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Record W4405313785 · doi:10.7202/1114969ar

The Moral Dissociation Curve, Blind Spots and Prescribing Death in Canada

2024· article· en· W4405313785 on OpenAlexvenueaboutno aff
Richard Sams

Bibliographic record

VenueCanadian Journal of Bioethics · 2024
Typearticle
Languageen
FieldHealth Professions
TopicEthics in medical practice
Canadian institutionsnot available
Fundersnot available
KeywordsDignityHealth careAutonomyLawNorm (philosophy)Medical lawPalliative careHippocratic OathDeath with dignityLegislationEnvironmental ethicsPsychologyMedicineSociologyPolitical scienceNursingPhilosophy

Abstract

fetched live from OpenAlex

Provider assisted death is becoming a leading cause of death in Canada since the passage of Medical Assistance in Dying (MAiD) legislation in 2016. What was to be exceptional has now become common; some are calling for it to be expected. Increasing numbers of patients with chronic, non-terminal conditions are being euthanized. Healthcare personnel are now approving and offering MAiD to vulnerable patients who are depressed, disabled, chronically ill or impoverished. This paper presents a rationale from a transcendent moral law perspective, traditionally called natural law, for why Canada now has the most liberal euthanasia regime in the world. The act of euthanasia requires the provider to willfully end the life of the patient by administering a lethal substance. This violates the transcendent moral law, do not kill. Once a culture willfully rejects this fundamental law and embraces a utilitarian ethic devoid of any principle except the notion of autonomy, it is inevitable that the practice will lead to ethical ambiguity and uncertainty. As the practice persists and becomes the norm, moral blindness develops which leads to gross abuses to human beings. I present an ethical diagram, the Moral Dissociation Curve, that depicts the reason for the trends unfolding in Canada. The Canadian healthcare system must re-affirm the principles of the Hippocratic Ethic and the inherent dignity of their patients. Those in healthcare need to prioritize high quality, compassionate, palliative care and say “no” to willfully ending the lives of suffering patients. In so doing, moral clarity will be re-gained, and society’s most vulnerable will be protected.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.010
metaresearch head score (Gemma)0.016
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Research integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.328
Threshold uncertainty score0.994

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0100.016
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.008
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.196
GPT teacher head0.457
Teacher spread0.261 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2024
Admission routes2
Has abstractyes

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