Values in Medical Ethics
A common framework used in the analysis of medical ethics is the "four principles" approach postulated by Tom Beauchamp and James Childress in their textbook Principles of biomedical ethics. It recognizes four basic moral principles, which are to be judged and weighed against each other, with attention given to the scope of their application. The four principles are:
- Respect for autonomy - the patient has the right to refuse or choose their treatment. (Voluntas aegroti suprema lex.)
- Beneficence - a practitioner should act in the best interest of the patient. (Salus aegroti suprema lex.)
- Non-maleficence - "first, do no harm" (primum non nocere).
- Justice - concerns the distribution of scarce health resources, and the decision of who gets what treatment (fairness and equality).
Other values which are sometimes discussed include:
- Respect for persons - the patient (and the person treating the patient) have the right to be treated with dignity.
- Truthfulness and honesty - the concept of informed consent has increased in importance since the historical events of the Doctors' Trial of the Nuremberg trials and Tuskegee syphilis experiment.
Values such as these do not give answers as to how to handle a particular situation, but provide a useful framework for understanding conflicts.
When moral values are in conflict, the result may be an ethical dilemma or crisis. Sometimes, no good solution to a dilemma in medical ethics exists, and occasionally, the values of the medical community (i.e., the hospital and its staff) conflict with the values of the individual patient, family, or larger non-medical community. Conflicts can also arise between health care providers, or among family members. Some argue for example, that the principles of autonomy and beneficence clash when patients refuse blood transfusions, considering them life-saving; and truth-telling was not emphasized to a large extent before the HIV era.
Read more about this topic: Medical Ethics
Famous quotes containing the words values, medical and/or ethics:
“[University students] hated the hypocrisy of adult society, the rigidity of its political institutions, the impersonality of its bureaucracies. They sought to create a society that places human values before materialistic ones, that has a little less head and a little more heart, that is dominated by self-interest and loves its neighbor more. And they were persuaded that group protest of a militant nature would advance those goals.”
—Muriel Beadle (b. 1915)
“Unusual precocity in children, is usually the result of an unhealthy state of the brain; and, in such cases, medical men would now direct, that the wonderful child should be deprived of all books and study, and turned to play or work in the fresh air.”
—Catherine E. Beecher (1800–1878)
“The vanity of the sciences. Physical science will not console me for the ignorance of morality in the time of affliction. But the science of ethics will always console me for the ignorance of the physical sciences.”
—Blaise Pascal (1623–1662)