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Bioethicists are increasingly commenting on health care resource allocation, and sometimes suggest ways to solve various rationing dilemmas ethically. I argue that both because of the assumptions bioethicists make about social reality, and because of the methods of argument they use, they cannot possibly make a useful contribution to the debate. Bioethicists who want to make a practical difference should either approach health care resource allocation as if the matter hinged upon tribal competition (which is essentially what it does), or (...) |
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It has been said that I am against medical philosophy. This is a misrepresentation of my position. I am against conventional medical ethics teaching as it has to be done in medical schools, but very much in favour of philosophy in medicine. |
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This paper responds to Dr Cassell's request for a fuller explanation of my argument in the paper, Against medical ethics: a philosopher's view. A distinction is made between two accounts of ethics in general, and the philosophical basis of health work ethics is briefly stated. The implications of applying this understanding of ethics to medical education are discussed. |
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Liberating Medicine David Seedhouse Unit for the Study of Health Care Ethics, Department of General Practice, University of Liverpool, UK Amid the increasing debate about the practice of medicine and the delivery of health care lie certain fundamental questions: What is the purpose of medicine? What is the role of the medical profession? and Where should the limits of medical intervention be set? In a world of rapid scientific and technological advance, public expectations place increasing demands on the doctor’s skills, (...) |
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