An ethical dilemma, which the doctor and the parents have to navigate in this case, is the extent to which one can go to use one life in saving another. If both parties use Joshua’s sister, there will be a question of morality, and they will violate the principle of utilitarian (The Center for Practical Bioethics, n.d). On the other hand, if they fail to use the sister, Joshua might die, and they will violate the ethical principles of beneficence and double effect. The utilitarian principle requires one to maximise the happiness of another. The sisters’ happiness will be affected because of being delivered with an unappealing motive. The ethic of beneficence requires a person to do good to others while that of double effect allows one to cause harm in one life as a side effect to save another. Immanuel Kant, under the ethic beneficence questions such extents of the action of the oncologist and the parents to use Joshua’s sister in saving a life (Kahane, 2015).

There is the question of what the parents will tell the sister as the cause of her birth and the question of Joshua’s survival after the assistance because they are going against a person’s right to choose one thing and not the other (Kahane, 2015). Parents have the right to determine the best thing for their babies. Also, doctors can choose the best action to a patient provided it is within the ethics.  Both should go on with the move and later disclose the exact case to the daughter. Further, by disclosure, it will reveal honesty to prevent affecting the esteem of Joshua’s sister. Also, there is no much risk in delivering and using the sister compared to leaving Joshua to die. The doctor should go on to prolong Joshua’s life because the means is not much harmful (Richards, & Bourgeois, 2014). However, they should nature the sister in a manner that shows love and value from the service given to the brother. Human beings are sympathetic following the principle of beneficence, and therefore, the daughter will not feel bad after discovering that she was used to save the life of a brother.

References

Richards, I., & Bourgeois, M. (2014). Principles and practice of toxicology in public health (2nd ed., pp. 1-497). 5 Wall St – Burlington: Jones & Bartlett Learning.

The Center for Practical Bioethics. (n.d). Case Studies – A Sister for Joshua. Retrieved from https://practicalbioethics.org/case-studies-a-sister-for-joshua

Kahane, G. (2015). Sidetracked by trolleys: Why sacrificial moral dilemmas tell us little (or nothing) about utilitarian judgment. Social neuroscience, 10(5), 551-560.

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