PHI 2396 : Two Distinct Ways of Valuing Autonomy-bioethics.doc

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To see autonomy as an ideal entails that it must be promoted. The way the contractual model does this is by emphasizing legitimate patient-physician interaction cannot happen without an explicit event in which the patient exercises control over medical decision-making. that. On this view, it is never legitimate for an autonomous person to give up control over medical care. We see this in the negotiation model from childress and. To treat autonomy as a limit, we need not seek explicit events in which autonomy is explicitly exercised. Instead, the physician can act in any way consistent with the possibility of the patient taking autonomous control over his/her medical care. On this view, it can be consistent with respecting autonomy, and therefore legitimate, for an autonomous patient to give up control of medical care. The contractual model focuses on autonomous choice or decision. Autonomy is not respected unless the patient makes autonomous decisions about medical care.

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