Abstract
In this paper I will examine whether the construction of a just system of health care is impeded or assisted by a Hippocratic tradition, the duty of beneficence. It will be argued that it is an important part of a just system of health care that seeks empathy, and equity as well as impartiality. In the first section the charges that the duty of beneficence promotes unwarranted partiality and paternalism are examined. It is found that this tradition understood as a prima facie or imperfect duty of beneficence, neither entails nor fosters unwarranted paternalism and that this moral duty may be important to a just system. Partiality, for example, when it results in empathetic care, may be defensible in a just system. In the second section the reason why this kind of duty may be important in a just system is explored. Providing care for individuals, rather than thinking of what faceless members of some group need, encourages personal regard and discretion.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
American Medical Association: 1982, ‘Principles of Medical Ethics’, in T. L. Beauchamp and L. Walters (eds.), Contemporary Issues in Bioethics, 2nd Edition, Wadsworth Publishing Company, Belmont, California, p. 122.
Aristotle: Nicomachean Ethics.
Benfield, D. G., Leib, S. A., and Vollman, J. H.: 1978, ‘Grief Response of Parents to Neonatal Death and Parental Participation in Deciding Care’, Pediatrics 62: 2, 171–177.
Benn, S. I.: 1967, ‘Justice’, in P. Edwards (ed.), The Encyclopedia of Philosophy, Vol. 1, Macmillan, New York, pp. 298–300.
Bondy, P. K.: 1981, ‘Medical Care Insurance vs. A National Health Service: Impact on the Patterns of Medical Practice’, Clinical Research 29, 389–395.
Canterbury v. Spence, 464 F2d, 772, (D.C.C.:, 1972).
Cooke, R. E.: 1972, ‘Whose Suffering?’ J. Pediatrics 80, 906–908.
Chisholm, R.: 1958, ‘Sentences About Believing’, in H. Feigl et. al. (eds.), Minnesota Studies in the Philosophy of Science, Vol. III. pp. 510–520.
Duff, R. S. and Campbell, A. G. M.: 1976, ‘On Deciding the Care of Severely Handi-capped or Dying Persons: With Particular Reference to Infants’, Pediatrics 57, 487–492.
Duff, R. S. and Campbell, A. G. M.: 1973, ‘Moral and Ethical Dilemmas in the Special-Care Nursery’, New England Journal of Medicine 289, 890–894.
Duff, R. S.: 1981, ‘Counseling Families and Deciding Care of Severely Defective Children: A Way of Coping with Medical Vietnam’, Pediatrics 67: 3, 315–320.
Edelstein, L.: 1967, Ancient Medicine, edited by O. Temkin and C. L. Temkin, Johns Hockins Press, Baltimore.
English, P.: 1985, ‘Commentary on Stanley J. Reiser’s ‘Critical Care in an Historical Context’, in this volume, pp. 225–230.
Evtushenko, E. 1983, ‘Empathy: A Rare Gift’, L. Beraha (tr.), Forward to A. Platanov, Fierce, Fine World. Compiled by M. Platonov, Radrega Publishers, Moskow, pp. 7–11.
Fein, R.: 1982, ‘What is Wrong with the Language of Medicine’, New England Journal of Medicine 306, 863–64.
Feinberg, J.: 1973, Social Philosophy, Prentice-Hall, Englewood Cliffs, New Jersey.
Fost, N.: 1981, ‘Counseling Families Who Have a Child with a Severe Congenital Anomaly’, Pediatrics 67: 321–234.
Frader, J. E.: 1979, ‘Difficulties in Providing Intensive Care’, Pediatrics 64: 1, 10–11.
Freeman, J. M.:1972, ‘Is There a Right to Die — Quickly?’ J. Pediatrics, 80,904–905.
Freud, S.: 1959, Group Psychology and the Analysis of the Ego, J. Strackey (tr.) The Hogarth Press, London.
Hippocratic Oath’, reprinted in S. J. Reiser, A. J. Dyck, and W. J. Curran, Ethics in Medicine, M.I.T. Press, Cambridge and London 1977, p. 121.
Hume, D.: 1751, An Enquiry Concerning the Principles of Morals.
Katz, J.: 1985, ‘Can Principles Survive in Situations of Critical Care’, in this volume, pp. 41–67.
Katz, J.: 1978, ‘Informed Consent in the Therapeutic Relationship’, in W. Reich (ed.), The Encyclopedia of Bioethics, Vol. 2, Free Press, New York, pp. 770–778.
