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external
- developmental
- functionalities
- capacities
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intrinsic/ontological
- essence
- nature of being itself that determines whether it is morally protected
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necessary cause
any condition which must be present to bring about a desired result, but which could not cause the result itself, without a sufficient cause
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sufficient cause
any condition which suffices to bring about the effect. It is by definition, at the same time a necessary condition for the effect
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substances
- living things
- internal essence that orders its change and development
- the whole is greater than the sum of its parts
- unity and cohesiveness
- maintain their ontological identity through change
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property-things
- inanimate objects
- ordered, but order is externally imposed
- no defining essence or principle that directs its change
- do not maintain ontological identity through change
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"image of God" in the ancient near east
- functions
- 1. to be the dwelling place of the spirit which derived from the being whose image it was: carry out the essence of what it represents
- 2. as a representative of one who is really or spiritually present, though physically absent...king and land
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Substantive View
- "in our image, in our likeness..."--Genesis 1:26--27
- image= some definite quality or characteristic within the makeup of the human/ usually reason
- they agree on one particular conception: location of the image: within the humans
- quality or capacity resident in their nature
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Relational View
- "Let us...male and female he created them..." Genesis 1:26-27
- image of God is experiencing relationships
- the relationship is the image
- dynamic, not static
- paralleled by relationship of one human to another
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Functional View
- "...and let them rule...rule over...the lord God...put him in the Garden of Eden to work it and take care of it..."
- image consists of something we do, function we perform
- exercise of dominion over the creation
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Animals are similar
- both created on day 6
- both brought forth/made from the "ground"
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Humans are different from animals
- humans created in image of God
- humans given dominion over animals
- god breathed directly the "breath of life" into man
- suitable companion for man could not be found anywhere
- human beings are given free will
- humans experience relationships with one another and with God
- humans are permitted to kill and eat animals but not other humans
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metabolic view
- no one point when life begins
- sperm and egg cell are as alive as any other organism
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genetic view
- new individual is created at fertilization
- genes combine to form new being
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embryological view
- single individuality is not fixed earlier than day 14
- different souls
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neurological view
- EEG @ 27 weeks
- loss of EEG pattern
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ecological/technological view
- begins when it can exist separately from its maternal environment
- 25 weeks
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immunological view
- when organism recognizes the distinction between self and non-self
- about birth for humans
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integrated physiological view
- begins when an individual has becomes independent of the mother and has its own functioning circulatory system...etc.
- day of birth
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abortion rate:
- number of abortions per 1,000 live births
- 238 in 2004
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abortion rate:
16 per 1,000 women in 2004
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top 3 self-reported reasons for having an abortion
- concerned about how having baby would change her life
- can't afford baby now
- as problems with relationship and wants to avoid single parenthood
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spontaneous abortion
- involving no outside or external intervention
- miscarriages
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induced abortions
- involving outside or external intervention
- Three types:
- therapeutic
- eugenic
- elective
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Therapeutic abortions
- performed to save the mother's life
- >tubal pregnancies
- >maternal heart disease
- >maternal cancer
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Eugenic abortions
- performed to abort a fetus that has or is at risk for some physical and/or mental handicaps
- life or health of fetus
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Elective abortions
- "right to choose" for other reasons
- 92%-93% are elective
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Roe v Wade
- 1973
- 3 trimesters
- although women has right to abortion, state also has interest in protecting woman's health and life of fetus
- grows with development of fetus
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Doe v Bolton
women's "health" is broadened to include emotional and psychological factors
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Planned Parenthood v Danforth
- woman's right to abortion cannot be limited by the requirement that a spouse or parent of a minor child must grant prior permission
- parent to counseling
- PA law mostly upheld
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Webster v Reproductive Health Services
- right to an abortion is a negative right, a right to be left alone and free from interference in pursuing an abortion
- no public funds, no use of public facilities for abortions that are not necessary to save human's life
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zygote
merging of sperm and egg into a single cell
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embryo
7 days (implantation) to 8 weeks
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Three pillars of Roe v Wade
- Privacy: "right to privacy" included a woman's freedom to choose abortion-on-demand
- Personhood: pre-born entity is not a person
- Viability: state has an interest in, or may protect, only the viable fetus-- one that can survive outside the womb
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voluntary
at the patient's request; when a patient request that someone take his or her life and his or her desire is honored
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involuntary
against the wishes of the patient; when a patient desires to live and his or her request is not honored
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non-voluntary
without the knowledge or consent of the patient; when a patient is killed by someone who is not aware of the patients' wishes, either because those wishes are unobtainable or because the person chooses not to obtain them
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direct
individual himself carries out the decision to die
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indirect
someone else carries out the decision of the patient to die
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active euthanasia
- "directly taking the life of the patient"
- "mercy killing"
- someone causes it, not the disease
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passive euthanasia
- "acting to avoid prolonging the dying process"
- withholding or refusal of treatment
- TLS
- "letting die"
- disease or underlying condition causes death
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difference between active and passive
- difference between commission (active) and omission (passive)
- intention
- what is the actual cause
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Physician Assisted Suicide
- physician serves as a causal agent in death
- provide means, prescription
- death is caused by medication, not underlying condition
- OR, WA, MT
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Ordinary means
course of treatment for a disease or injury that offers reasonable hope of benefit to the patient without being burdensome
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Extraordinary means
do not offer such hope and place undue burdens on the patient
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Advanced directives
- living will
- values inventory
- DNR
- DPAHC: durable power of attorney for health care
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Karen Quinlan
- coma, respirator
- parents decided to remove respirator
- NJ supreme court ruled in favor of Quinlans: let the incompetent patient die by disconnecting LS
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Nancy Cruzan
- PVS- 7 years
- withdrawal of feeding tube
- court recognized right of a competent patient to decline medical treatment
- court found that withdrawing a feeding tube did not differ from withdrawing other medical support
- court held that state could, but not need pass a statute requiring the clear and convicting standard of evidence about what a formerly competent patient would have wanted (incompetent now)
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Derek Humphrey
- Hemlock society
- Jean's Way
- Final Exit...etc
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Kevorkian
- "Doctor Death"
- "Mercitron"
- Janet Adkins- watched
- Thomas Youk- administered lethal injection
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Death with Dignity Act
- "Right to Die"
- Oregon
- Washington
- Montana
- 59 deaths in 2009
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Netherlands
- first country to legalize euthanasia and PAS
- doctors practice it apart from the guidelines
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Rachels
- no morally relevant difference between killing and letting die
- biological life v biographical life
- biological life is unimportant
- biographical life is "the sum of one's aspirations, decisions, activities, projects and human relationships"
- kid in the tub
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Fletcher
- if abortion is morally justified, so is euthanasia
- in utero v in estremis
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law of double effect
- if an inherently good act has two effects, one good and one bad, a person can act morally in doing the act provided
- 1. only the good effect is intended
- 2. the bad effect is not the means to the good effect
- 3. the good effect is at least equal to the bad effect
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sledgehammer effect
still guilty because case masks the difference; both wrong, evil, neither one is ok.
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constitutional homosexual
- person whose sexual attraction to those of the same gender is so deeply rooted that it is part of his or her essential being
- homosexual orientation
- inversion
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