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SINGAPORE INTERNATIONAL SCHOOL SIS IB TOK Academic Year 2012-13 IB Theory of Knowledge Ethics as an Area of Knowledge, 2012 Grade 12 As we approach discussions of ethics it’s essential to have a common conceptual framework. This short lesson is designed to give you the key terms and concepts that we’ll need to explore ethical knowledge in the days to come. Ethics Terms & Concepts Ethics = the systematic study of right and wrong behavior, or the study of moral choices. Ethics has three branches: Meta ethics = concerned with the definition of ethical terms, the search for ethical truth. Normative ethics = concerned with how we “ought” to live, theories of correct behavior Applied ethics = how moral outcomes can be achieved in practical situations. In TOK we’ll be concerned with Normative and Applied ethics. Normative Ethics We will be concerned primarily with normative ethics – theories of what we “ought” to do, how we should determine a moral course of action. Here are four normative theories: Deontological Theories Focused on living up to obligations or following rules. Kant’s Categorical Imperative - “Act only according to that maxim whereby you can, at the same time, will that it should become a universal law."[1] Teleological / Consequentialist Theories Focused on morally desirable consequences or outcomes Utilitarianism - The proper course of action is one which maximizes the overall “happiness” Virtue Ethics Focused on the character of the person making the moral decision. - The proper course of action is that which is chosen by an ethically superior person. Pragmatic Ethics Focused on the social context of the decision. - The proper course of action is that which results when society is allowed to advance morally, in much the same way we advance scientifically. Page 1 of 11 Mr Marty Aymeric Grade 12 TOK SINGAPORE INTERNATIONAL SCHOOL SIS IB TOK Academic Year 2012-13 Applied Ethics In applied ethics the focus is on particular case studies, leading to many types of applied ethics: medical ethics, business ethics, organizational ethics and so on. As we examine cases in TOK I’ll expect that you can analyze each one by identifying the relevant facts and information presented, then by seeing the case from each of the normative perspectives presented above. Knowledge Issues How do we know what is morally correct? Is knowledge of morals like or unlike other areas of knowledge? These two knowledge issues will underlie what we do in TOK ethics. A Note on the Source for this document For more information on these topics I suggest using the Wikipedia articles on ethics, from which most of this material is taken. Page 2 of 11 Mr Marty Aymeric Grade 12 TOK SINGAPORE INTERNATIONAL SCHOOL SIS IB TOK Academic Year Name: Date: 2012-13 Period: IB Theory of Knowledge Ethics Case Study #1 Read the case study which appears below, using the column on the left for your comments or ideas. Afterwards write a short analysis of the issue, be sure to address the following: Which ethical theory(ies) are relevant to the article? Whose perspective seems most relevant? Why? Your Comments Jill has always had trouble focusing. In middle school and high school, she has struggled to maintain her attention on class, homework, and other academic responsibilities. If not for her own determination and the encouragement of her parents, she probably would have never gone to college as she does now. However, with midterms just around the corner, her inattentive tendencies are flaring worse than ever. And with poor grades after her first semester, she needs to do well on these tests to keep her GPA above her scholarship’s cutoff. Fortunately, a friend of hers, one familiar with Jill’s problems, has a prescription for Adderall and offers some to Jill so she can concentrate better during finals. Jill only plans to take the pills this one time considering summer is so near. She doesn’t think she’s getting an advantage because her peers can already focus better than she can. She really needs higher grades this semester to keep her scholarship. Is it all right if she takes some Adderall? Analysis: ………………………………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………. Page 3 of 11 Mr Marty Aymeric Grade 12 TOK SINGAPORE INTERNATIONAL SCHOOL SIS IB TOK Academic Year Name: Date: 2012-13 Period: IB Theory of Knowledge Ethics Case Study #2 Read the case study which appears below, using the column on the left for your comments or ideas. Afterwards write a short analysis of the issue, be sure to address the following: Which ethical theory(ies) are relevant to the article? Whose perspective seems most relevant? Why? Your Comments Jordan’s family never expected to be able to pay for their son to go to college, but because Jordan received a full ride scholarship to play football at a big university, he has now been given an opportunity his family never hoped for. However, because his scholarship only covers tuition—and Jordan doesn’t have the time between classes and practices to get a job—he often isn’t able to afford social outings with friends like tickets to the movies or dinner in the city. In fact, he can rarely afford flights home to see his family, too. Still, he enjoys his sociology major and is looking forward to a career as a teacher after college. Meanwhile, the university itself is making millions of dollars off of the ticket sales, concessions, and memorabilia that Jordan’s athletic talents have helped stimulate. In fact, the value of Jordan’s scholarship is probably just a tiny fraction of the value that he, as a star running back, generates among the university’s rabid fan base. Thus, is it really fair that he doesn’t receive some form of monetary compensation in addition to his scholarship? Analysis: ………………………………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………. Page 4 of 11 Mr Marty Aymeric Grade 12 TOK SINGAPORE INTERNATIONAL SCHOOL SIS IB TOK Academic Year Name: Date: 2012-13 Period: IB Theory of Knowledge Ethics Case