Beauchamp and Childress' biomedical principlism is nearly synonymous with medical ethics for most clinicians. Their four principles are theoretically derived from the "common morality", a universal cache of moral beliefs and claims shared by all morally serious humans. Others have challenged the viability of the common morality, but none have attempted to explain why the common morality makes intuitive sense to Western ethicists. Here I use the work of Charles Taylor to trace how events in the Western history of ideas made the common morality seem plausible and yet, ironically, underscore the cultural particularity of the so-called common morality. I conclude that the supposedly universal common morality is actually quite culturally contained. Importantly, this should give us pause about the global authority of principlism and Beauchamp and Childress' claim to a global bioethics project.
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http://dx.doi.org/10.1007/s11019-021-10059-8 | DOI Listing |
Front Public Health
January 2025
School of Economics and Management, Huzhou University, Huzhou, China.
Introduction: High medical expenditure is one of the major obstacles to achieving common prosperity in China. As a health risk compensation and protection mechanism, medical insurance has played a good role in alleviating the economic burden of patients. However, due to the existence of moral hazard, medical insurance may also lead to the occurrence of psychological deviation and overtreatment of patients or hospitals' health treatment expectations, thus generating unnecessary pressure on public financial expenditure.
View Article and Find Full Text PDFJ Am Vet Med Assoc
January 2025
3Center for Bioethics, Harvard Medical School, Harvard University, Boston, MA.
Objective: To document veterinary technicians' (VTs') experiences with medical futility and its subsequent impact on moral distress and attrition from the profession.
Methods: A cross-sectional study using a 56-question web-based, confidential and anonymous survey was distributed through the National Association of Veterinary Technicians in America between January 19 and February 15, 2023.
Results: There were 1,944 responses from approximately 8,500 members (22% response rate).
J Surg Educ
December 2024
Department of Surgery, Division of Plastic Surgery, Yale School of Medicine, New Haven, Connecticut.
Introduction: There is growing interest among medical institutions to formalize global surgery training. Understanding medical students' perceptions of how global surgery engagement can enhance career advancement is essential for providing appropriate guidance and support for individuals with aspirations in academic global surgery.
Methods: A cross-sectional survey study of US-based medical students from 38 participating schools was performed.
Lancet Reg Health Am
January 2025
Department of Obstetrics & Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Background: Cesarean delivery remains the most common obstetrical procedure with more than 250,000 patients in the US undergoing cesarean following labor induction annually. Here, we evaluated the impact of prospectively implementing a standardized labor induction protocol on cesarean delivery rates.
Methods: This multi-site type I hybrid effectiveness-implementation study compared 2 years before (PRE) and 2 years after (POST) implementation of a standardized labor induction protocol at two hospitals within the University of Pennsylvania Health System (2018-2022).
J Relig Health
December 2024
College of Allied Medical Professions, Angeles University Foundation, 2009, Angeles City, Philippines.
The rise of artificial intelligence (AI) has caught the attention of the world as it challenges the status quo on human operations. As AI has dramatically impacted education, healthcare, industry, and economics, a Catholic ethical study of human dignity in the context of AI in healthcare is presented in this article. The debates regarding whether AI will usher well or doom the dignity of humankind are occasioned by increasing developments of technology in patient care and medical decision-making.
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