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FE - Rec4 & 5 (What can ethnography or cultural analysis add to…

- - - - social contruction / culture of transplant
      - imperative of science is greater than any other institution
    - - Culture of transplant medicine: scientific imperative advance
      - Clinical imperative: a life at all costs
    - - Not care about preventive healthcare needs, general nutrition
- - - - what's the point of informed consent when there's unequal market power
- - - - Less likely to receive care
      - Less likely to be compliant
      - Greater risk of experiencing medical errors
    - - Guides desire to get that right
      - However has its cost
  - - - To do the most good for the most people
      - To offer the best possible care (for the community? for the individual?) with available medications and equipment
    - - Very utilitarian
      - Very case-based
      - Put a boundary around what we are about to consider
      - Challenge us in anthropology (insistently global about the human race)
      - Are we willing to limit ourselves to the cases around us
      - Or are we ethically to do something greater
  - - - What do we do with the 4 principles approach, ethical guidelines?
      - Recognizing multiple obligations
    - - Elective medical care
        
        Brings us to what cultures think is elective?
      - To not do harm while also respecting justice, recognizing that there are limited resources
        
        Physicians obligated to think carefully what care should not be performed
- - - - We’ll go through linear time and orientation in the near future
      - Individual orientation: regardless of family obligation
    - - To what degree is informed consent valid?
        
        Devries&rott
        
        When the speaker has no other options