PHI 2396 Chapter Notes - Chapter 4: Belmont Report, Political Ethics, Primum Non Nocere

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Doctor (normally male when bioethics was created) can act as he feels is i(cid:374) the patie(cid:374)t"s (cid:271)est i(cid:374)terest. More focus on outcomes and care than their preferences and rights. Hippo(cid:272)rati(cid:272) oath: do(cid:272)tors (cid:448)o(cid:449) to help (cid:862)for the (cid:271)e(cid:374)efit of the si(cid:272)k(cid:863) usi(cid:374)g their (cid:862)ability and judg(cid:373)e(cid:374)t(cid:863). Physician power became an issue; ideal doctor was one who valued the patients requests too (patient-doctor relationship) With this, so(cid:373)e thought that the (cid:272)hoi(cid:272)e (cid:449)as (cid:373)ore the patie(cid:374)t"s tha(cid:374) the doctors. Belmont report: objective ethic, defined patient rights, neglected needs (belmont principles) Now we have patient autonomy, where they can choose their medical treatment. 3 principles: respect for persons, beneficence and justice. 2 responsibilities: 1) honored primary and overriding duty of physicians to patients 2) the states responsibility to protect its members. Patient= anyone with a medical condition for which they have sought out treatment/care. Those treating patients were not just physicians but also researchers and those in charge of the health system.

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