Cassandra C Case Ethical Dilemma

Improved Essays
The ethical dilemma I chose is the case of Cassandra C., a 17-year-old teenager who refused chemotherapy treatment to treat Hodgkin’s lymphoma. The problem that this case produces is a conflict between two ethical principles; respect for autonomy and beneficence. Respect for autonomy is respecting the individual’s rights to say no to a treatment if wanted to do so and beneficence is an ethical principle in which it directs doctors and physicians to strive to maximize the benefits and minimize the harms. When Cassandra declined further treatment, the doctors were confused on how to do their job and how to do it well. Cassandra is still legally a minor, which means that a parent has the right to decide on her behalf. What makes this case remarkable …show more content…
Cassandra was forced to have chemotherapy treatment. The medical side is saying that Cassandra should continue to have chemotherapy forced upon her because of the high chances of good health in the future while Cassandra’s lawyers say that she has the right to refuse treatment because she is mature and is old enough to make her own decisions. The courts are trying to find an answer to this question, “Newborns and young children cannot make such judgments for themselves, but what about a teen who will reach the age of majority within a year?” (Macklin, Ruth. "The Ethical Dilemma of Forced Chemotherapy on a Teen." The Huffington Post. TheHuffingtonPost.com, …show more content…
Ethical Egoism is the prescriptive theory that tells us in order to act moral, you should only act in your own self-interest. For whatever reason Cassandra has to reject the continuance of treatment, she was acting in her own self-interest. If Cassandra dies because of her actions, she will hurt many people, including her mother who stood up for Cassandra’s decision. But what Ethical Egoism states is that her actions were moral because Cassandra did refuse the treatment in her own self-interest. So regardless of how many people are crying at her funeral due to her actions, Cassandra’s actions were moral according to Ethical Egoism. Ayn Rand would agree with Cassandra’s actions because Ayn Rand believes that you should be thinking only about yourself and if you do so, everything will be fine. Utilitarianism is on the complete opposite side of the spectrum in this case. Utilitarianism says that an action is moral if it increases the happiness of the greatest number of people. Although, Cassandra and her mother might not be happy with the chemotherapy being forced upon her, many others will receive some happiness if Cassandra stays alive. Her mother would also be included in this number of people receiving happiness from Cassandra staying alive, and possibly, Cassandra might be thankful in the future for having her life saved. So, in the future and according to Utilitarianism, forcing chemotherapy on

Related Documents

  • Improved Essays

    Test Item #2: The definition of the word autonomy means to be self-determined or to have free will. Patients, who are competent and are of an appropriate age, all have the ability to be autonomous when it comes to making decisions about their healthcare.…

    • 843 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Pillow Angel Case Study

    • 870 Words
    • 4 Pages

    Although Beauchamp and Childress claim that the best standard through which a decision should be made is the pure autonomy standard because it takes under consideration the patient’s preferences prior to being incompetent (Beauchamp & Childress, 65), it simply just doesn’t apply in the case of Ashley because due to her condition, she has never been a competent individual. For that reason, Ashley’s parents’ decision to administer her with a high-dose of estrogen to remove her breast buds and uterus is based on the best interest standard because their sole purpose was to maintain their daughter in the least amount of “discomfort and boredom” possible. According to Beauchamp and Childress, a decision based on best interest is an inescapably criterion of quality of life for which judgments are meant to focus attention entirely on the value of the life for the person who must live it (Beauchamp & Childress,…

    • 870 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    But, if the patient has the right to choose to switch over to the new drug then Jennifer will be wrong in accepting the deal without asking for permission from the patients. Using Virtue Ethics, a right action is an action that a virtuous person,…

    • 269 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    Therefore, immoral actions are those that do not affect my well-being or fail to increase it all together. In order to better understand objections against ethical egoism, it is important to first discuss the arguments for ethical egoism. One of the arguments for ethical egoism is the self reliance argument. In summary, this argument states that if every person were to only care for themselves, people would be better off in general because everyone would be doing what is best for them (Shafer-Landau 108). To understand the argument better, if Susy has had a bad cold for over two weeks, she would go see her doctor, Dr. Smith.…

    • 1633 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Doctors are expected to give care to all their patients without judging their actions or private life. Similar to Antigone, I have been presented with a moral dilemma in which the options include saving the life of my best friend’s thirteen-year-old son, or saving the life of a woman that developed cirrhosis of the liver due to her abuse of alcohol and drugs. I have chosen to not alter the information that would place my friend’s son at the top of the transplant list, due to the responsibility and the oath I took, to care for every one of my patients. It would be dishonoring to only think of my friend and how the situation affects me personally, and not consider the woman’s family and how the sickness of their loved one affects them. Due to my selfishness, I would be punished by losing the ability to save more lives, and do what I…