Ladd, J.: 1976, ‘Are Science and Ethics Compatible?’ in H.T. Engelhardt and D. Callahan (eds.), Science, Ethics and Medicine, The Hastings Center, Hastings, New York, pp. 49–78.
Locke, J.: 1690, Second Treatise of Civil Government.
May, W. F.: 1983, The Physician’s Covenant: Images of the Healer in Medical Ethics, The Westminster Press, Philadelphia.
Margolis, J.: 1984, ‘Applying Moral Theory to the Retarded’, in L. Kopelman and J. C. Moskop (eds.), Ethics and Mental Retardation, D. Reidel Publ. Co., Dordrecht, Holland, pp. 19–35.
Margolis, J.: 1985, ‘Triage and Critical Care’, in this volume, pp. 171–189.
Milgram, S.: 1974, Obedience to Authority, Harper and Row, New York.
Nozick, R.: 1974, Anarchy, State and Utopia, Basic Books, New York.
Pellegrino, E. D.: 1985, ‘Moral Choice, The Good of the Patient, and the Patient’s Good’, in this volume, pp. 117–138.
Pellegrino, E. D.: 1979, Humanism and the Physician, The University of Tennessee Press, Knoxville.
Pence, G. E.: 1983, ‘Can Compassion Be Taught?’ Journal of Medical Ethics 9, 189–191.
Rawls, J.: 1955, ‘Two Concepts of Rules’, Philosophical Review 64, 3–32.
Rawls, J.: 1971, A Theory of Justice, Harvard University Press, Cambridge.
Robertson, J. A.: 1975, ‘Involuntary Euthanasia of Defective Newborns: A Legal Analysis’, Stanford Law Review 27, 213–269.
Rothman, D. J.: 1983, ‘Who Speaks for the Retarded?’ in L. Kopelman and J. C. Moskop (eds.), Ethics and Mental Retardation, D. Reidel Publ. Co., Dordrecht, Holland, pp. 223–233.
Rothman, D. J. and Rothman, S. M.: 1980, ‘The Conflict Over Children’s Rights’, Hastings Center Report 10: 3, 7–10.
Rousseau, J. J.: 1750, The Social Contract.
Sade,R. M.: 1971, ‘Medical Care as a Right: A Refutation’, New England Journal of Medicine 285, 1288–1292.
Shaw, A., Randolph, J. G. and Manard, B.: 1977, ‘Ethical Issues in Pediatric Surgery: A National Survey of Pediatricians and Pediatric Surgeons’, Pediatrics 60: 4, Part 2, 588–599.
Superintendent of Belcher town v. Saikewicz, 370 N.E..2d, 417 (1977).
Todras, I. D., Krane, D., Howell, M. C., and Shanon, D. C.: 1977, ‘Pediatricians’ Attitudes Affecting Decision-Making in Defective Newborns’, Pediatrics 60: 2, 197–201.
Toulmin, S.: 1981, ‘The Tyranny of Principles’, Hastings Center Report 11: 6, 31–39.
Veatch, R. M.: 1985, ‘The Ethics of Critical Care in Cross-Cultural Perspective’, in this volume, pp. 191–206.
Veatch, R. M.: 1981, A Theory of Medical Ethics, Basic Books, New York.
U.S., 45 CFR Part 84, Office of the Secretary: January 12, 1984, ‘Nondiscrimination on the Basis of Handicap: Procedures and Guidelines Relating to Health Care for Handicapped Infants’ DHHS, Federal Register, 1622–1653.
U.S., President’s Commission for the Study of Ethical Problems in Medical and Behavioral Research: 1983, Deciding to Forego Life Saving Treatment, Washington, D.C.
Weil, S.: 1970, First and Last Notebooks, R. Rees (tr. ), Oxford University Press, London.
Wikler, D.: 1983, ‘Paternalism and Coercion’, in R. Sartorius (ed.), Paternalism, University of Minnesota Press, Minneapolis, pp. 35–39.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1985 D. Reidel Publishing Company
About this chapter
Cite this chapter
Kopelman, L. (1985). Justice and the Hippocratic Tradition of Acting for the Good of the Sick. In: Moskop, J.C., Kopelman, L. (eds) Ethics and Critical Care Medicine. Philosophy and Medicine, vol 19. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-5233-1_7
Download citation
DOI: https://doi.org/10.1007/978-94-009-5233-1_7
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-8814-5
Online ISBN: 978-94-009-5233-1
eBook Packages: Springer Book Archive