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The Ethical Conflict of Mandatory Contraception: Analyzing Autonomy, Beneficence, and Informed Consent in Public Health Policy

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The paper uses the proposed mandatory contraceptive policy to discuss the conflict between different ethical principles: Autonomy vs. Paternalism (Beneficence): Autonomy: The mandatory policy is a direct violation of the principle of autonomy, as it strips teenage girls of their right to accept or refuse medication and make decisions regarding their own bodies and treatment plans. Beneficence: The policy is argued under the principle of beneficence (acting in the patient's best interest), as the goal is to control teenage pregnancy, reduce school dropouts, and help girls focus on education. The paper notes that forcing contraception takes away self-determination, which is essential for ethical care. Informed Consent: The paper transitions to discussing informed consent as a fundamental requirement for upholding patient autonomy. Informed consent requires five key elements: voluntariness, capacity, disclosure, understanding, and authorization. A mandatory policy inherently violates the voluntariness requirement, as the patient is coerced into the procedure. The paper emphasizes that informed consent ensures the patient understands the nature, risks, and benefits of the procedure, and a mandatory policy bypasses this critical process.

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Principles of Healthcare Ethics



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Principles of Healthcare Ethics



Question 1:

Mandatory Underarm Pill for Teenage Girls

Teen pregnancies are one of the main problems that affect people in society, especially

young girls. In certain countries, the majority of young girls get pregnant before they reach

adulthood. The development in contraceptive technology allows such girls to prevent pregnancy

through the use of implanted underarm pills. The idea of mandatory implantation of teenage girls

with underarm pills seems like a good idea for controlling teenage pregnancy in country X to

help them focus on education and reduce the number of school dropouts. Contraceptive use is

one of the ways to prevent teenage pregnancies and can help in increasing the number of high

school graduates in this country (Edge & Groves, 2018). The problem with the mandatory use of

underarm pills comes with numerous challenges and ethical issues in the healthcare industry.

On one side, mandatory contraceptive use for teenage girls interferes with the principle of

autonomy and beneficence (Cheraghi et al., 2023). In this case, individuals in society have a

right to accept or refuse the use of certain medications (Ngacha & Ayah, 2022). It is in the best

interest of patients, also known as beneficence, and gives people the power to make decisions

regarding their treatment plans. Forcing teenage girls to use birth control implants takes away

their autonomy and self-determination.

On the other hand, birth control implants come with numerous are associated with

numerous health risks that are likely to expose future generations of girls to health risks.

Research indicates that the use of birth control implants is associated with an increased risk of

breast cancer (Höglund & Larsson, 2019). In addition, birth control implants result in severe

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