Bioethics

GENERAL BACKGOUND


Ethique ethics

Ethique (adj) ethical

Non déontologique unethical

Spécialiste de bioéthique bioethicist

Le serment d’Hippocrate the Hippocratic oath

Prêter serment take the oath

Blesser injure

Faire du tort wrong

Rester fidèle à son serment keep the oath

Un sujet de controverse a matter of controversy

Se trouver devant un problème face an issue

Soulever un dilemme raise a dilemma

Alimenter un débat fuel a debate

Un sujet difficile a tough issue

- délicat ticklish

- sensible emotional

directives guidelines

faire une loi write a law

mettre en application implement

légiférer legislate

dérives abuses

abus excesses

enfreindre la loi breach the law

condamnable punishable

Etre partisan favour

Excuser (fermer les yeux sur) condone

Faire un choix make a choice

Consentement éclairé informed consent

Avoir recours à resort to

En jeu at stake

Condamner condemn

Au cas par cas case by case

Un préjudice harm (moral)/ loss (financial)/ wrong

Un préjugé a prejudice

Abuser de take advantage of/ Abuse/misuse something





AVORTEMENT/ABORTION

Partisan du libre choix pro-choice

Opposant à l’avortement pro-life (a pro-lifer)

Interruption de grossesse termination of pregnancy

Grossesse non-désirée unwanted pregnancy

Attendre un enfant expect a child

Pillule abortive abortive pill

Traumatisme trauma

Fausse couche miscarriage



EUTHANASIE/EUTHANASIA

Euthanasie active/passive Passive/active euthanasia

Pratiquer l’euthanasie practise/ carry out euthanasia

Se suicider commit suicide

Mort médicalement assistée doctor-assisted suicide

Malade en phase terminale terminally-ill patients

Maladie incurable incurable disease

Etre en phase terminale be in final stage

Souffrance pain

Soins palliatifs palliative care

Accéder à la demande grant the request

Aider à se suicider aid a suicide

Abréger/prolonger la vie shorten/prolong life

Grande souffrance great suffering

Etre un poids be a burden

Hâter la mort hasten death

Assassiner murder

Aspirer à mourir yearn for death

Le droit à mourir dans la dignité right to die in dignity

Acharnement thérapeutique overtreat

Cocktail lithique lethal/death-inducing cocktail

Faire une injection give an injection

Sans souffrance painless

Etat végétatif vegetative state

Etre inconscient lie unconscious

En état de mort cérébrale brain dead

Maintenu en vie kept alive artificially

Assistance life-support machine/respirator

Arrêter withdraw

Alimentation food

Deuil grieving



CLONAGE/CLONING

Thérapeutique therapeutic

Reproductif reproductive

Utiliser une technique à mauvais escient misuse a technique

Eugénisme eugenism

Purification ethnique ethnic purification

Embryon humain human embryo

Défaut defect

Féconder fertilize

Fécondation fertilization

Essai attempt



DON D’ORGANES/ORGAN DONATION

Donneur donor

Receveur recipient

Manque shortage

Liste d’attente waiting list

Compatible matching/compatible

Faire don donate

L’offre et la demande demand and supply

Rare scarce

Rejet rejection

Greffe/r graft

Immuno-suppresseur immuno-suppressant

Traitement à vie life-long treatment



ERREUR MEDICALE/MALPRACTICE

Commettre une faute make an error

Poursuivre en justice sue

Un procès a trial

Personne mise en examen defendant

Procureur prosecutor

Plaignant litigant

Dommages damages

Etre tenu pour responsable de be held liable for



ADOPTION/ADOPTION

Célibataire single

Famille mono-parentale single-parent family

Beau-père step-father

Orphelin orphan

Orphelinat orphanage

Famille/foyer d’accueil foster family/home

Assitante sociale social worker

Abandonner abandon

Adopter adopt

Reconnaître acknowledge

La garde custody

Sexe gender

Figure maternelle mother figure

Fête des pères Father’s Day





CHIRURGIE ESTHETIQUE/PLASTIC SURGERY

Chirurgien surgeon

Liposucion liposuction

Rhinoplastie rhinoplasty/a nose-job

Augmentation/réduction mammaire breast augmentation/reduction

Lifting face-lift

Augmentation du pénis Penile/penis enlargement

Implants implants

Se faire opérer have surgery/be operated on

Opérer un patient operate on a patient

Complexes complexes

Se faire de l’argent make money

Anneau gastrique gastric ring

Coudre sew [səu], sewed, sewn

Chirurgie réparatrice Reconstructive surgery



PROSTITUTION/PROSTITUTION

Se prostituer prostitute oneself

Faire le tapin walk the street

Proxénète procurer

Un mac a pimp

Proxénétisme procuring

Un quartier chaud red-light district

Maison close brothel

Trafic trade in (women/children)

Privé/e de deprived of

Menacer threaten

Battu/e beaten

Mineur under-aged

Violer rape

Drogué/e drug-addict

Etre maître/sse de son corps own your own body

Fange mire [′maiə]

Estime de soi self-esteem

L’euthanasie/ Euthanasia

I. In pairs, give a brief definition of the following words :

1. euthanasia

2. murder

3. palliative care

4. hospice



II. In the class, find someone who…

1. has someone in their family who wanted to die ______________

2. has heard of a doctor who practices euthanasia _________________

3. has someone in their family who was euthanasized ________________

4. has already visited a hospice ___________________

5. has already accompanied a dying person ________________



III. In pairs, look at the following statements and decide if they support euthanasia or if they are against it. Label them Pro or Anti.