Study #3 Source: Santa Clara University Read the case study which appears below, using the column on the left for your comments or ideas. Afterwards write a short analysis of the issue, be sure to address the following: Which ethical theory(ies) are relevant to the article? Whose perspective seems most relevant? Why? Your Comments Juliana was a good student in high school. She wasn't valedictorian, but she got mostly As and Bs. Her parents thought they had to sit on her to get her assignments done, but she thought they worried too much. After all, she did get into the college of her choice and was starting her freshman year at school. Juliana was looking forward to the independence of the college environment. There was only one hitch: her parents were insisting that she allow them to see her grades. Because she was 18, by law, she was an adult. But by her parents' law, she was either going to make her records accessible or they weren't going to pay for school. Was it right for them to invade her privacy like this? Analysis: ………………………………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………. Page 5 of 11 Mr Marty Aymeric Grade 12 TOK SINGAPORE INTERNATIONAL SCHOOL SIS IB TOK Academic Year Name: Date: 2012-13 Period: IB Theory of Knowledge Ethics Case Study #4 Read the case study which appears below, using the column on the left for your comments or ideas. Afterwards write a short analysis of the issue, be sure to address the following: Which ethical theory(ies) are relevant to the article? Whose perspective seems most relevant? Why? Your Comments The Case of Madisyn Whitfield: Chronic Illness and the Uninsured By Anna Kozas Madisyn (Maddy) Whitfield, 25, has been a graduate student at a prestigious state school on the West Coast, studying for her master's degree in Health Psychology. She has attended school part-time because she must also work and allow enough time for all the hours of fieldwork mandated by her program. Due to a chronic health condition, Maddy must be cautious about not overworking or overstressing herself, another reason for not attending school full-time. As a junior in high school, Maddy was diagnosed with Crohn's disease, a chronic inflammatory disease of the gastrointestinal tract. While there is no cure for Crohn's, there are several medications and life style modifications that can keep the disease in remission the majority of the time. It is normal for patients to experience cycles of remission and relapse and to go through the periods of flare-up with relatively few severe consequences. Without proper care, however, patients are more likely to experience flare-ups. The more severe and the more frequent the flare-ups, the higher the chances that the patient will require surgery because of permanent damage to the intestinal tract. Until a few years ago, Maddy had only experienced a few minor flare-ups of her disease. She had taken control of her health from the time of her diagnosis and was able to keep herself relatively healthy by seeing her Crohn's specialist regularly, taking the necessary medications, eating healthily, and exercising frequently. Since graduating from college, however, Maddy's health has been declining. No longer covered under her father's PPO Page 6 of 11 Mr Marty Aymeric Grade 12 TOK SINGAPORE INTERNATIONAL SCHOOL SIS IB TOK Academic Year 2012-13 (preferred provider organization) health insurance, she stopped going for regular check-ups with her IBD (inflammatory bowel disease) doctor and could rarely afford the out-of-pocket expenses for medications. She had been able to continue her healthy eating habits and activity level while living at home, but since starting graduate school and moving away from home, that has not been the case. Time and money constraints do not allow Maddy to properly care for herself, and the stresses of school and her disease have contributed to her worsening flare-ups. In the past year she has been experiencing shorter and shorter periods of remission followed by longer periods of relapse. Unable to continue at the same pace, last month Maddy had to take a leave of absence from school, so that she could continue her job as a waitress and support herself. Last week, Maddy began to experience excruciating lower back pain, chills, fever, malaise, and fatigue. Maddy had suspected kidney stones as this was a periodic occurrence; she had developed kidney stones in the past and assumed that these would pass just as the others had. She resisted going to the doctor because of her lack of health insurance. While it is not unusual for patients with Crohn's disease to develop kidney stones, because of Maddy's severe flare-ups, her body was so dehydrated and malnourished that the stones couldn't pass and only grew larger. She had eventually come to the point of being unable to eat or drink anything. When her friends saw how rapidly she was declining they stepped in and brought her to the emergency room where routine blood and urine tests were done, and an abdominal x- ray was ordered. Based on her symptoms and health history, dehydration was suspected and nurses immediately started Maddy on IV fluids while they waited for all the test results to come in. Eventually, doctors determined that Maddy needed to be admitted. Not only was she dehydrated, but she was also severely malnourished. In addition, she had two very large kidney stones, which had caused an infection. Once she was admitted, nurses continued the IV fluids, started Maddy on IV antibiotics, and inserted an NG (nasogastric) feeding tube. Maddy spent five days in the hospital until doctors were convinced that she could keep enough food and fluid in her system to remain sufficiently nourished. It was no mystery to Maddy why this crisis happened; she knew as well as the doctors that she needed to start taking her Crohn's medications again. She was discharged with strict instructions to follow up with her Crohn's specialist within the next few days and to start Page 7 of 11 Mr Marty Aymeric Grade 12 TOK SINGAPORE INTERNATIONAL