Wednesday, March 2, 2022

Exam 1 review

 Exam 1 will be drawn from the even-numbered questions (2,4,6...) in January and February. Wording will be adjusted to fit the exam format, which will include an answer bank. Best way to prepare: revisit the texts.

REVIEW RECORDING link: https://mtsu.zoom.us/rec/share/sZg19Eas53ITfWOSPFbD1S74xNvfjwGR11BuDERk1coCba62dbANpEBN5Ct5yny0.W4JmrW5SRhgwXX18?startTime=1646248839000 (Passcode: dR^.eWg6)

What is Bioethics? (Basics 1); Premonition Intro/prologue/1

  1. "Bioethics" just means what?
  2. What 40-year U.S. study denied information and treatment to its subjects?
  3. What did Ivan Ilich warn about in Medical Nemesis?
  4. In what issues has the WHO been very active?
  5. How has Bioethics broadened its horizons?
  6. Bioethics has broken free of what mentality?
  7. With what must the main method of Bioethics be concerned?
  8. Are there any important bioethical issues you think Campbell has neglected to mention in ch.1?
  9. Lewis's previous book asked what question?
  10. What did The Lancet point out about the COVID death rate in the U.S.?
  11. Bob Glass learned what, that he'd had no idea of, in The Great Influenza? Did you know that, before COVID?
  12. How did young Charity Dean cheer herself up?
Moral Theories (Basics 2); Premonition 2

1. (T/F) In Anna's story, why did she wish not to be resuscitated?

2. Which theory has been dominant in bioethics and often used by many health professionals?

3. In deontological theory, what is the difference between hypothetical and categorical imperatives?

4. What ethical principle (and whose), in the name of rational consistency, absolute dutifulness, and mutual respect, "requires unconditional obedience and overrides our preferences and desires" with respect to things like lying, for example?

5. What would Kant say about Tuskegee, or about the murderer "at our door"?

6. What more do we want from a moral theory than Kant gives us?

7. What is the distinctive question in virtue ethics?

8. What Greek philosopher was one of the earliest exponents of virtue ethics?

9. What is the Harm Principle, and who was its author?

10. Name one of the Four Principles in Beauchamp and Childress's theories on biomedical ethics?

 [Premonition...]
11. What was Dr. Hosea's diagnostic style? (And of what classic Greek philosopher might it remind you?)

12. What misleading practice of self-promotion did doctors of orthopedic medicine engage in?

13. How did Dr. Dean learn to persuade elected officials to finance disease control?

14. What was the root of the CDC's reluctance to support Dr. Dean's decisions?

15. What famous ethical problem did the Casa Dorinda mudslide resemble?


Perspectives (Basics 3); Premonition 3. Share your thoughts, questions (etc.) in the comments section below.

1. Chapter 3 begins by asking if our bioethical perspective ("vision") is skewed by _____... (a) cultural assumptions, (b) gender bias, (c) religious faith, (d) all of the above

2. What's the leading global cause of death among women of reproductive age?

3. (T/F) The "feminist critique" says bioethics has been dominated by culturally masculine thinking.

4. What ethical perspective did Nel Noddings (supported by Carol Gilligan's research) describe as the "feminine approach"?

5. What's a furor therapeuticus?

6. Does Campbell consider the outlawing of female genital mutilation culturally insensitive?

7. What's allegedly distinctive about "Asian bioethics"?

8. What western ethical preconception is "somewhat alien" in the eastern dharmic traditions?

9. What gives Buddhists and Hindus a "whole new perspective" on bioethical issues?

10. What does Campbell identify as a "tension in the Christian perspectives" on bioethics?

Premonition

1. What book "more of less" led to the invention of U.S. pandemic planning? Have you read it? Will its lessons again be forgotten before the next pandemic?

2. Who is Richard Hatchett? Do you think many people in health care possess the souls of poets?

3. What did Hatchett not know about "social distance"? Is that the best term for what it purports to describe?

4. What did Carter Mecher "notice" about most medical students? Would you expect a higher percentage of those who choose a medical career to be calm and collected in a health emergency than the general population, or better at learning from their mistakes?

5. What did Mecher think was a good way to reduce medical error?

6. What was the gist of Mecher's Lessons Learned report to the VA?


Clinical Ethics (Basics 4); Premonition 4

Basics

1. (T/F) Dignity, respect, and confidentiality are among the aspects of the clinical relationship which emphasize the importance of trust. 

2. What (according to most recognized oaths and conventions) must always be the deciding factor guiding professional decisions? 

3. The idea that the doctor always knows best is called what? 

4. Is a diagnosis of mental illness grounds for establishing a patient's lack of capacity to render competent consent to treatment? 

