clean up the mess.

Hev

DMB
05 Apr 2009, 08:51 AM
I also think there is a problem in that members of the medical profession are usually reluctant to spell out the situation that patients find themselves in. My aged MIL had a massive stroke in 2001. She was paralysed down one side and unable to swallow. It took her until this year to die at the age of 96.

In the weeks after the stroke we were fed a lot of bullshit about rehabilitation that never in practice happened. With younger stroke patients there is some genuine hope that their brains can develop the capacity to retool themselves enough to be able to get back some semblance of normal life. That seems to be extremely difficult for the aged. No-one was honest enough to tell us this. They kept holding out false hopes. My MIL continued for quite a while to believe that she was going to get better and go home, even when we could see it was not going to happen. But eventually she lost the hope and spent her last years in a pitiable condition, depressed and wanting to die.

Worldtraveller
06 Apr 2009, 07:44 PM
Would this be an appropriate point to note that lions are somewhat endangered, but there are plenty of xians in the world?? :D :p

I don't know about whether the ideal proposed in the OP is realistic or not. First, we often don't or ccan't foresee the ramifications of new technology. Second, there's not real moral 'solution' to most of these issues. It all comes down to letting people decide for themselves and have control over their own lives...or not.

And frankly, as it was noted in the other thread, these things happen all the time without any issues. It's usually when politics gets involved that things really get fucked up. It would be nice if doctors and other health care providers took a more positive quality over quantity approach if that's what the family wants and not lie to go out of their way to do what they think is personally the 'right' thing to do.

Most decisions seem to come down to whether or not one believes in personal responsibility or feels like the state should have the power to make most of the decisions.

dancer_rnb
06 Apr 2009, 08:54 PM
I'm not so sure these issues didn't exist in the past.

What about wounds that perforated the abdominal lining before antibiotics?

Cliché Guevara
08 Apr 2009, 09:03 AM
Don't forget the enormous population growth since mid-1900s. Coupled with much of the developed world consuming more and more of the earth's resources at an alarming rate, and polluting with impunity.

A great many dilemmas that would not have even been considered a mere century or so ago are really starting to become rather critical. What we need are a lot less religionists and zealous ideologues and a whole lot more pragmatists.