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Notes -
Medical ethics is a field I am interested in, and I came across an old article in particular in the New York Times that drew my attention lately
https://www.nytimes.com/2014/03/02/magazine/nursing-home-pitfalls.html?ref=theethicist&_r=0
The article in question in The Ethicist column describes a method used to keep dementia patients from wandering to unsafe areas by placing a black doormat in the way. According to the writer, the patients tend to perceive the doormat as a “hole” and feel deterred from passing, and raises the question about whether it is ethical to use one’s disability and/or fear to guide behaviour. In the columnist’s opinion, this application is ethical.
It got me thinking about the treatment given to individuals affected by the most common form of intellectual disability, that is called childhood (I say that half jokingly. Just half).
The fact that the aforementioned question about dementia patients is raised, in a world where adults guiding the behaviour of children through their lack of judgement is just a fact of life, is curious to me. Is there a good reason why childhood and intellectual impairments should be considered fundamentally different, and that the dilemmas of one should be considered separately from the other?
That is not to claim that the purposes and effects of a given treatment are uniform in every context. Of course, there are different degrees and forms of intellectual disabilities, each requiring different types of treatment. But it seems to me that it is relevant to question whether these differences in context justify the difference in treatment.
Right now I tend to think that disproportionately more regard is given to the autonomy of adults with an intellectual disability than to that of children
I can't help but chuckle to myself every time I see the phrase "medical ethics" or "bioethics". The millions of physician assisted homicides of unborn children are totally fine -- in fact, it would be unethical to withhold them -- but it is absolutely verboten to participate in the execution of convicted murderers.
I flat out do not trust them. The "medical ethics community" will complain that lethal injection procedures are potentially faulty, but they never come up with alternatives. There is absolutely no reason why it is possible to perform painless heart surgery but not painless execution. They are either lying, or they are perpetuating the unnecessary pain of inmates for political gain. I will not defer to the ethical judgements of these people.
Much like "social justice" it's the sort of euphemism that Satan wraps himself in to obscure the fact that the actual goal being pursued is the opposite of what anyone would describe as "ethical" or "just".
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