PHI 2396 Lecture Notes - Lecture 5: Paternalism, Common Good, Harm Principle

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The often lack of obvious first-goals means medicine is in practice an art. Prefered term by authors because it recognizes the power imbalance. Physicians take a disinterested, objective approach to the. Seems insufficient as it asks the physician to display no bias (nearly impossible) and denies the patient the highly valuable benefit of the physician"s professional opinion. Engineering may be a domain of facts but people are not things or facts but ends (kant). Physician assumes parental r le and patient generally does not question the treatment programme. Physicians may even deceive patients if it is believed to be in their (patients") best interest. Physicians cannot always know what patient"s best interest is. Treats patients as objects not subjects (kant) Physician-patient relationship is seen as a loose contract. Appears, in theory, to recognize the autonomy of each participant in the relationship and to based on equality. Lacks the art of judgment and compassion required for full care.

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