The context as a moral rule in medical ethics |
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Authors: | David C Thomasma PhD |
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Institution: | 1. Medicine and Philosophy, USA 2. Medical Humanities Program, Loyola University Stritch School of Medicine, 2160 South First Avenue, 60153, Maywood, IL
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Abstract: | A purely deductive medical ethics cannot properly account for the varieties of circumstances which arise in medical practice. By contrast, a purely inductive medical ethics lacks sufficient guidance from ethical principles. In resolving ethical dilemmas in medicine, most often an appeal is made to middle-level axioms and methodological rules to mediate between theory and practice. I argue that this appeal must be augmented by considerations of context, such considerations, in effect, constituting a moral rule based on the social structure of medical practice. A contextual grid is proposed which assists the process of weighing values in resolving cases. |
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