Medical ethics needs a third dimension.

Abstract:

:McCarthy, former chairman of a National Health Service area health authority, responds to an article by T.A.H. English, "What price excellence?," in the same issue of the Journal of Medical Ethics. Unlike English, she believes that Great Britain's present system for resource allocation has not achieved an equitable distribution of health care for the disadvantaged. She argues that English's emphasis on high technology care and on professional excellence reflects the physician's traditional ethic of obligation only to the individual patient. McCarthy asserts that this two-dimentisional ethic must be supplemented by a concern for society as a whole.

journal_name

J Med Ethics

authors

McCarthy L

doi

10.1136/jme.8.3.147

subject

Has Abstract

pub_date

1982-09-01 00:00:00

pages

147-9

issue

3

eissn

0306-6800

issn

1473-4257

journal_volume

8

pub_type

杂志文章
  • Tobacco regulation: autonomy up in smoke?

    abstract::Over the past few decades, "Big Tobacco" has spread its tentacles across the developing world with devastating results. The global incidence of smoking has increased exponentially in Africa, Asia and South America and it is leading to an equally rapid increase in the incidence of smoking-induced morbidity and mortalit...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2008.027847

    authors: Hooper CR,Agule C

    更新日期:2009-06-01 00:00:00

  • Genes and equality.

    abstract::The way people think about equality as a value will influence how they think genetic interventions should be regulated. In this paper the author uses the taxonomy of equality put forth by Derek Parfit and applies this to the issue of genetic interventions. It is argued that telic egalitarianism is untenable and that d...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2002.002329

    authors: Farrelly C

    更新日期:2004-12-01 00:00:00

  • Blameworthy bumping? Investigating nudge's neglected cousin.

    abstract::The realm of non-rational influence, which includes nudging, is home to many other morally interesting phenomena. In this paper, I introduce the term bumping, to discuss the category of unintentional non-rational influence. Bumping happens constantly, wherever people make choices in environments where they are affecte...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2018-105179

    authors: Miyata-Sturm A

    更新日期:2019-04-01 00:00:00

  • Ethical aspects of clinical chemistry.

    abstract::The work performed by the clinical chemist may deeply affect the decisions of the doctor and the well-being of the patient. Yet in contrast to the doctor and to the nurse the clinical chemist usually has no personal relationship with the patient. Being encumbered by much technology and anonymity is itself a reason for...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.9.4.207

    authors: BenGershôm E

    更新日期:1983-12-01 00:00:00

  • Herpes genitalis and the philosopher's stance.

    abstract::For many people, living with genital herpes generates not just episodic physical discomfort but recurrent emotional distress, centred on concerns about how to live and love safely without passing infection to others. This article considers the evidence on herpes transmission, levels of sexual risk, when the law has in...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-100894

    authors: Dunphy K

    更新日期:2014-12-01 00:00:00

  • Sustainability principle for the ethics of healthcare resource allocation.

    abstract::We propose a principle of sustainability to complement established principles used for justifying healthcare resource allocation. We argue that the application of established principles of equal treatment, need, prognosis and cost-effectiveness gives rise to what we call negative dynamics: a gradual depletion of the v...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2020-106644

    authors: Munthe C,Fumagalli D,Malmqvist E

    更新日期:2021-02-01 00:00:00

  • Unfinished feticide.

    abstract::A fetus may survive an intentional interference with its intrauterine environment (1) if gestational age is mistaken and the procedure of induced abortion does not kill the fetus, (2) if a change of heart takes place after abortifacient drugs are taken and the abortion does not proceed, and (3) if a high-multiple preg...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/jme.16.2.61

    authors: Jansen RP

    更新日期:1990-06-01 00:00:00

  • A proposed draft protocol for the European Convention on Biomedicine relating to research on the human embryo and fetus.

    abstract::The objective of this paper is to stimulate academic debate on embryo and fetal research from the perspective of the drafting of a protocol to the European Convention on Biomedicine. The Steering Committee on Bioethics of the Council of Europe was mandated to draw up such a protocol and for this purpose organised an i...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.23.1.32

    authors: Byk JC

    更新日期:1997-02-01 00:00:00

  • The Nordic concept of 'faellesskab'.

    abstract::The complex of cultural, political and societal affiliations, both in a historic and a contemporary perspective, is expressed by a special term in the Nordic languages, 'faellesskab', often with the addition of 'folkelig', as 'folkeligt faellesskab', where 'folkelig' means of the people. No corresponding term exists i...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.17.1.41

    authors: Riis P

    更新日期:1991-03-01 00:00:00

  • Are therapeutic motivation and having one's own doctor as researcher sources of therapeutic misconception?