5. What general principle allows breach of confidentiality? 

6. What term expresses the central ethical concern about "designer babies"? What poet implicitly expressed it?

7. Why have organizations like the WHO opposed any form of organ trading?

8. Besides the Kantian objection, what other major ethical issue currently affects regenerative medicine?

9. What does palliative medicine help recover?

10. What would most of us consider an unwelcome consequence of not retaining the acts/omissions distinction with respect to our response to famine (for example)?

Premonition

1. What's the "real waste" in government?

2. What misdirected pandemic narrative did Bob Glass think Homeland Security got "wrapped up" in?

3. What hit Richard Hatchett light a lightning bolt or thunderclap?

4. What was the biggest difference between Expert and computer models of disease?

5. What in Rajeev's mind made Hatchett a "philosopher type"?

6. There's no better system for transmitting disease than what?

7. Who is least capable of original thought?

8. Why was the 1918 St. Louis death rate half of Philadelphia's?

9. What was the moment when the CDC accepted social distancing as a viable tool in a pandemic?


Research (Basics 5); Premonition 5

1. Name one of the basic requirements agreed upon by all codes devised to protect individuals from malicious research.

2. What decree states that consent must be gained in all experimentation with human beings?

3. Name one of four areas of research discussed in the book.

4. Which famous contemporary ethicist is a sharp critic of speciesism?

5. Name one of four R's used in international legislation pertaining to animal rights in research?

6. Dilemmas in epidemiological research illiustrate what general point?

7. What did Hwang Woo-suk do?

8. What is the term for altering the numbers in a calculation to make the hypothesis more convincing, with no justification form the research findings for such members?

9. What categories of human enhancement does Campbell enumerate, and what does he identify as its "extreme end"?

10. What is the "10/90 Gap"?

Premonition
1. Watching "smart" people leave the White House, what did Carter learn about governmental inefficiency?

2. What happened when President Obama visited Mexico, prompting his meeting with Carter?

3. Why did Richard keep a detailed journal in the White House?

4. What was this book's eponymous "premonition"?

5. What Presidential decision "worked out" but was nonetheless wrong, in Richard's view?

6. What strange childhood experience altered Carter's thinking about pandemic preparednes?

7. Despite her academic adviser's suggestion that she drop science, Charity Dean fell in love with microbiology and learned what?

8. The U.S really doesn't have what, according to Charity?


Justice (Basics 6); Premonition 6

    1. What are the two major spheres of justice discussed by Campbell? 
    2. (T/F) Vaccination/immunization and restricted mobility are two of the measures used by preventive medicine to counter the spread of disease. 
    3. Another name for the micro-allocation of health care, concerned with prioritizing access to given treatments, is what? (HINT: This was hotly debated and widely misrepresented ("death panels" etc.) in the early months of the Obama administration.)   
    4. What "perverse incentive" to health care practitioners and institutions do reimbursement systems foster, as illustrated by excessive use of MRIs?
    5. What is the inverse care law?   
    6. What is meant by the term "heartsink patients"?
    7. How are Quality Adjusted Life Years (QALYs) supposed to address and solve the problem of who should receive (for instance) a transplant?   
    8. Who propounded a theory of justice that invokes a "veil of ignorance," and what are its two fundamental principles?   
      9. Under what accounts of health might we describe a sick or dying person as healthy?
    10. Name two of the "capabilities" Martha Nussbaum proposes as necessary to ensure respect for human dignity?

