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Detoxicol
SDLS 2008
Medicine for the intoxicated
Subject: Bioethics Lecture Date: November 11,2005
Topic: The Principle of Cooperation Transcriber(s): Jaime Aherrera
Lecturer: Dr. Melchor Frias No. of pages: 2
INTRODUCTION
• Cooperation is usually a Principle applied among Medical Practitioners who are in Training
• Ex) Residents, Interns, Clerks, Etc
I. COPPERATION
• Any physical or moral Concurrence with a Principal Agent in a Sinful Deed
• “Cooperating in Sin”
• Principally assisting a Principal Agent
• By cooperating, it does not mean that it will give rise to Sin (the Principal Agent already has the Evil Intention)
• Ex) When we cooperate in Abortion
**IMPORTANT Notes:
o Cooperator = anyone who assists a Sinful Agent (assist in being involved in an activity itself, or just
providing certain assistance – example: by handing Instruments during Abortion)
o They make available means or information for the act to be done
o Ex) Providing the venue for Abortion, providing Transportation for the Abortion, etc
A. Formal Cooperation
o Obtained when one Externally concurs in the sinful deed of another, and at the same time externally
consents to it (Formal = Explicit)
o ALWAYS Sinful or Immoral (NEVER Allowed!)
o Ex) In Assisting in Abortion – we assist the principal agent, and we AGREE to it (in our minds, it is not a
sinful procedure) SINFUL
**IMPORTANT Note:
We cannot be FORCED to do a certain procedure we are against
If we agree with the procedure, then we are Formally Cooperating
Formal Cooperation = Assist + Approval
B. Material Cooperation
o When one Externally concurs in the Sinful Deed of another WITHOUT Internally Consenting to it
o It is Generally Illicit, since the evil of Sin should not be supported by any means, but on the contrary
Opposed and Suppressed
o Ex) If you are FORCED to do a procedure (under the threat of Death) – we Don’t Agree to the Procedure,
but we are Forced to do it (Involved Physically, you only assist, but you are Forced to do it)
**Some Examples:
• As clerks, we only hand Instruments to the Doctor performing an Abortion
• Providing the Operating Room for the Abortion to take place
2. Immediate Material Cooperation
When one concurs in the Sinful Deed or Evil Act itself
Almost Always Sinful or Immoral (but there are Exceptions)
The act is NOT Performed with real approval or consent (ex. done under the Threat of Death)
Ex) In a Bank Robbery, you are one of the Robbers & you took a share in the Stolen Money
❖ Material Cooperation is Permissible if TWO Conditions are verified (Principle of Double Effect)
1. The Act by which Cooperation is rendered may NOT be Sinful in Itself
Ex) The Clerk as an Observer – the Act of Observing is NOT Sinful in itself
2. There should be a Sufficient Cause for Granting an assistance which is to Serve an Evil Purpose
The resident who is the only one left in the Hospital to perform Tubal Ligation – if he Doesn’t
perform it, he will NOT Graduate
**IMPORTANT Note:
• To be Permissible, it must meet the Principle of Double Effect
• Good > Evil
❖ In Estimating the Sufficiency of the Reason for Material Cooperation, take into Consideration:
1. The Gravity of the Other’s Sin
Ex) Abortion is Worse than Ligation
A. Immediate Cooperation in Injuring Another’s Property because of Grave Fear = Permissible IF:
o One intends and is able to make reparations
o The Injustice will be committed also without his cooperation
o The damage done is SMALL
B. IMPORTANT Notes:
o If NONE of the Conditions is verified, one may cooperate Immediately only if he would otherwise suffer a
Very Grave Harm himself
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SDLS 2008
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