Raghunath vs Satyadas

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    A Case Presentation on Ethical Dilemmas

    BY1. Ritesh Ranjan

    2. Amit Kumar

    3. Rajnish

    4. Nadeem Tahir

    5. Davesh Somaya

    6. Parikshit Bhujbal

    7. Tukaram8. Hitesh Patharawe

    9. Ajit Nalawade

    10.Neeraj Vasani

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    Definition..

    A situation in which an individual feels compelled to make achoice between two or more actions that he or she can

    reasonably and morally justify, or when evidence or an

    arguments are inconclusive, is called an ethical dilemma

    (Beauchamp&Childress,2001;McConnell,2002).One action must be chosen because performing both actions

    would be impossible.

    Ethical dilemmas, also known as a moral dilemmas, are

    situations in which there are two choices to be made,neither of which resolves the situation in an ethically

    acceptable fashion. In such cases, societal and personal

    ethical guidelines can provide no satisfactory outcome for

    the chooser

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    Salient Features of ethical dilemmas

    Uncertain outcomes

    Multiple choice and alternatives

    Mixed consequences Direct/Indirect involvement

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    Approaches of resolving ED

    Utilitarian Greatest benefits for largest number of

    people

    Universalism Rule based Good intentions always

    result in good outcomes ultimately Care based approach with those who are in official

    relationship

    Virtue Ethics

    While performing any action he/sheshould develop virtues

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    Methods to resolve ED...

    1. Define the problem and recognize the moral issues.

    2. Determine who will be affected by the decisions and

    your role

    3. Collect information on how the problem occurred

    4. Isolate illegal issues and separate right v/s wrong

    5. Make the tough choice -

    a) Truth v/s Loyalty

    b) Individual v/s community

    c) Short term v/s long term

    d) Justice v/s mercy

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    Methods to resolve ED

    Continued6 Approach:

    a) Care based-

    b) Rule based-

    c) End based-

    d) Virtue based-

    7 Find out if there are any other ways out

    8 Decide and act

    9 Review of the decision

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    Types of dilemmas

    Dilemmas of Beneficence-dilemma that involve

    deciding what is good as opposed to what its harmful.

    Dilemmas of autonomy- those that involve deciding

    what course of action maximize the patient's right of

    self determination.

    Dilemmas of justice- dilemmas that involve dividing

    limited health care resources fairly

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    Continued

    Dilemmas of fidelity- those that are involve honoringpromises

    Dilemmas of nonmaleficence- dilemmas that involve theavoidance of harm

    Dilemmas of confidentiality- those that involve respectingprivileged information

    Dilemmas of veracity- dilemmas that involve telling orconcealing the truth

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    The Case Raghunath v/s Satyadas..

    Story

    Raghunath, running a small shop in a small town, is

    contented with earning his frugal living. He is religious in outlook and compassionate towards

    others.

    One afternoon, when it is raining, an old man, poor

    vendor of herbs named Satyadas comes to his shop.

    He is running high temperature. Raghunath provides

    him food and shelter.

    In the morning, the visitor is again provided hospitality.

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    Continued..

    He then leaves for another destination leaving behind

    (may be inadvertently) a pouch containing six gold

    coins and a ring studded with gems.

    Raghunath waits for him for several months to returnand then on the persuasion of his wife Jamuna, he sells

    the contents of the pouch one by one, sets up a bigger

    shop and builds a comfortable house for himself to

    live in.

    He starts life with dignity in the society. One fine day,

    suddenly, Satyadas makes his appearance.

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    Continued.

    Raghunath is shocked. He is not as hospitable as

    before. On the contrary, he thinks as if a devil has

    turned up and wishes that he would leave at the

    earliest. As Satyadas is about to leave, conscientious

    Raghunath asks; "did you leave behind something

    here when you visited last time?" Satyadas says: "I

    don't know. But God knows everything.

    The story ends here leaving Raghunath with a deep

    sense of guilt and remorse. Where did he go wrong?

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    The Interpretation of the Story

    1. The sense of guilt on the part of Raghunath

    2. Satyadas, Raghunath, and Yamuna are all three

    purely imaginary characters created by the author toportray the three Conflicting aspects of a single

    mind: morality, guilt, and greed.

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    Underlying Theme..

    We have to believe in many things. All issues in life

    have two sides. Every idea has its opposite.

    We are supposed to choose. Clear choice is not

    always possible. It is not this 'or that. It is this 'and' that.

    Life is based on compromises.

    Our knowledge may assure us what is right and whatis wrong, but we can do only what we understand to

    be good based on a good compromise.

    We call it wisdom. All this is based on beliefs only.

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    The Ethical Dilemma for

    Raghunath The story sees the transformation of Raghunath from

    an honest humble man to a greedy dishonest man

    The main dilemma he faced was:

    The dilemma ofbeingof being responsible to

    Satyadas member of the larger society

    The dilemma ofbeing honestof respecting theproperty of Satyadas and guarding it until it was

    returned

    The dilemma ofaccepting his mistake when

    Satyadas returns