Department of Philosophy University of Toronto at Scarborough Fall 2021 PHLB09H3F: Biomedical Ethics Professor: Dr. Joshua Brandt Contact: joshua.brandt@utoronto.ca; Please do not use the Quercus mail system Office: Available remotely through Zoom Course Times: Lectures posted Friday by 12pm Location: Lecture links posted to Quercus (q.utoronto.ca) Office Hours: Fridays 2-4pm (Zoom) Course Description: Welcome to Biomedical Ethics! This course surveys core ethical issues that arise in the context of health care delivery and the biomedical sciences. The first 3 weeks are designed to provide a grounding in the general moral theories that inform specialized biomedical problems. We then move to topics in procreative ethics (e.g. is there an obligation to bring the healthiest children into existence), issues pertaining to the patient-physician relationship (e.g. what kind of information is required for informed consent?), questions that shape research ethics (e.g. when is running a randomized clinical trial permissible?), and challenges that pertain to end of life care (e.g. is medical assistance in dying permissible?). Where possible, the ethical discussion will be complemented with corresponding Canadian case law. Course Evaluation: Essay 1 (1200 words) (25%) – Oct. 15th Essay 2 (1500 words) (30%) – Nov. 17th Tutorial Participation/Online Discussion (10%) Final Exam (take home format) (35%)— TBA Course Texts: Our initial readings will be posted to Quercus (q.utoronto.ca). This includes all readings from Engaging Bioethics. Most of our readings for the remainder of term are contained in the text Bioethics in Canada (2nd edition), which can be purchased from the bookstore. Policies: 1) Academic Integrity: According to the University of Toronto's Code of Behaviour on Academic Matters (August 1995), which all students are expected to know and respect, the following counts as an academic offence: copying or paraphrasing extensive passages from sources without acknowledgement; submitting a term paper written in whole or in part by someone else; submitting a term paper for credit in more than one course without the permission of the instructor; copying the answers of another student in any test, examination or take-home assignments. In any of these cases appropriate penalties will be applied. It is the policy of the Department and of the Faculty of Arts and Sciences that all cases of plagiarism are subject to disciplinary measures at either the Department or Faculty level. Individual faculty members do not have the discretion to waive these measures. 2) AccessAbility Services: I am committed to accommodating students with disabilities. If you have a disability that requires accommodation, I recommend contacting AccessAbility Services as soon as possible (S302, 416-287-7560) or speaking with me in person. AccessAbility Services include the assessment of student needs, alternative testing, note takers, adaptive material, assistive technology, and the facilitation of inclusion on campus. Accommodations are not limited to the formal services offered by the university: if you have an access issue that is not being addressed by Accessibility Services, I will do my best to assist you. 3) Late work: Unexcused late work will be penalized 3% per day up to a maximum of 20%. Work received over 10 days late will not be accepted. Extensions can be granted for a documented illness or another good reason (please discuss with your TA in advance when possible). 4) Religious accommodation: I will arrange reasonable accommodations for the needs of students who observe religious holy days other than those already accommodated by ordinary scheduling and statutory holidays. Please do not hesitate to contact me if you have such a need. 5) Readings: There may be minor changes to the reading list as the term progresses. Any changes will be announced in class and posted to Quercus. Please stay apprised of such announcements. 6) Returned Work: The TAs for this course have been requested to return work no later than 2 weeks after submission. In extenuating circumstances, myself or your TA will communicate about delays. 7) Turnitin.com: Normally, students will be required to submit their course essays to Turnitin.com for a review of textual similarity and detection of possible plagiarism. In doing so, students will allow their essays to be included as source documents in the Turnitin.com reference database, where they will be used solely for the purpose of detecting plagiarism. The terms that apply to the University’s use of the Turnitin.com service are described on the Turnitin.com web site. Please contact me or your TA if you would like to be exempt from the use of Turnitin. Schedule of Readings Week 1 (Sep. 10th) Topic: What is biomedical ethics? Reading: Chapter 1 +2 Engaging Bioethics; “The Challenge of Cultural Relativism” (Rachels) Week 2 (Sep. 17th) Topics: Moral theory and cultural relativism Reading: Chapter 1 +2 Engaging Bioethics continued; “The Challenge of Cultural Relativism” (Rachels) continued Week 3 (Sep. 24nd) Topics: Moral theory, and divine command theory Reading: Chapter 2 Engaging Bioethics Week 4 (Oct. 1st) Topic: Approaches to normative ethics and biomedical ethics Reading: Chapter 3 Engaging Bioethics; Chapter 3 Bioethics in Canada Week 5 (Oct. 8th) Topic: Procreation and child rearing Readings: Chapter 3 Bioethics in Canada continued; Winnipeg Child and Family Services (Northwest Area) v. G. (D.F.) Week 6 (Oct. 15th) Reading Week Week 7 (Oct 22nd) Topic: Assisted Suicide and Euthanasia Readings: Chapter 9 Bioethics in Canada; Carter v. Canada; TBA Week 8 (Oct 29th) Topic: Assisted Suicide and Euthanasia Readings: Chapter 9 Bioethics in Canada; Carter v. Canada; TBA Week 9 (Nov. 5th) Topic: Human research Readings: Chapter 6 Bioethics in Canada; Halushka v. University of Saskatchewan et. al. Week 10 (Nov. 12th) Topic: Autonomy and informed consent Readings: Chapter 4 Bioethics in Canada; Reibl v. Hughes; Murray v. McMurchy; Mulloy v. Hop Sang Week 11 (Nov. 19th) Topic: Conception and embryos Readings: Chapter 1 Bioethics in Canada Week 12 (Nov. 26th) Topic: TBA Reading: (selections to be announced) Week 13 (Dec. 3rd) Topic: Final Assignment Preparation (previous content may be continued) Readings: