Moral duties and euthanasia: why to kill is not necessarily the same as to let die.

Abstract:

:David Shaw's response to Hugh McLachlan's criticism of his proposed new perspective on euthanasia is ineffectual, mistaken and unfair. It is false to say that the latter does not present an argument to support his claim that there is a moral difference between killing and letting die. It is not the consequences alone of actions that constitute their moral worth. It can matter too what duties are breached or fulfilled by the particular moral agents who are involved.

journal_name

J Med Ethics

authors

McLachlan H

doi

10.1136/jme.2011.044966

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

766-7

issue

12

eissn

0306-6800

issn

1473-4257

pii

jme.2011.044966

journal_volume

37

pub_type

杂志文章
  • Ethically complex decisions in the neonatal intensive care unit: impact of the new French legislation on attitudes and practices of physicians and nurses.

    abstract:OBJECTIVES:A statute enacted in 2005 modified the legislative framework of the rights of terminally ill persons in France. Ten years after the EURONIC study, which described the self-reported practices of neonatal caregivers towards ethical decision-making, a new study was conducted to assess the impact of the new law ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2010.038356

    authors: Garel M,Caeymaex L,Goffinet F,Cuttini M,Kaminski M

    更新日期:2011-04-01 00:00:00

  • The BMA's guidance on conscientious objection may be contrary to human rights law.

    abstract::It is argued that the current policy of the British Medical Association (BMA) on conscientious objection is not aligned with recent human rights developments. These grant a right to conscientious objection to doctors in many more circumstances than the very few recognised by the BMA. However, this wide-ranging right m...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2015-103222

    authors: Adenitire JO

    更新日期:2017-04-01 00:00:00

  • Medical professionalism in the age of online social networking.

    abstract::The rapid emergence and exploding usage of online social networking forums, which are frequented by millions, present clinicians with new ethical and professional challenges. Particularly among a younger generation of physicians and patients, the use of online social networking forums has become widespread. In this ar...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2009.029231

    authors: Guseh JS 2nd,Brendel RW,Brendel DH

    更新日期:2009-09-01 00:00:00

  • Best interests and the sanctity of life after W v M.

    abstract::The case of W v M and Others, in which the court rejected an application to withdraw artificial nutrition and hydration from a woman in a minimally conscious state, raises a number of profoundly important medico-legal issues. This article questions whether the requirement to respect the autonomy of incompetent patient...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-100907

    authors: Mullock A

    更新日期:2013-09-01 00:00:00

  • Do private German health insurers invest their capital reserves of €353 billion according to environmental, social and governance criteria?

    abstract:BACKGROUND:To prevent the planet from catastrophic global warming a reduction of greenhouse gas emissions to net zero is required. Thus, divestment from fossil fuels must be a strategic interest for health insurers. The aim of this study was to analyse the implementation of environmental, social and governance (ESG) cr...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2020-106381

    authors: Schneider F,Gogolewska J,Ahrend KM,Hohendorf G,Schneider G,Busse R,Schulz CM

    更新日期:2020-10-13 00:00:00

  • Patients' ethical obligation for their health.

    abstract::In contemporary medical ethics health is rarely acknowledged to be an ethical obligation. This oversight is due to the preoccupation of most bioethicists with a rationalist, contract model for ethics in which moral obligation is limited to truth-telling and promise-keeping. Such an ethics is poorly suited to medicine ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.10.3.138

    authors: Sider RC,Clements CD

    更新日期:1984-09-01 00:00:00

  • Analogy in moral deliberation: the role of imagination and theory in ethics.

    abstract::This paper develops themes addressed in an article by Eric Wiland in the Journal of Medical Ethics 2000;26:466-8, where he aims to contribute to the debate concerning the moral status of abortion, and to emphasise the importance of analogies in moral argument. In the present paper I try to secure more firmly a novel u...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/jme.28.4.244

    authors: Smith B

    更新日期:2002-08-01 00:00:00

  • Doctor's views on disclosing or withholding information on low risks of complication.

    abstract:BACKGROUND:More and more quantitative information is becoming available about the risks of complications arising from medical treatment. In everyday practice, this raises the question whether each and every risk, however low, should be disclosed to patients. What could be good reasons for doing or not doing so? This wi...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2005.014936

    authors: Palmboom GG,Willems DL,Janssen NB,de Haes JC

    更新日期:2007-02-01 00:00:00

  • The limits of informed consent.

    abstract::The patient, a 59-year-old man, was referred to a psychiatric hospital with what appeared initially to be the signs and symptoms of mental disorder. In hospital a lesion of the brain was diagnosed and surgery was proposed to relieve the condition. The patient, however, during this and subsequent admissions to hospital...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.1.3.146

    authors:

    更新日期:1975-09-01 00:00:00

  • Sturdy for common things: cultivating moral sensemaking on the front lines of practice.

    abstract::This essay argues that the field of bioethics should concern itself especially with the process of making moral sense that unfolds among clinicians, patients and family members during common but high-stakes conversations occurring on the front lines of practice. The essay outlines the parameters of a bioethics grounde...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2011-100084

    authors: Browning DM

    更新日期:2012-04-01 00:00:00

  • Evolution of hospital clinical ethics committees in Canada.

    abstract::To investigate the current status of hospital clinical ethics committees (CEC) and how they have evolved in Canada over the past 20 years, this paper presents an overview of the findings from a 2008 survey and compares these findings with two previous Canadian surveys conducted in 1989 and 1984. All Canadian hospitals...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2009.032607

    authors: Gaudine A,Thorne L,LeFort SM,Lamb M

    更新日期:2010-03-01 00:00:00

  • What (or sometimes who) are organoids? And whose are they?

    abstract::In terms of ethical implications, Boers, van Delden and Bredenoord (2018) have made an interesting step forward with their model of organoids as hybrids, which seeks to find a balance between subject-like value and object-like value. Their framework aims to introduce effective procedures not to exploit donors and to i...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/medethics-2018-105268

    authors: Lavazza A

    更新日期:2019-02-01 00:00:00

  • Clinical prioritisations of healthcare for the aged--professional roles.

    abstract:BACKGROUND:Although fair distribution of healthcare services for older patients is an important challenge, qualitative research exploring clinicians' considerations in clinical prioritisation within this field is scarce. OBJECTIVES:To explore how clinicians understand their professional role in clinical prioritisation...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,多中心研究

    doi:10.1136/jme.2007.020693

    authors: Nortvedt P,Pedersen R,Grøthe KH,Nordhaug M,Kirkevold M,Slettebø A,Brinchmann BS,Andersen B

    更新日期:2008-05-01 00:00:00

  • Gamete derivation from stem cells: revisiting the concept of genetic parenthood.

    abstract::Genetic parenthood is usually portrayed as a value-neutral concept that can be confirmed or rejected based on objective, scientific tests. However, on inspection, it is exposed as a very complex idea that we might need to consider as something that comes in different shapes and forms and that is open to interpretation...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2013-101830

    authors: Mertes H

    更新日期:2014-11-01 00:00:00

  • Labelling of end-of-life decisions by physicians.

    abstract:OBJECTIVES:Potentially life-shortening medical end-of-life practices (end-of-life decisions (ELDs)) remain subject to conceptual vagueness. This study evaluates how physicians label these practices by examining which of their own practices (described according to the precise act, the intention, the presence of an expli...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2013-101854

    authors: Deyaert J,Chambaere K,Cohen J,Roelands M,Deliens L

    更新日期:2014-07-01 00:00:00

  • Coercion and pressure in psychiatry: lessons from Ulysses.

    abstract::Coercion and pressure in mental healthcare raise moral questions. This article focuses on moral questions raised by the everyday practice of pressure and coercion in the care for the mentally ill. In view of an example from literature-the story of Ulysses and the Sirens-several ethical issues surrounding this practice...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,多中心研究

    doi:10.1136/jme.2005.015545

    authors: Widdershoven G,Berghmans R

    更新日期:2007-10-01 00:00:00

  • Spontaneous abortion and unexpected death: a critical discussion of Marquis on abortion.

    abstract::In his classic paper, 'Why abortion is immoral', Don Marquis argues that what makes killing an adult seriously immoral is that it deprives the victim of the valuable future he/she would have otherwise had. Moreover, Marquis contends, because abortion deprives a fetus of the very same thing, aborting a fetus is just as...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-100604

    authors: Coleman MC

    更新日期:2013-02-01 00:00:00

  • The secret art of managing healthcare expenses: investigating implicit rationing and autonomy in public healthcare systems.

    abstract::Rationing healthcare is a difficult task, which includes preventing patients from accessing potentially beneficial treatments. Proponents of implicit rationing argue that politicians cannot resist pressure from strong patient groups for treatments and conclude that physicians should ration without informing patients o...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.018523

    authors: Lauridsen SM,Norup MS,Rossel PJ

    更新日期:2007-12-01 00:00:00

  • Autonomy in medical ethics after O'Neill.

    abstract::Following the influential Gifford and Reith lectures by Onora O'Neill, this paper explores further the paradigm of individual autonomy which has been so dominant in bioethics until recently and concurs that it is an aberrant application and that conceptions of individual autonomy cannot provide a sufficient and convin...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2004.008292

    authors: Stirrat GM,Gill R

    更新日期:2005-03-01 00:00:00

  • Psychotropic drugs and paediatrics: a critical need for more clinical trials.

