Tuesday, September 21, 2010

The Importance of Moral Development and Ethics Education

Nazi Germany, euthanasia, the destruction of fetuses, all in a single paragraph. There is no doubt that each one of these topics raises significant ethical or moral predicaments. An ethical dilemma basically forces us to choose between breaking an ethical (or perhaps social) norm, and negating an ethical or moral value.
According to Boss, “One purpose of ethics education is to help students make the transition to post conventional moral reasoning…to make effective moral decisions that they will not regret later.” One thing I find interesting about this statement (and post-conventional reasoning in general,) is there is little to no reference on the subject of continuing to grow both ethically and morally. For example, let’s say an individual has reached a stage of post-conventional reasoning and has made a decision as a doctor to euthanize a terminal patient who lives in unbearable pain. I could argue that at the time of his decision the doctor could be at complete ease with his choice, but who is to say that in five, ten, or twenty years that particular physician will not have a different moral outlook? (The same argument could be made for making the opposite decision to not euthanize the patient.) Is post-conventional wisdom (in regards to moral reasoning) the final straw in ethical development? Does advancing to this stage of moral reasoning in any way signify transcendence?
Later in the chapter Boss refers to a study in moral development by James Rest in which she states “People who are at the higher stages of moral development not only sympathize with those who are suffering, but take active steps to help alleviate that suffering.” This surfaces yet another problematic issue that I’m sure not only fuels the controversial euthanasia fire, but a myriad of other medical or psychological dilemmas as well. How do you alleviate suffering in terminal patients? How do you comfort those in chronic pain? Using the same scenario above, I have to ask what is morally just about allowing a human being to live a life of agony? What is morally unjust about ending a life of misery and allowing a fellow human being to die with dignity? I know some would prefer to use this junction to quote the Hippocratic Oath to substantiate the preservation of life however, it is my understanding that Hippocratic Oath it not necessarily a requirement or a governing document to the medical profession. I often make the point that if we continue to make decisions based on doctrine or customs that were put in place thousands of years ago, we as a species will eventually perish. I feel that opinion applies in this situation as well. Was that oath written by someone (I believe the actual author is unknown) who was able to foresee the numerous chronic illnesses and debilitating diseases that human beings are faced with today? If post-conventionalism is what it is, then why in 2010 would we subject ourselves to the moral philosophies and ethical guidelines of a doctrine that was written centuries ago?

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