In this paper I argue that it is morally important for doctors to trust patients. Doctors' trust of patients lays the foundation for medical relationships which support the exercise of patient autonomy, and which lead to an enriched understanding of patients' interests. Despite the moral and practical desirability of trust, distrust may occur for reasons relating to the nature of medicine, and the social and cultural context within which medical care is provided. Whilst it may not be possible to trust (...) at will, the conscious adoption of a trusting stance is both possible and warranted as the burdens of misplaced trust fall more heavily upon patients than doctors. (shrink)

Digital medicine is a medical treatment that combines technology with drug delivery. The promises of this combination are continuous and remote monitoring, better disease management, self-tracking, self-management of diseases, and improved treatment adherence. These devices pose ethical challenges for patients, providers, and the social practice of medicine. For patients, having both informed consent and a user agreement raises questions of understanding for autonomy and informed consent, therapeutic misconception, external influences on decision making, confidentiality and privacy, and device dependability. For providers, (...) digital medicine changes the relationship where trust can be verified, clinicians can be monitored, expectations must be managed, and new liability risks may be assumed. Other ethical questions include direct third-party monitoring of health treatment, affordability, and planning for adverse events in the case of device malfunction. This article seeks to lay out the ethical landscape for the implementation of such devices in patient care. (shrink)

Les explications de ce pourquoi mentir est mal sont toutes inadéquates. Leur problème commun se situe dans leur structure unitaire. Ces analyses présupposent que tous les mensonges sont mauvais pour la même raison unificatrice. Cette supposition ne rend cependant pas justice au phénomène du mensonge, et ce, parce qu’on peut s’objecter à l’acte de mentir de différentes façons. Ainsi je suggère qu’il faut un changement dialectique en direction d’un traitement pluraliste de ce qui est mauvais dans le mensonge. Il ne (...) faut pas forcer une unité sur la structure morale du mensonge lorsqu’il y a en fait pluralité. (shrink)