What are the ethical considerations related to interoperability and a shared EHR?

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Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.

God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Ethical Considerations of Interoperability and Shared EHRs

Interoperability, the seamless exchange of healthcare information between different electronic health record (EHR) systems, offers immense potential to improve patient care. However, this technological advancement also raises complex ethical considerations:

1. Patient Privacy and Confidentiality:

  • Data Security: Ensuring the secure storage and transmission of sensitive patient data is paramount. Breaches of confidentiality can have devastating consequences for individuals.

  • Access Control: Strict controls are needed to ensure that only authorized individuals can access patient information. The “need to know” principle should guide data access, preventing unnecessary disclosure.

  • Data Minimization: Only essential patient data should be shared to minimize the risk of unauthorized access or misuse.

Ethical Considerations of Interoperability and Shared EHRs

Interoperability, the seamless exchange of healthcare information between different electronic health record (EHR) systems, offers immense potential to improve patient care. However, this technological advancement also raises complex ethical considerations:

1. Patient Privacy and Confidentiality:

  • Data Security: Ensuring the secure storage and transmission of sensitive patient data is paramount. Breaches of confidentiality can have devastating consequences for individuals.

  • Access Control: Strict controls are needed to ensure that only authorized individuals can access patient information. The “need to know” principle should guide data access, preventing unnecessary disclosure.

  • Data Minimization: Only essential patient data should be shared to minimize the risk of unauthorized access or misuse.

2. Patient Consent and Control:

  • Informed Consent: Patients must be informed about how their data will be used and shared, and they should have the right to opt-out or limit data sharing.

  • Data Ownership: Clarity is needed on who owns and controls patient data. Patients should have the right to access and modify their data.

  • Transparency: Healthcare providers and organizations should be transparent about how they are using patient data and how interoperability is implemented.

3. Equity and Access:

  • Digital Divide: Not all patients have access to technology, which can create disparities in access to healthcare services. Solutions are needed to ensure equitable access to interoperable systems.

  • Health Literacy: Patients should be educated about interoperability and how it impacts their care. Clear communication and support are crucial for understanding the implications.

  • Data Disparities: Interoperability needs to address potential biases in data collection and analysis, ensuring that all patient populations are fairly represented and their needs are adequately met.

4. Accountability and Oversight:

  • Data Governance: Clear regulations and policies are needed to govern data sharing, ensuring ethical and responsible use.

  • Auditing and Monitoring: Mechanisms are required to audit data usage, track access, and detect breaches.

  • Liability and Responsibility: Clear guidelines are needed for liability and responsibility when data breaches occur.

5. Research and Innovation:

  • Data Sharing for Research: Interoperability presents opportunities for data sharing for research, which could lead to new discoveries and improved treatments. However, this requires robust ethical safeguards and patient consent.

  • Transparency and Accountability: Research using patient data should be transparent, accountable, and ethically justified.

Conclusion:

Interoperability and shared EHRs hold tremendous promise for improving patient care and facilitating research. However, addressing the ethical considerations outlined above is crucial for responsible implementation. This includes ensuring patient privacy and consent, promoting equity and access, and establishing robust governance and oversight mechanisms. By prioritizing these ethical principles, we can harness the benefits of interoperability while safeguarding the rights and well-being of patients.

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