Paternalism discussion
Paternalism is a very controversial topic that has such persuasive pros and cons that most arguments about the topic tend to end without a definitive winner. Paternalism by definition is the overriding of ones autonomy for their own good. For a person to be completely autonomous they must be able to make decisions on their own without pressure from others and without any violation of their free will. This idea of paternalism comes up very often in the medical field, which has led to many controversial cases where doctors exercised or did not exercise medical paternalism. In my opinion I side with Goldman who believes that medical paternalism is more often than not unjustified, unless faced with an exceptional situation. One of Goldman’s strongest arguments in my opinion is that most people tend to not value mere existence in this world, many people on earth cherish purpose and a quality life over simple existence. In plainest terms this simply means many people if put in a position to live on life support in a coma or to die, would choose to die because a life on life support in a coma is not one filled with purpose or enjoyment. With this in mind I do not believe it is within a doctors rights to override a patients decisions because the doctor believes it is what is best because the doctor is most likely unaware of what the patient values most in their life and it very well may not be their existence, it may be their religion or their enjoyment of their life. Also I believe that as humans one of our greatest privileges is free will and the ability to make conscious decisions for ourselves, and medical paternalism in many cases violates that ability and in my opinion that is wrong, even if it is for the patient’s own good. I believe that as long as a patient is fully aware of the consequences and they are of sound and independent mind, they should have full control over their life. All in all I believe that medical paternalism as a whole is morally impermissible, I do believe there are exceptions but those rare circumstances are few and far between and as a whole the idea of medical paternalism is morally impermissible because it violates the basic human right of autonomy.
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