PHIL 241: Ethical Issues in Healthcare

Timetable

Tue
Feb 6

Intro: General Introduction

Essential philosophical skills.

Thu
Feb 8

Intro: Ethics

Ethics: Theory and practice.

Tue
Feb 13

Intro: Arguments

The Good, The Bad, and The Ugly.
Play around in the Logic and Critical Thinking section of the Philosophy Resources page.

Thu
Feb 15

Healthcare rights & universal healthcare

What’s not to like about universal healthcare?
Greene, Mark. “What’s Not to Like About Universal Healthcare?” (On the web.)

Tue
Feb 20

Markets: Healthcare markets

Healthcare markets & market failures.
Do some web-research to find out what people mean by ‘free market’, ‘perfect competition’, ‘pareto efficient / optimal’, and ‘market failure’.

Thu
Feb 22

Markets: Healthcare insurance

The hazards of insurance.
Do some web-research to find out what moral hazard is.

Tue
Feb 27
10:55 am

Bad Argument Assignment

In-class group project.
Details on ‘Assessment’ page.

Thu
Feb 29

Markets: For markets for organs

Kidney Markets
Walsh, Dylan (2023). “Would You Sell Your Extra Kidney?” Wired. (Canvas@UD.)
“The God Squad.” Playing God? (On the Web.)

Tue
Mar 5

Markets: Erm, about those organ markets…

Koplin on Organ Markets
“Why Can’t I Buy a Kidney?” Playing God? (On the Web.)
Koplin, Julian J. (2018). “Beyond Fair Benefits: Reconsidering Exploitation Arguments Against Organ Markets.” Health Care Analysis 26(1): 33-47. (UD Library.)

Weds
Mar 6
11:55 pm

Abstract of ‘Why We Must Ration Healthcare’ (tomorrow’s reading)

No late submission accepted!
Individual submission required – though you are welcome to get each other’s feedback and editorial suggestions.
Word limit: 150 words – strictly enforced.
Details on ‘Assessment’ page.

Thu
Mar 7

Consequentialism: The QALY

Singer on Rationing.
‘Why We Must Ration Health Care’, Peter Singer, New York Times Magazine, July 15 2009. (On the web. Also, there’s an accessible pdf version on Canvas.)
And… Tim Harford (2020). ‘The Spreadsheet of Life and Death.’ Cautionary Tales Podcast. (On the web.)

Tue
Mar 12

Consequentialism: Hold up a second on that QALY!

Brock vs. QALYs
Brock, Dan W. (2004). “Ethical Issues in the Use of Cost Effectiveness Analysis for the Prioritisation of Health Care Resources.” In Public Health, Ethics, and Equity. Anand, Sudhir, Peter, Fabienne and Sen, Amartya. Oxford, Oxford University Press: 201-223. (Canvas@UD.)

Thu
Mar 14

Reform?

Perverse Incentives
Stephen Dubner. Freakonomics Radio. How Many Doctors Does It Take To Start a Healthcare Revolution? (Read the transcript or listen to the episode on the web.)
Stephen Dubner. Freakonomics Radio. Bad Medicine, Part 3: Death By Diagnosis. (Read the transcript or listen to the episode on the web.)
Read just the abstract of: James, John T (2013). “A New, Evidence-based Estimate of Patient Harms Associated with Hospital Care.” Journal of Patient Safety 9(3): 122-128. (On the web)

Tue
Mar 19

Rawls: Rawls on justice

The Veil of Ignorance.
‘Original Position’ – Veil of Ignorance section: Stanford Encyclopedia of Philosophy.
The Original Position. Wikipedia.
If you were behind the veil of ignorance, what principles would you agree to for allocating healthcare?

Thu
Mar 21

Rawls: Justice in healthcare

Rawls / Daniels Healthcare Justice.
Daniels, Norman (2001). “Justice, Health, and Health Care.” American Journal of Bioethics 1(2): 2-16. (UD Library.)

Tue
Apr 2
10:55 am

QALY explanation

In-class group project.
Word limit: 200 words – strictly enforced.
Details on ‘Assessment’ page.

Thu
Apr 4

Rawls: QALYs & the veil of ignorance

Carlos Doesn’t Like it Behind the Veil.
Soto, Carlos (2012). “The Veil of Ignorance and Health Resource Allocation.” Journal of Medicine and Philosophy 37(4): 387-404. (UD Library.)
What would you like to talk about for Apr 18?

Tue
Apr 9

Paper writing

The joys and perils of philosophical writing.

Thu
Apr 11

Personal responsibility

Personal and Social Responsibility for Health.
Wikler, Daniel (2004). “Personal and Social Responsibility for Health.” In Public Health, Ethics, and Equity. Anand, Sudhir, Peter, Fabienne and Sen, Amartya. Oxford, Oxford University Press: 109-134. (Canvas@UD.)

Tue
Apr 16

Personal Responsibility & Organ Allocation

Need a New Liver? Playing God podcast episode. (On the web.)

Tue
Apr 16
7 pm

Extra Credit Event
Debating Death’s Badness: How Grim Is the Reaper?

Event Details
To claim your extra credit, attend the event and post a thought on the corresponding Canvas@UD discussion.

Thu
Apr 18

Student Choice: Gene Editing

No reading. But feel free to post some thoughts on the issue in the Canvas discussion.

Fri
Apr 19
11:55 pm

Proposal

Word guidance: approx. 300 words.
Optional: you may work in groups of up to 3 on any or all stages of your final project.
Details on ‘Assessment’ page.

Tue
Apr 23

Presentations

See Canvas@UD for schedule.

Thu
Apr 25

Presentations

See Canvas@UD for schedule.

Fri Apr 26 –
Sat Apr 27

Extra Credit Event
Undergrad Philosophy Conference at UD

Event Details
To claim your extra credit, attend one or more of the talks (any topic) and post a thought on the corresponding Canvas@UD discussion.

Tue
Apr 30

Presentations

See Canvas@UD for schedule.

Thu
May 2

Presentations

See Canvas@UD for schedule.

Fri
May 3
11:55 pm

Abstract & editorial: First version

Submit abstract and editorial in one document.
Word guidance – 1000 words (approx) – plus 150 for abstract.
Optional: you may work in groups of up to 3 for any or all stages of your final project.
Details on ‘Assessment’ page.

Tue
May 7

Mutual aid & comfort

This is the speed-dating version of your presentations. Come prepared (1) to give a focused overview of where you are in your / your group's project; and (A) to give thoughtful feedback on what others are working on. If you judge that it would be more productive to use the time to advance your project in some other way (e.g. if you are coauthoring and class is one of the few times you can all meet), feel free to do so. Just make sure you are not just procrastinating or dodging challenging feedback - it's best to get that early and often.

Thu
May 9

Individual discussion of papers

No regular class!
Check Canvas@UD for your time.
Use the Office Hours Zoom room: See Canvas@UD.

Tue
May 14

Individual discussion of papers

No regular class!
Check Canvas@UD for your time.
Use the Office Hours Zoom room: See Canvas@UD.

Thu
May 16

Optional discussion of projects

Come along if you want to chat about your first version.
Use the Office Hours Zoom room: See Canvas@UD.

Thu
May 16
11:55 pm

Abstract & editorial: Final version

Submit abstract and editorial in one document.
Word guidance – 1000 words (approx) – plus 150 for abstract.
Details on ‘Assessment’ page.

Ethical Issues in Healthcare