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The Impact of Social Elements on Clinical Bioethics Michael Cheng-tek Tai. Ph.D. Dean, College of Medical Humanities & Social Sciences Chungshan Medical University. Taichung. Taiwan 1 I. Introduction What did Little Chiu’s anecdote or SARS’ experience reveal to us ? Terrie Schiavo and Social Debate in US 2 II. Human and Social Factors effecting Decision-making 1. Human-- righteous or biased ? rational or irrational ? altruistic or egoistic ? pure or evil hearted ? 2. Society – moral or immoral ? solidaritary or individualistic ? organically functional or malfunctional ? 3. Should decision-making be subject to social factors ? Deontological approach Utilitarian approach 3 III. Ethos and the Formation of Ethics 1. Ethics derives from ethos 2. Ethos as fundamental spirit of a culture 3. What are our social ethos ? Proactive : filial piety ( micro and macro). Reactive : my wellbeing vs social wellbeing 4 IV. Morality and Society 1. Moral man in immoral society 2. Immoral man in moral society 3. The mutuality of moral man and moral society 4. Social phenomenon and social morality 5 V. Medical Ethics and Physicians 1. The ethics of physicians in a moral society 2. The ethics of physicians in immoral society 3. The spontaneous nature of medical ethics 6 IV. The Attempt to Instill the Ethical Manifestation 1. medical education 2. PGY 3. continuing education 7 VII. Different Theories 1. Functional Solidarity (organism) 2. Adverse Conflict ( class struggle) 3. Symbolic Interaction (freewill) 8 VIII. Conclusion 1. Spontaneity and Artificiality 2. Bioethics as an awareness. an attitude. an application and a self-cultivation. 9