    abstract:BACKGROUND:Desire for improvement in one's illness and having one's own doctor functioning as a researcher are thought to promote therapeutic misconception (TM), a phenomenon in which research subjects are said to conflate research with treatment. PURPOSE:To examine whether subjects' therapeutic motivation and own doc...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2013-101987

    authors: Kim SY,De Vries R,Parnami S,Wilson R,Kim HM,Frank S,Holloway RG,Kieburtz K

    更新日期:2015-05-01 00:00:00

  • Limited autonomy and partnership: professional relationships in health care.

    abstract::Principles of autonomy and self-determination have been upheld as vital to modern-day medical and ethical practice. However, the complexities of current health care and changes in the expectation of some patients and their families justify a review of such concepts. Their limitations and relativities may suggest that ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.15.1.12

    authors: Wilson-Barnett J

    更新日期:1989-03-01 00:00:00

  • Professional ethics.

    abstract::Downie comments on Sieghart's article, "Professions as the conscience of society" (Journal of Medical Ethics 1985 Sep; 11(3): 117-122). He charges that Sieghart is blurring empirical, conceptual, and moral claims when he contends that the professional relationship is unique in that "altruism is paramount and self-int...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.12.2.64

    authors: Downie RS

    更新日期:1986-06-01 00:00:00

  • The case of biobank with the law: between a legal and scientific fiction.

    abstract::According to estimates more than 400 biobanks currently operate across Europe. The term 'biobank' indicates a specific field of genetic study that has quietly developed without any significant critical reflection across European societies. Although scientists now routinely use this phrase, the wider public is still co...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2010.041632

    authors: Sándor J,Bárd P,Tamburrini C,Tännsjö T

    更新日期:2012-06-01 00:00:00

  • Teaching medical ethics to medical students and GP trainees.

    abstract::This paper relates two experiences of teaching medical ethics, the first to a small group of clinical medical students, the second to a larger group of GP trainees. :Boyd, a theologian who is Scottish Director of the Institute of Medical Ethics, comments on a day he spent teaching two ethics sessions, one to a group ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.13.3.132

    authors: Boyd K

    更新日期:1987-09-01 00:00:00

  • Woman wants dead fiancé's baby: who owns a dead man's sperm.

    abstract::The Brisbane Supreme Court has denied an Australian woman's request to harvest and freeze her dead fiancé's sperm for future impregnation. After she was denied access to the sperm, the woman learnt that her fiancé may have been a sperm donor and she began checking to find out if his sperm was still available. Given wh...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2003.004432

    authors: Spriggs M

    更新日期:2004-08-01 00:00:00

  • Issues of consent and the primary-school medical.

    abstract::This article discusses what level of consent is needed from a child or parent before a primary-school medical can take place (i.e. where children are aged under 12). It also considers whether there are occasions when a doctor can see a child if the parents have failed to give consent or have explicitly refused consent...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.26.6.469

    authors: Bradley P

    更新日期:2000-12-01 00:00:00

  • So not mothers: responsibility for surrogate orphans.

    abstract::The law ordinarily recognises the woman who gives birth as the mother of a child, but in certain jurisdictions, it will recognise the commissioning couple as the legal parents of a child born to a commercial surrogate. Some commissioning parents have, however, effectively abandoned the children they commission, and in...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2017-104331

    authors: Parks JA,Murphy TF

    更新日期:2018-08-01 00:00:00

  • Ethical reasoning in mixed nurse-physician groups.

    abstract:OBJECTIVES:To study the ethical reasoning of nurses and physicians, and to assess whether or not modified focus groups are a valuable tool for this purpose. DESIGN:Discussion of cases in modified focus groups, each consisting of three physicians and three nurses. The discussion was taped and analysed by content analys...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.22.3.168

    authors: Holm S,Gjersøe P,Grode G,Hartling O,Ibsen KE,Marcussen H

    更新日期:1996-06-01 00:00:00

  • Surgical consent: the world's largest Chinese Whisper? A review of current surgical consent practices.

    abstract::As the law around surgical consent continues to evolve, surgeons and those in training risk being caught red-faced and defenceless. Despite repeated concerns regarding surgical consent being raised by the General Medical Council of the UK, how much is changing on the National Health Service shop floor? This report inv...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/medethics-2013-101931

    authors: Loughran D

    更新日期:2015-02-01 00:00:00

  • Misled and confused? Telling the public about MMR vaccine safety. Measles, mumps, and rubella.

