1. Facts- Ethical issue- attempting to provide a vaccine that is attainable for everyone money wise but potentially putting them at risk of the disease spreading if a costly safety feature is not added. 
    1. Low-Cost syringe without a safety device
    2. Significantly higher/more unaffordable cost when adding the single-use feature
    3. Significantly greater risk of the spread of the disease without the single-use feature
    4. The location is a middle class/ developing state
  2. Stakeholders
    1. Hospitals
    2. Doctors/nurses
    3. Patients/users
    4. Medical centers
    5. Designers
    6. Pharmaceutical companies 
  3. Interest of stakeholders
    1. Hospitals admin
      1. Trying to help as many people as possible within the budget
      2. Reputation, 
      3. Bring in Profits
    2. Doctors/ Nurses
      1. Trying to help as many patients as possible
    3. Designer
      1. Making sure our design is safe, accessible, helpful
    4. Patient
      1. Easily accessible
      2. Easy to use
    5. Doctors/nurses
      1. Do no harm
      2. Help as many as possible
  4. Alternate solutions
    1. Forego the safety feature and use the saved capital to pay for user-focused education. Show the proper techniques and practices to minimize the probability of spreading a disease
      1. Ethical Principle: If the syringe is too expensive, they won’t get to the individuals who need them most
        1. Pros: Less expensive, more available
        2. Cons: Risk of using inappropriately increased; risk of infection
    2. Offer an incentive to users to return syringe after a single use for a cheaper replacement
      1. Ethical Principle: People who need the product can afford it
        1. M: cuts down on medical waste, encourages recycling/ safe handling of medical waste
        2. Cons: Risk of using inappropriately increased; risk of infection
    3. Pair the single-use syringe with medication and allow users to return the syringe for a refill of the medication (single-use EpiPen return for a refill of the med)
      1. Ethical Principle: Eliminate the risk of inappropriate use
        1. Pros: no risk of spreading infection for misuse of the syringe
        2. Cons: largely dependent upon the relationship with drug companies need for a method of returning
  5. Seek additional assistance
    1. What incentives do doctors/hospitals/medical facilities have for collecting “sharps” already?
    2. How well does recycling work for other things (paper, plastic, etc)?
    3. Single-Use syringes are still new so not having them wouldn’t go against industry standards
  6. Best Choice
    1. I strongly believe that not including the safety feature and allocating the saved money to training education would be the best viable option. This decision creates benefits for the entire spectrum of stakeholders. For instance, it solves the ethical issue of people not being able to receive medication because they can not afford it. Additionally, the hospitals will not have to worry about the affordability of the syringes. Then, if this plan follows through with no spread of infection, it will produce a positive story and image that will aid the designer/brand, the hospital, doctors, and the pharmaceutical companies. The only shortcoming with the solution is the possibility of product misuse that could potentially spread the infection. However, by providing education and training the probability decreases. This method is superior to our other alternate solutions because there are no drastic differences that could cause more issues. For instance, transforming the vaccine into an ingestible aerosol can or creating a return system. These methods provide solutions but are easily detested as viable answers they have no history. In contrast, the use of syringes without the safety feature is commonly used and is the standard.
  7. Although pursuing this method may not produce groundbreaking innovation in the fields of science and technology, it is providing a solution that checks all the boxes. In the end, this method will save more lives or at least give the opportunity, unlike the other solutions. The most groundbreaking attribute is how it will save many lives using a widely used method.

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