WhatIsMedical Ethics Consultation?

Author:

Scofield Giles R.

Abstract

As everybody knows, advances in medicine and medical technology have brought enormous benefits to, and created vexing choices for, us all – choices that can, and occasionally do, test the very limits of thinking itself. As everyone also knows, we live in the age of consultants, i.e., of professional experts who are ready, willing, and able to give us advice on any and every conceivable question. One such consultant is the medical ethics consultant, or the medical ethicist who consults.Medical ethics consultants involve themselves in just about every aspect of health care decision making. They help legislators and judges determine law, hospitals formulate policies, medical schools develop curricula, etc. In addition to educating physicians, nurses, and lawyers, amongst others, including medical, nursing, and law students, they participate in clinical decision making at the bedside.

Publisher

Cambridge University Press (CUP)

Subject

Health Policy,General Medicine,Issues, ethics and legal aspects

Reference153 articles.

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2. 52 Id., at 1, n. 1.

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5. 81 “Role boundaries constitute the essential boundary issue. To conceptualize this entity, one might ask, ‘Is this what a therapist does?’” See id. (“Concept of Boundaries”), supra note 89, at 190. According to Agich George, “The concept of a social role serves an important, though problematic, function in ethics. Roles define not only moral duties for individuals, but also the kinds of action morally permissible for individuals to perform in particular social settings…. In other words, significant social roles define responsibility for the role agent which are qualitatively different from the obligations of moral agents generally.” See Agich (Roles and Responsibilities), supra note 33, at 105. According to Aulisio, Arnold and Youngner: [I]f standards are to be set for a given activity, it will be important to identify what the activity is supposed to be and, further, what it is supposed to achieve….Underlying any intuition one might have regarding the proper goals of an activity is, at the very least, an implicit concept of the nature of that activity. It is the concept of what that activity is supposed to be that allows one to identify certain goals as appropriate to it. To use a humorous example, imagine that your colleague professed that one of his goals in going to the dentist was to have a bunion removed from his foot. With the possible exception of a colleague who was constantly, and quite literally, putting his foot in his mouth, we would be sure that your colleague was confused about the nature of dentistry. Aulisio Arnold Youngner, (“Educational and Training Standards”), supra note 63, at 487, 488.

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