    • 658 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    A conflict between a physician and patient on the course of treatment is a common topic that arises in bioethical conversation. This case explores the topic of paternalistic choices dealing with patient autonomy and when it is ethically reasonable for a physician to intervene and decide as to whether an individual is competent to make decisions about their own care. The patient in the case, Mr. Howe was asked to make a lifesaving medical decision while in duress and not fully understanding the procedure and the potential outcome if he refused. In this case I believe the physician made the correct decision to intubate Mr. Howe against his explicit instructions not to. The physician made a determination that the patient was not accurately expressing his wishes as if he was of sound mind.…

    • 834 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Cassandra, a cancer case previously mentioned, didn’t deny chemotherapy, she wanted the opportunity to look into alternative options and felt she was not given time. Despite her beliefs, she was forced to take treatment, a decision decided upon by the court. Cassandra was forced into Chemotherapy, a toxin sent to destroy cells in her body, against her will. This decision goes against the right to one’s own body, the right to make life decisions, the right to having personal beliefs respected, and the right to privacy.…

    • 1082 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    When Vivian was given the news of her illness, I do not believe that the process of informed consent was done well. I feel that it was done rather poorly. Vivian’s doctor fails to offer her any other routes of treatment – palliative or otherwise. Vivian is only told one option – a radical chemotherapy regimen that will be used for research purposes. Vivian was in a state of shock, unable to even process her diagnosis, and her doctor failed to recognize that.…

    • 427 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Before the trial of the medical emancipation Kate’s point of view was non-existent. It was easy to realize why that had occurred once Anna took the stand: “I was kind of convinced by someone... I’ve managed to keep from slipping away: regret. ‘Kate’”(Picoult 378). Kate had asked her to file the lawsuit because Kate was tired of being sicking and wanted to die. Anna kept Kate’s promise for Anna not to give her liver to Kate, even though of the consequences it was the morally right thing to do.…

    • 1111 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    In Rebecca Skloot’s book, The Immortal Life of Henrietta Lacks, the author reveals a real-life story about the life of Henrietta Lacks. Henrietta Lacks was an African American woman who was diagnosed with a fast-growing cervical cancer at a very young age. The cells retrieved from her cervical tumor, later termed “HeLa”, became the first immortal cell that could survive in the lab and replicate continuously without dying. These cells later became key components to the development of many groundbreaking inventions such as the polio vaccine and in vitro fertilization. The purpose of this paper is to examine the social covenant of nursing in relation to the ethical dilemmas.…

    • 1167 Words
    • 5 Pages
    Great Essays
  • Superior Essays

    3. Teleologically, the moral end is what is most important to determine. In this specific case, the moral end was ultimately the death of Debbie, to grant her the peace and rest from the illness. In this specific case, I would say that the moral end was ethical and that by granting Debbie the respectable death and the end of suffering.…

    • 1807 Words
    • 8 Pages
    Superior Essays
  • Decent Essays

    Cassandra Case Summary

    • 196 Words
    • 1 Pages

    This article is about a 17 years old girl in Connecticut named Cassandra who refused to continue receiving chemotherapy to treat her Hodgkin’s lymphoma. At 17 years old, she still legally minor and her parents or guardians have the legal authority to make healthcare decisions on her behalf. Cassandra mother in this case upheld her daughter decision to refuse treatment. The Connecticut Supreme Court in this case ruled against Cassandra and her mother decision to refuse treatment. The court decided that the chemotherapy treatment be provided to Cassandra against her will.…

    • 196 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    End-of-life healthcare decisions are one of the most challenging aspects of medical treatment. In end-of-life healthcare decisions, a decision frequently must be made between advanced medical intervention and allowing the patient to die peacefully. Although everyone involved in a patient’s treatment wants what is best for a patient, the situation can become a challenging ethical dilemma because what is best for a patient is often unclear. If extraordinary medical intervention is attempted and allows the patient to continue living a happy life, that is clearly an awesome outcome.…

    • 1158 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    In the last several years, the physician-patient relationship has shifted dramatically from a less Hippocratic based paternalistic approach, to that of a relationship centered on respect for patient autonomy; this new approach integrated informed consent and shared decision making. Autonomy remains a much debated, but central idea in both western medicine and medical ethics. Autonomy for our purposes in medical ethics, can be defined as the right of competent adults to make informed decisions about their medical care. The debate ultimately surrounds what role patient autonomy should play in medicine. Some believe that patients should be seen as fully autonomous persons, as they know better than anyone else what is good or bad for them.…

    • 1231 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Firstly, ethical egoism states that an individual should always act in their own best interest. Ethical egoism is based on the belief that people should act in a way that brings maximum benefits to the individual in making a decision. It also states that the behavior of the individual is to maximize their own self interest and effect on other people is of much less consequences. For instance, those government officials such as LTA officers receives bribe instead of charging the motorist for over speeding or drinking and driving just for their own benefits. They use the same money to buy the lunch or gifts for their family members.…

    • 2078 Words
    • 9 Pages
    Superior Essays

Related Topics