    abstract::The extraordinary events surrounding the measles, mumps, and rubella (MMR) vaccine in the United Kingdom have not only placed in jeopardy the use of this triple vaccine but have also spread concern to other parts of the world. Examination of the public's worry about MMR vaccine reveals they have been exposed to a rang...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.29.1.22

    authors: Clements CJ,Ratzan S

    更新日期:2003-02-01 00:00:00

  • Greek theories on eugenics.

    abstract::With the recent developments in the Human Genome Mapping Project and the new technologies that are developing from it there is a renewal of concern about eugenic applications. Francis Galton (b1822, d1911), who developed the subject of eugenics, suggested that the ancient Greeks had contributed very little to social t...

    journal_title:Journal of medical ethics

    pub_type: 传,历史文章,杂志文章

    doi:10.1136/jme.24.4.263

    authors: Galton DJ

    更新日期:1998-08-01 00:00:00

  • Should we genetically test everyone for haemochromatosis?

    abstract::The increasing availability of DNA-based diagnostic tests has raised issues about whether these should be applied to the population at large in order to identify, treat or prevent a range of diseases. DNA tests raise concerns in the community for several reasons. There is the possibility of stigmatisation and discrimi...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.25.2.209

    authors: Allen K,Williamson R

    更新日期:1999-04-01 00:00:00

  • The premature breech: caesarean section or trial of labour?

    abstract::Obstetricians face difficult decisions when the interests of fetus and mother conflict. An example is the problem of choosing the delivery method when labour begins prematurely and the fetus is breech. Vaginal delivery involves risks for the breech fetus of brain damage or death caused by umbilical cord compression an...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/jme.14.1.18

    authors: Anderson G,Strong C

    更新日期:1988-03-01 00:00:00

  • Jehovah's Witnesses' refusal of blood: obedience to scripture and religious conscience.

    abstract::Jehovah's Witnesses are students of the Bible. They refuse transfusions out of obedience to the scriptural directive to abstain and keep from blood. Dr Muramoto disagrees with the Witnesses' religious beliefs in this regard. Despite this basic disagreement over the meaning of Biblical texts, Muramoto flouts the religi...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.25.6.469

    authors: Ridley DT

    更新日期:1999-12-01 00:00:00

  • Parsing placebo treatments: a response to Barnhill and Miller.

    abstract::Anne Barnhill and Franklin Miller dispute my claim that the prescriptions of placebo treatments to patients are not typically deceptive, and do not typically violate the patients' informed consent. However, Barnhill and Miller seriously mischaracterise my position in two ways, as well as failing to show that the proce...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/medethics-2015-103082

    authors: Glackin SN

    更新日期:2016-10-01 00:00:00

  • Approaches to suffering at the end of life: the use of sedation in the USA and Netherlands.

    abstract:BACKGROUND:Studies describing physicians' experiences with sedation at the end of life are indispensible for informed palliative care practice, but they are scarce. We describe the accounts of physicians from the USA and the Netherlands, two countries with different regulations on end-of-life decisions regarding their ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-100561

    authors: Rietjens JA,Voorhees JR,van der Heide A,Drickamer MA

    更新日期:2014-04-01 00:00:00

  • A reply to Joseph Bernstein.

    abstract::Dr. Bernstein suggests that anti-vivisectionists should be able to fill in a directive requesting that they receive no medical treatment developed through work on animals. It is replied that this would only be reasonable if research not using animals had long been funded as adequately and its results were currently av...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.22.5.302

    authors: Sprigge T

    更新日期:1996-10-01 00:00:00

  • Let's keep metaphysics out of medical ethics: a critique of Poplawski and Gillett.

    abstract::I argue that the concept of 'longitudinal form', which Poplawski and Gillett have introduced into ethical discussions about embryos and gametes, involves too many metaphysical subtleties to be a useful aid to making moral decisions. I conclude by suggesting a criterion for relevance in medical ethics. ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.18.4.206

    authors: Leavitt FJ

    更新日期:1992-12-01 00:00:00

  • Response to: What counts as success in genetic counselling?

    abstract::Clinical genetics encompasses a wider range of activities than discussion of reproductive risks and options. Hence, it is possible for a clinical geneticist to reduce suffering associated with genetic disease without aiming to reduce the birth incidence of such diseases. Simple cost-benefit analyses of genetic-screeni...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.19.1.47

    authors: Clarke A

    更新日期:1993-03-01 00:00:00

  • Is medically assisted death a special obligation?

    abstract::Several distinct arguments conclude that terminally ill patients have a right to a medically assisted death; two are especially influential: the autonomy argument and the non-harm argument. Both have proven convincing to many, but not to those who view the duty not to kill as an (almost) absolute constraint. Some phil...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2016-103575

    authors: Rivera-López E

    更新日期:2017-06-01 00:00:00