Instruction
In the limited time before you would begin surgery, you need to consider the cases; the technical issues involved also, and write a Memorandum for the Record to document what decision you made and what considerations you included in your process. This will be on the record, so it needs to be thorough in case it needs to justify your actions at a later date. You are the Lead Surgeon in a major hospital, and by virtue of your seniority you are also the key decision maker for transplant cases. Right now you have three people who are waiting and hoping for a suitable heart to become available. Your cell phone rings suddenly, and you are notified that a heart has become available-meaning that you need to make a quick yet sound decision about which patient will receive the heart and then schedule surgery for today. Jerry Male, 55 year old family man, mid-level manage; Lisa Female, 12 year old lifelong health issues; Ozzy Male, 38 year old homeless drug abuser; Dr. Doe Male, 35 year old Lisa's Dad, the oncologist. Your assignment is to make the decision using utilitarian ethics--as this week's classwork and discussions have brought you that skill--and then to write it up in the form of a Memorandum for the hospital records. Remember that this record could be reviewed by the Peer Review Committee or the Hospital Trustees at a later date. This is Utilitarian Week in our course. Employ what you have learned from J. S. Mill and Utilitarianism this week AND one other of our course's ethicists (of your choice) from earlier weeks. The Memorandum should be at least two double-spaced pages with a maximum of three pages, in memorandum form, ready to become an official item of record. You are called upon to make a painful medical decision and to explain it both orally and in writing. Who benefits from what you decided, who gets denied a needed benefit, and why? You will compose an official memorandum that will be kept for the record and could potentially be read not only by your Peer Review Committee, but also by those involved in charitable fundraising, which supports hospital development, as well as by others with financial interests in the decision.