    ==

    Premonition

    1. What grant to Joe DeRisi led to his "Red Phone"?

    2. The new coronavirus Joe's lab identified in 2003 caused what syndrome?

    3. Joe went "down the rabbit hole" to talk to who?

    4. Joe said analyzing genetic sequences with the Virochip was like trying to find what?

    5. What is the dark matter of genomic sequencing?

    6. How does Joe think science is misunderstood?

    7. How was the DeRisi lab like Willy Wonka?

    8. What's an example of "screwed up incentives" inside the medical-industrial complex?

    9. What is the Chan Zuckerberg Biohub's "preposterous goal"?


Beyond Bioethics Foreword, Introduction, 1; Premonition 7

1. Concern for individual autonomy and personal sovereignty can obscure what other issue?

2. Why should we expand our notion of bioethics to biopolitics?

3. What popular sentiment on human reproductive cloning did Planned Parenthood not adopt, "fortunately"?

4. As the field of Bioethics evolved, to what approach did it stake a claim?

5. Name two of the distinctive concerns of the "new biopolitics" marking its difference from mainstream bioethics.

6. What "strand in the identification of the undeserving poor" is enjoying a revival?

7. Who was the Social Darwinists' leading spokesperson, and what did conservatives oppose in his name?

8. To whom did German eugenicists say they owed a debt?

9. Who said "low intelligence is a stronger precursor of poverty than low socioeconomic background"?

10. What assumption, according to a cited philosopher, encourages people to treat differences as pathologies?


Premonition

1. What's CEPI, who ran it, and who funded it?

2. What tacit rule did the Drumpf White House inherit from the Reagan administration?

3. What large gathering did the Chinese government allow in January 2020, after what WHO announcement?

4. Redneck epidemiology is academically ____.

5. What was shocking about the rate of viral reproduction of the novel coronavirus, compared to 1918?

6. What was Carter's favorite metaphor to convey people's inability to conceive exponential growth?

7. What could James Lawler not quite believe about the repatriation of Americans from Wuhan?

8. What was Carter's idea for a fishing expedition?

9. Who did Duane Caneva tell the Wolverines about on Feb 6, 2020?


Beyond 2-3; Premonition 8 Midterm report presentations begin (2 presentations per class beginning FEB 15, on the general theme of public health/pandemic etc.)... 

Premonition

1. What was sometimes as persuasive to Charity as data? Do you share her attitude, have you had a similar experience? Do you think health care providers and public health officers should?

2. Who sent Charity to the border, and why? Should the administration have been held accountable for its immigration policy?

3. What was "the money question"? 

4. Why wasn't Charity promoted to top CA public health officer? Is it unethical for politicians to appoint important officials on the basis of considerations other than credentials and competence? How can they be prevented from doing so?

5. What was Charity really doing at her whiteboard?

6. Why did her boss ban her from using the word pandemic

7. Why did Charity think she'd end up in the White House?

8. What did she like to say about leadership?

Beyond 2-3

1. What kind of "motherhood" did Indiana officially promote in the '20s and '30s?

2. What was every child's right, in Indiana?

3. What dismaying transfer of power did Ada Schweitzer inadvertently facilitate?

4. What led to the "exponential" expansion of the Infant and Child Hygiene division?

5. What did Schweitzer call the Better Baby Contest at the fair?

6. Half of what occurred in California before WWII?

7. What role was played by corporate philanthropies and academics in the promotion of eugenics?

8. What happened in Lincoln, IL?

9. What was Hitler's "bible"?

10. How did California eugenicists re-brand themselves after the war?


Beyond 4-6; Premonition 9 [As noted at class's end today, we'll "filter" for exam purposes: even-numbered questions on the exam. And going forward I'll pose fewer textual questions. Also, questions pertaining to the presentations related to the presenters' discussion questions are eligible for inclusion on the exam.]

1. German lawyers meeting in Berlin in 1934 debated bringing what from the statutes of thirty U.S. states to the Third Reich?

2. Hitler thought the U.S. had made progress toward the creation of what kind of society?

3. What is the real problem of disability?

4. What concept did Quetelet derive from the astronomical "law of error"?

5. Galton's work led directly to what?

6. What state's "fitter families" contest declared that "a sound mind in a sound body is the most priceless of human possessions"?

7. "The Galton Institute" was originally called what?

8. Many scientists continued to believe in what core tenet of eugenics even after the atrocities of WWII?

9. What did Robert Edwards say he learned from the development of IVF?

10. What connects old-school eugenics with more recent "market" versions?

Premonition
1. What happened a week after Charity "railed about the idiocy" of CDC rules?

2. What would have happened if the first infected passenger on the Diamond Princess had flown to the U.S. and then home?

3. What mental model did Carter have wrong?

4. What CDC guidance regarding social gatherings defied common sense? Was it a good thing for people to not know what was about to happen, in early March 2020?

5. Why did Charity ignore her boss's order about emails?

6. What had Japanese public health authorities figured out about contact tracing?

7. What was Charity's interpretation of Nancy Messonier's public statement?

8. What's the simple truth about herd immunity?

9. What's an L6?

10. What did Charity insist was the single most important part of her COVID response plan?


Beyond 7-8; Premonition 10. PRESENTATIONS: 1. Claire, The ethics of vaccine mandates; 2. Kirolos, The ethics of eugenics and reproductive technologies... 


Premonition
1. What did Joe DeRisi tell the governor about his lists?

2. Why were local public health officers so slow to accept Biohub's offer of free testing?

3. What were the big takeaways from the test results?

4. In February '21 the US was doing less of what than any other industrialized country?


Beyond 9-12; Premonition 11/epilogue. PRESENTATIONS: 1. Julianna, “Ethical Care of Underserved Patients"; 2. Pierce, HIV pandemic


Premonition
1. What was the CDC's greatest trick?

2. Who makes the hard decisions in public health?

3. What's so embarrassing to Carter about the US pandemic response?

4. From the point of view of American culture, what's the trouble with disease prevention?


Beyond
1. Some researchers see sex selection leading to what?

2. What does Catherine Myser mean by "whiteness"?

3. Decentering whiteness would enable bioethics to do what?

4. What obvious bioethical significance in Freddie Gray's death was generally ignored by the bioethical community?

5. Who "invented" Bob Dole?


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