Statements Pro Anti


A doctor’s duty is to save life, not to take it


Doctors know the moral differences between helping people who beg to die and killing those who want to live


Doctors, patients, relatives might abuse the law and kill someone who does not want to die


Everyone has a basic right to choose how they want to die


Many people do not want to spend their last days suffering in an undignified way


Hospices make terminally ill patients very comfortable and relieve their pain


Life is sacred and no one has a right to take it


Some doctors already help patients to die illegally


Some patients who ask to die do not really want to die




IV. Read the following article and answer the questions:

Assisted suicide seduction

Wesley J. Smith

On April 29, 2002, the European Court of Human Rights in Strasbourg rejected the assisted-suicide petition of a paralyzed British woman who argued that not being able to die in "dignity" violated her human rights.

Does Britain violate the "right to life" guaranteed by the European Convention on Human Rights by outlawing assisted suicide? Does the law against assisted killing violate the convention's guarantee of privacy, freedom of conscience, prohibition on discrimination and the right not to be treated in an inhumane and degrading way?

Thankfully, the EU court answered each of these questions with a resounding and unanimous "no."

Diane Pretty was dying from motor neuron disease (often called Lou Gehrig's disease in the United States). Last year, she asked a British court to prevent British law enforcement from punishing her husband, Brian, if he helped her to commit suicide.

When the trial court refused to preempt the anti-assisted suicide law for her, Pretty appealed to the House of Lords. When the Lords ruled against her, she turned to the European Union, which has now ruled along the same lines as the U.S. Supreme Court has with respect to the U.S. Constitution that no fundamental right to assisted suicide exists under the developing EU legal system.

Pain control has advanced to the point that even the agony of bone cancer can be substantially alleviated. Depression, often a cause for suicide desire in terminally ill patients, also can be treated effectively, often reversing the desire to die.

Hospice care provides the opportunity for patients to pass in quiet dignity and comfort in their own beds, while receiving intense hands-on assistance from professionals and community volunteers. No one should be allowed to die in agony. Thankfully, assisted suicide is unnecessary to achieve that worthy goal.

Another factor often overlooked in the media is that refusing unwanted medical treatment is not the same as assisted suicide.

At about the time that Diane Pretty was losing her cases, "Miss B," another quadriplegic British woman, won the right in court to direct her doctors to turn off her respirator. She died soon thereafter.

The media labeled both cases "right to die," swallowing whole the favorite political slogan of the euthanasia movement. But Miss B did not win a right to die. She won the right to refuse medical treatment -- a right that has long been recognized in the United States.

Laws permitting patients to refuse unwanted medical treatment are moral and ethical in that they prevent patients from being forced to submit to unwanted bodily intrusions. This is not the same thing at all as euthanasia or assisted suicide.

In a treatment-refusal case, death comes from the underlying physical condition. In assisted suicide, death is caused artificially -- usually by poisoning. In a refusal of treatment case, the patient may not die. Indeed, the most famous of such patients, Karen Ann Quinlan, lived for nearly 10 years after her respirator was removed.

But in euthanasia and assisted suicide, poison invariably does its job—albeit sometimes with such disturbing side effects as vomiting, convulsions or extended coma.

The media seldom report that the slippery slope is real. When opponents of legalized assisted suicide worry about abuses, assisted suicide advocates invariably soothe the public's nerves by assuring that guidelines will protect against abuse.

The situation in the Netherlands, which has permitted decriminalized euthanasia since 1973 and formally legalizing killing by doctors this year, demonstrates the utter falsity of this assurance.

During the past 30 years, the Dutch have slid quickly down the slippery slope. Doctors have gone from killing terminally ill people who ask to be killed, to chronically ill persons who ask to be killed, to infants born with defects who by definition cannot ask to be killed.

Doctors also are permitted to assist the suicides of depressed people, thanks to a Dutch Supreme Court ruling involving a psychiatrist who assisted a woman's suicide because her two children had died. Several studies of the Dutch experience also prove that doctors kill approximately 1,000 people each year who have not asked to be euthanized. This practice is so common it has a name: termination without request or consent. Despite violating every guideline, it is rarely prosecuted and almost never punished.

Further demonstrating the seductive nature of killing as an answer to human suffering, the Dutch minister of health has now proposed that elderly people who are tired of life but who do not otherwise qualify for euthanasia be given access to suicide pills to take whenever they wish.

Perhaps most important, assisted suicide inevitably will be about money. Once fully established in the bedrock of medical practice, it would be less about "choice" than about profits in the health care system or cutting the costs of government-funded health care. (The drugs for an assisted suicide cost about $40.)

Legalizing physician-assisted suicide would return us to practices equivalent to those of ancient societies that exposed disabled infants on hills and left the elderly and infirm by the side of the road. Our sick and dying loved ones deserve better. We open the door to assisted suicide at our own peril.

1. Who is Diane Pretty?


2. What was she asking for?


3. What was the European Court of Human Rights’ decision?


4. Why did Miss B win her case? What was different?


5. Why are the Dutch “on the slippery slope”? Give examples.


6. What do you think about the situation there? Do you think it had to be that way?






V. Euthanasia should be made legal in France.


1. Write down the pros and cons of euthanasia. Write as many points as you can think of for both sides, even if you only support one side.



2. Imagine you are the medical ethics committee working for the French government. Your task is to make a list of guidelines under which voluntary euthanasia can be carried out properly and safely.