Ethical Dilemma
The first question that we are to consider asks us to address many of the actual issues that come up in the course of medical decisions, and not simply in terms of cancer treatment. It is often the case that parents and children will not agree over a proposed treatment for the child; the ethical conflicts that can follow such a disagreement can be extremely traumatic. This is especially problematic for the family given that they are already suffering through the trauma of health problems, often terribly serious ones.
In the case study with which we are presented we lack certain key pieces of information that we would have in a real-world case and that are in fact necessary for us to have in order to make a finely balanced ethical decision (Brody, 1988, pp. 36-8). The first of these is the age of the child. A child cannot be expected to make a reasonably informed medical decision when s/he is under the age of ten. Alternatively, a child can in many cases make a reasonably informed medical decision at the age of seventeen. The intervening ages are more difficult to assess and depend in no small part on the maturity level of the child and the risks associated with the procedure.
This is another key piece of information that we do not possess about the decision that is to be made. Is the medical procedure one that is needed to save the life of the child? If so, then it seems to me that the doctors should indeed put pressure on the parents to get the child's consent. It is likely that in such a case the parents are so scared about their child's future that they may simply be paralyzed by the ethical questions with which they are faced and so need some informed encouragement from medical professionals (Tauber, 2005).
If, on the other hand, the medical procedure is unlikely to save the child's life but will rather reduce pain or increase lifespan, then the doctors should put less pressure on the parents. They should instead be as clear as possible in laying out both benefits and dangers to both parents and child. Among the benefits of the procedure may be that it will help researchers and doctors in the future assess how effective the...
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