SCHOOL SIS IB TOK Academic Year 2012-13 treatment accordingly. The nurses at the hospital also set up a pre-op appointment for surgery to remove the kidney stones. Because of the size and location of the stones, and the infection, the stones must be removed by percutaneous nephrolithotomy. In this procedure, a surgeon would make a small incision in Maddy's back, insert a hollow tube into her kidney, and remove the stones through the tube. Doctors had wanted to do the surgery while she was in the hospital, but Maddy refused, knowing that she could not afford to pay for the surgery. While the procedure is relatively minor, it does require anesthesia and a hospital stay of two or three days. It also requires a catheter be inserted into the kidney to allow it to drain and heal. Without health insurance, Maddy knew that covering the costs would be impossible, and she chose to leave AMA (against medical advice) to take some time to figure out a plan and decide what options were available to her, if any. As she had already taken a leave of absence from school, given her current condition, Maddy decided to take some time off work and go home to stay with her family for a while. Although Maddy is close to her family, she has not told them about recent occurrences, and they have no idea that she spent several days in the hospital. Maddy's father recently lost his job, and her mom has only been able to find part-time work. They have been struggling for the past eight months to make ends meet, trying to raise their two other children on a part-time salary without any benefits. Maddy has been aware of the situation, and for that reason, has not wanted to bother her family with her situation. With nowhere else to turn, however, she now decides to go home to focus on recovering and figuring out what do from here. Analysis: ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… Page 8 of 11 Mr Marty Aymeric Grade 12 TOK SINGAPORE INTERNATIONAL SCHOOL SIS IB TOK Academic Year Name: Date: 2012-13 Period: IB Theory of Knowledge Ethics Case Study #5 Read the case study which appears below, using the column on the left for your comments or ideas. Afterwards write a short analysis of the issue, be sure to address the following: Which ethical theory(ies) are relevant to the article? Whose perspective seems most relevant? Why? Your Comments Breaking a Story-and a Relationship By Jessica Silliman Three years out of Santa Clara University, Sean McKenzie was a young reporter at a national newspaper. In the spring, he was assigned to investigate street agents in the Dominican Republic who recruited and trained young baseball players in the hopes of making big profits by "selling" them to major league teams in the U.S. His reporting uncovered the uncomfortable economic logic behind the agents' work-after training the young players, they hoped to make a profit off of them by selling each player to Major League teams. While working on the story, Sean met Carlos, a 20-year-old Dominican baseball player. As the story developed, Carlos became an important source because he knew, first-hand, how the street agents loaded young boys with powerful steroids (typically used for horses) to give them strength and power to impress the major league scouts. A description of this practice was essential to Sean's story because several young players died as a result of the steroid use. Carlos soon began expanding upon his own personal experience. While talking to Sean, he went into depth about how street agents worked and how his own street agent provided him with steroids, in addition to providing food for his wife and newborn child. Sean knew that this personal information-because it was so specific-could implicate Carlos and damage any chance for him Page 9 of 11 Mr Marty Aymeric Grade 12 TOK SINGAPORE INTERNATIONAL SCHOOL SIS IB TOK Academic Year 2012-13 to make it into the Major Leagues-and find a better life for his family. Sean also knew Carlos didn' t know the ramifications of what he was telling him. They had developed a close relationship while he worked on the story and the interviews had become conversational-Carlos and Sean were now friends. The comfort between them enabled Carlos to open up and not hesitate with what he was telling him. Sean worried about telling Carlos' story. By telling his story, Sean would be able to expose the flawed system of unscrupulous agents in the Dominican Republic. His story could, potentially, cause the system to change. No longer would these agents be able to take advantage of these young players- his story could encourage greater oversight on the part of the Major League Baseball organization. But revealing his story could also have implications for Carlos, his wife and their infant daughter: While Carlos was training as a player, his street agent was his sole provider of food and basic needs. Even if he used him as an anonymous source, Carlos would still lose the support of his street agent as the government cracked down. Revealing him could cause extreme hardship for Carlos' already struggling family. Analysis: ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… Mr Marty Aymeric Grade 12 TOK SINGAPORE INTERNATIONAL SCHOOL SIS IB TOK Academic Year 2012-13 Page 10 of 11 Mr Marty Aymeric Grade 12 TOK SINGAPORE INTERNATIONAL SCHOOL SIS IB TOK Academic Year 2012-13 TOK Ethics Final Dialogue The culmination of this unit is a short dialogue to be read to the class. In the dialogue you must choose a contemporary issue, write a dialogue in which 2 – 4 people discuss the issue from differing ethical perspectives, then perform / read the dialogue to the class. The dialogue should not exceed five minutes, and you should aim to show me that you understand more than just the basic orientation of each perspective you portray. Successful dialogues will also demonstrate that you know the strengths and weaknesses of each theory / perspective that you present. Dialogues may be read – there is no need to memorize. Page 11 of 11 Mr Marty Aymeric Grade 12 TOK