A woman undergoing IVF has conceived sextuplets (6 babies).

A woman undergoing IVF has conceived sextuplets (6 babies). The doctors are recommending selective reduction (killing 3 of the babies in utero) to improve the chances of the other babies’ survival. Resolve the issue using the 7 step decision model.

The Seven-Step Decision Model

I. Determine the facts by asking the following questions: What do we need to know? Who is involved in the situation? Where does the ethical situation take place? When does it occur?

II. Define the precise ethical issue. For example, is it a matter of fairness, justice, morality, or individual rights?

III. Identify the major principles, rules, and values. For example, is this a matter of integrity, quality, respect for others, or profit?

IV. Specify the alternatives. List the major alternative courses of action, including those that represent some form of compromise. This may be a choice between simply doing or not doing something.

V. Compare values and alternatives. Determine if there is one principle or value, or a combination of principles and values, that is so compelling that the proper alternative is clear.

VI. Assess the consequences. Identify short-term, long-term, positive, and negative consequences for the major alternatives. The short-term gain or loss is often overridden when long-term consequences are considered. This step often reveals an unanticipated result of major importance.

VII. Make a decision. The consequences are balanced against one’s primary principles or values. Always double-check your decision.