    abstract::Many children in the USA are prescribed psychotropic drugs that have not been fully investigated in paediatric clinical trials. The common practice of prescribing psychotropic drugs off-label poses unknown and potentially serious short- and long-term consequences for these children. This paper briefly reviews the fact...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/medethics-2011-100003

    authors: Tishler CL,Reiss NS

    更新日期:2012-04-01 00:00:00

  • A plea for end-of-life discussions with patients suffering from Huntington's disease: the role of the physician.

    abstract::Euthanasia and physician-assisted suicide (PAS) by request and/or based on an advance directive are legal in The Netherlands under strict conditions, thus providing options for patients with Huntington's disease (HD) and other neurodegenerative diseases to stay in control and choose their end of life. HD is an inherit...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2011-100369

    authors: Booij SJ,Engberts DP,Rödig V,Tibben A,Roos RA

    更新日期:2013-10-01 00:00:00

  • The challenge of crafting policy for do-it-yourself brain stimulation.

    abstract::Transcranial direct current stimulation (tDCS), a simple means of brain stimulation, possesses a trifecta of appealing features: it is relatively safe, relatively inexpensive and relatively effective. It is also relatively easy to obtain a device and the do-it-yourself (DIY) community has become galvanised by reports ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2013-101458

    authors: Fitz NS,Reiner PB

    更新日期:2015-05-01 00:00:00

  • The Market View on conscientious objection: overvalued.

    abstract::Ancell and Sinnott-Armstrong argue that medical providers possess wide freedoms to determine the scope of their practice, and therefore, prohibiting almost any conscientious objections is a bad idea. They maintain that we could create an acceptable system on the whole which even grants accommodations to discriminatory...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2018-105173

    authors: Card RF

    更新日期:2019-03-01 00:00:00

  • End of life decisions: attitudes of Finnish physicians.

    abstract:OBJECTIVES:This study investigated Finnish physicians' experiences of decisions concerning living wills and do not resuscitate (DNR) orders and also their views on the role of patients and family members in these decisions. DESIGN:A questionnaire was sent to 800 physicians representing the following specialties: gener...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2002.001081

    authors: Hildén HM,Louhiala P,Palo J

    更新日期:2004-08-01 00:00:00

  • Should physicians fake diagnoses to help their patients?

    abstract::Are fake diagnoses and false or misleading certificates permissible means of helping patients? This question is examined in relation to four examples from Swedish health care: the sterilisation case, the asylum case, the virginity case, and the adoption case. We argue that both consequentialist and deontological ethic...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.018945

    authors: Helgesson G,Lynöe N

    更新日期:2008-03-01 00:00:00

  • A virtue ethics approach to moral dilemmas in medicine.

    abstract::Most moral dilemmas in medicine are analysed using the four principles with some consideration of consequentialism but these frameworks have limitations. It is not always clear how to judge which consequences are best. When principles conflict it is not always easy to decide which should dominate. They also do not tak...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/jme.29.5.297

    authors: Gardiner P

    更新日期:2003-10-01 00:00:00

  • "Why aren't you doing what we want?" Cultivating collegiality and communication between specialist and generalist physicians and residents.

    abstract::Developing residents' communication skills has been a goal of residency training programmes since the Accreditation Council for Graduate Medical Education codified it as a core competency. In this article, a case that features problematic communication between a generalist and specialist physician is drawn upon, and i...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.016162

    authors: Rentmeester CA

    更新日期:2007-05-01 00:00:00

  • Proceduralisation, choice and parental reflections on decisions to accept newborn bloodspot screening.

    abstract::Newborn screening is the programme through which newborn babies are screened for a variety of conditions shortly after birth. Programmes such as this are individually oriented but resemble traditional public health programmes because they are targeted at large groups of the population and they are offered as preventiv...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2011-100040

    authors: Nicholls SG

    更新日期:2012-05-01 00:00:00

  • Am I my brother's gatekeeper? Professional ethics and the prioritisation of healthcare.

    abstract::At the 5th International Conference on Priorities in Health Care in Wellington, New Zealand, 2004, one resonating theme was that for priority setting to be effective, it has to include clinicians in both decision making and the enforcement of those decisions. There was, however, a disturbing undertone to this theme, n...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.017871

    authors: Hunter D

    更新日期:2007-09-01 00:00:00

  • The impact of physician denial upon patient autonomy and well-being.

    abstract::It is now widely accepted that a patient's ability to engage in autonomous decision-making can be seriously threatened when she denies significant aspects of her medical condition. In this paper I use a true case to reveal the harmful effects of physician denial upon patient autonomy and well-being. I suggest further ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.18.3.135

    authors: Meyers C

    更新日期:1992-09-01 00:00:00