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Medical ethics

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Medical ethics is a specialized branch of applied ethics. It analyzes the practice of clinical medicine and scientific research. This field provides a set of values for professionals to use. These values help when they face confusion or conflict. Professionals use these principles to create treatment plans. This ensures that doctors, providers, and families work toward common goals.

HippocraticOath
HippocraticOath

Experts often use a framework called the "four principles." This approach was popularized by Tom Beauchamp and James Childress. The first principle is respect for autonomy. Autonomy means a patient has the right to choose or refuse treatment. The second principle is beneficence. This means a practitioner should act in the patient's best interest. The third principle is non-maleficence. This requires that doctors do not cause harm. The fourth principle is justice. Justice concerns the fair distribution of scarce health resources.

AMA Code of Medical Ethics
AMA Code of Medical Ethics

These four values are not ranked by importance. However, conflicts between them often arise in real life. A conflict might occur when a patient's choice clashes with a doctor's duty to help. In such cases, a hierarchy may be needed. A hierarchy allows certain moral elements to overrule others. This helps the professional apply the best moral judgment to a difficult situation. Such decisions are vital regarding involuntary treatment or involuntary commitment.

Medical ethics has a very long and diverse history. Western ethics can be traced to antiquity. The Hippocratic Oath is a famous example from the fifth century BCE. In the 5th century, the Formula Comitis Archiatrorum was published. During the medieval period, Islamic scholarship provided important contributions. Ishaq ibn Ali al-Ruhawi wrote the first book dedicated to medical ethics. Other thinkers included Avicenna, Rhazes, and Maimonides. Roman Catholic thinkers like Thomas Aquinas also shaped these traditions.

Modern medical ethics emerged more clearly in the 18th and 19th centuries. In 1803, Thomas Percival published a document on professional expectations. He coined the terms "medical ethics" and "medical jurisprudence." The American Medical Association later adapted his work in 1847. Over the years, they revised this code in 1903, 1912, and 1947. In the UK, the Apothecaries Act of 1815 began the regulation of medical professionals. This era saw a shift from paternalistic doctors toward patient autonomy.

New technologies often create new ethical challenges. In the 1960s, the development of hemodialysis raised difficult questions. There were a limited number of machines for many patients. This forced society to decide which factors should determine who receives treatment. Similarly, modern gene editing creates moral questions. We must consider how these treatments impact future generations.

Public Health Prayer by Dr Edmond Fernandes
Public Health Prayer by Dr Edmond Fernandes

Recent global events have also tested these principles. The COVID-19 pandemic, emerging in late 2019, ignited novel inquiry. Researchers debated "open science" principles. Some believed constant communication and transparency were the only solutions. Others worried that speed might lead to side-stepping safety. The pandemic also forced decisions about resource rationing. Hospitals had to manage limited ventilators and beds in intensive care units. It also highlighted disparities in health for different communities.

Medical ethics is closely related to several other fields. It is connected to bioethics, though they are not identical. Bioethics arose from medical ethics but covers a wider range of issues. Ethics is also related to the law. However, ethics often implies a higher standard of behavior than the law requires. Finally, ethics is interconnected with culture. Different cultures may emphasize family values over individual autonomy. This creates a need for culturally sensitive ethical committees in hospitals.

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HippocraticOath.jpg
File:AMA Code of Medical Ethics.png
AMA Code of Medical Ethics.png
File:Public Health Prayer by Dr Edmond Fernandes.jpg
Public Health Prayer by Dr Edmond Fernandes.jpg
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Reversed tao symbol.svg
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