David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
Learn more about PhilPapers
Bioethics 25 (2):66-74 (2011)
Bioethics has a founding story in which medical paternalism, the interference with the autonomy of patients for their own clinical benefit, was an accepted ethical norm in the history of Western medical ethics and was widespread in clinical practice until bioethics changed the ethical norms and practice of medicine. In this paper I show that the founding story of bioethics misreads major texts in the history of Western medical ethics. I also show that a major source for empirical claims about the widespread practice of medical paternalism has been misread. I then show that that bioethics based on its founding story deprofessionalizes medical ethics. The result leaves the sick exposed to the predatory power of medical practitioners and healthcare organizations with only their autonomy-based rights to non-interference, expressed in contracts, to protect them. The sick are stripped of the protection afforded by a professional, fiduciary relationship of physicians to their patients. Bioethics based on its founding story reverts to the older model of a contractual relationship between the sick and medical practitioners not worthy of intellectual or moral trust (because such trust cannot be generated by what I call ‘deprofessionalizing bioethics’). On closer examination, bioethics based on its founding story, ironically, eliminates paternalism as a moral category in bioethics, thus causing bioethics to collapse on itself because it denies one of the necessary conditions for medical paternalism. Bioethics based on its founding story should be abandoned
|Keywords||social justice responsibility future past embedded social connection model bioethics|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Cletus T. Andoh (2013). Bioethics Education in Africa: Still Complex Challenges. Open Journal of Philosophy 3 (4):507.
Karen M. Meagher (2011). Considering Virtue: Public Health and Clinical Ethics. Journal of Evaluation in Clinical Practice 17 (5):888-893.
Laurence B. McCullough (2015). Medicine as a Profession: A Hypothetical Imperative in Clinical Ethics. Journal of Medicine and Philosophy 40 (1):1-7.
John R. Shook & James Giordano (2014). A Principled and Cosmopolitan Neuroethics: Considerations for International Relevance. Philosophy, Ethics, and Humanities in Medicine 9 (1):1.
Daniel Groll (2014). Medical Paternalism – Part 2. Philosophy Compass 9 (3):194-203.
Similar books and articles
Thomas Nys, Yvonne Denier & T. Vandevelde (eds.) (2007). Autonomy & Paternalism: Reflections on the Theory and Practice of Health Care. Peeters.
L. B. McCullough & Alan W. Cross (1985). Respect for Autonomy and Medical Paternalism Reconsidered. Theoretical Medicine and Bioethics 6 (3).
Laurence B. McCullough (2002). Philosophical Challenges in Teaching Bioethics: The Importance of Professional Medical Ethics and its History for Bioethics. Journal of Medicine and Philosophy 27 (4):395 – 402.
Laurence B. McCullough (1986). Methodological Concerns in Bioethics. Journal of Medicine and Philosophy 11 (1):17-37.
Lewis Vaughn (2010). Bioethics: Principles, Issues, and Cases. Oxford University Press.
R. S. Downie (2007). Bioethics and the Humanities: Attitudes and Perceptions. Routledge-Cavendish.
Theda Rehbock (2011). Limits of Autonomy in Biomedical Ethics? Conceptual Clarifications. Cambridge Quarterly of Healthcare Ethics 20 (04):524-532.
Darleen Douglas-Steele & Edward M. Hundert (1996). Accounting for Context: Future Directions in Bioethics Theory and Research. Theoretical Medicine and Bioethics 17 (2).
Rosamond Rhodes (2001). Understanding the Trusted Doctor and Constructing a Theory of Bioethics. Theoretical Medicine and Bioethics 22 (6):493-504.
Howard Brody (2009). The Future of Bioethics. Oxford University Press.
Renée C. Fox (2008). Observing Bioethics. Oxford University Press.
Ronald Michael Green, Aine Donovan & Steven A. Jauss (eds.) (2008). Global Bioethics: Issues of Conscience for the Twenty-First Century. Oxford University Press.
Added to index2010-12-23
Total downloads28 ( #148,017 of 1,934,534 )
Recent downloads (6 months)2 ( #269,381 of 1,934,534 )
How can I increase my downloads?