Bioethicists often refer to the four basic principles of health care ethics when evaluating the merits and difficulties of medical procedures. Ideally, for a medical practice to be considered "ethical", it must respect all four of these principles: autonomy, justice, beneficence, and non-maleficence. The use of reproductive technology raises questions in each of these areas. Show procedures. Therefore, the decision-making process must be free of coercion or coaxing. In order for a patient to make a fully informed decision, she/he must understand all risks and benefits of the procedure and the likelihood of success. Because ARTs are highly technical and may involve high emotions, it is difficult to expect patients to be operating under fully-informed consent.
The idea that the burdens and benefits of new or experimental treatments must be distributed equally among all groups in society. Requires that procedures uphold the spirit of existing laws and are fair to all players involved. The health care provider must consider four main areas when evaluating justice: fair distribution of scarce resources, competing needs, rights and obligations, and potential conflicts with established legislation. Reproductive technologies create ethical dilemmas because treatment is not equally available to all people. Requires that the procedure be provided with the intent of doing good for the patient involved. Demands that health care providers develop and maintain skills and knowledge, continually update training, consider individual circumstances of all patients, and strive for net benefit. Requires that a procedure does not harm the patient involved or others in society. Infertility specialists operate under the assumption that they are doing no harm or at least minimizing harm by pursuing the greater good. However, because assistive reproductive technologies have limited success rates uncertain overall outcomes, the emotional state of the patient may be impacted negatively. In some cases, it is difficult for doctors to successfully apply the do no harm principle. [Home] [Previous] Research ethics for lab-based psychology experiments are relatively well-establish. Research ethics for online field experiments, on the other hand, are still a subject of great disagreement, as was illustrated by the recent debates over the Facebook emotional contagion experiment. Because the tools of digital experimentation will evolve more quickly than shared norms about research ethics, we are likely to continue to confront disagreements about research ethics for some time to come. When making decisions about the ethics of our own research — and having debates about research ethics in the digital age more broadly — researchers should make use of existing principles of ethical research that have already been developed. Although the specific ethical issues that we face are new, the general problems are very old. One excellent source of existing wisdom about research ethics is the Belmont Report, which was published in 1979. Commissioned by the US Government in response to ethical failures in medical research, such as the Tuskegee Syphilis Study, the Belmont Report was written by a panel of experts and proposes three principles that should underlying the ethical conduct of research involving human subjects: 1) Respect for persons; 2) Beneficence; and 3) Justice. These three principles, which are somewhat abstract in the Report, were later operationalized into the the detailed rules and procedures that make up the Common Rule, which governs research at US universities. When facing a research ethics challenge, going back to these three principles can often be very helpful.
The Belmont Report argues that respect for persons consists of two distinct principles: individuals should be treated as autonomous and individuals with diminished autonomy should be entitled to additional protections. The principle of respect for persons is interpreted to mean that researchers should, if possible, receive informed consent from participants, and the Belmont Report identifies three elements of informed consent: information, comprehension, and voluntariness. That is, respect for persons implies that participants should be presented with relevant information in a comprehensible format and then should voluntarily agree to participate.
Beneficence can roughly be understood to mean having the interests of research participants in mind. The principle of beneficence is behind efforts by researchers to minimize risks to participants and maximize benefits to participants and society. For example, when considering a research design, the principle of beneficence should cause us to ask if there is another way that we could obtain the same knowledge but with lower risks to participants.
The principle of justice addresses the distribution of the burdens and benefits of research. That is, it should not be the case that one group in society bears the costs of research while another group reaps its benefits. Issues of justice arise most strongly around questions about the selection of participants. Applying these three principles to specific ethical situations can be difficult, and the principles sometimes come into conflict. However, even if they do not lead to clear decisions in all cases, keeping these three principles in mind helps clarify the issues.
Update: If you would like to read more about the ethics of social research, you can read Chapter 6 of my book Bit by Bit: Social Research in the Digital Age. What is the ethical principle of equality?The principle of equality states that equal cases should be treated equally, and that a difference in treatment requires that we can identify a morally relevant difference. The principle is related to the Golden Rule, and to the consistency formulation of Kant's categorical imperative.
What are the 4 main ethical principles?The Fundamental Principles of Ethics. Beneficence, nonmaleficence, autonomy, and justice constitute the 4 principles of ethics.
What is the beneficence principle?The principle of beneficence is a moral obligation to act for the benefit of others.
What are the 5 principles of morality?Moral Principles
The five principles, autonomy, justice, beneficence, nonmaleficence, and fidelity are each absolute truths in and of themselves. By exploring the dilemma in regards to these principles one may come to a better understanding of the conflicting issues.
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