In this paper, the author argues that a rights-based culture has unfairly shifted the balance of power away from the physician to the patient with no corresponding shift in the level of responsibilities. After reviewing various Codes of Ethics and the nature of the doctor-patient relationship, the paper then considers, from a philosophical perspective, how this imbalance may be redressed within a communitarian framework. Specific attention is also given to the primary duties owed by patients to their caregivers.
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References
1.
Primary Sources:
2.
“Appendix”. Encyclopedia of Biomedical Ethics. Revised Edition. New York: Simon and Schuster Macmillan,1995.
3.
ArrasJohn D.“Taking Rights Seriously? The Decline of Duties in a Rights Culture.”Theology and Medicine: Duties to Others. Edited by: CampbellCourtney S., and LustigB. Andrew.London: Kluwer Academic Publishers,1994.
4.
Beauchamp, TomL., and JamesF. Childress.Principles of Biomedical Ethics.Fourth Edition. Oxford: Oxford University Press,1994.
5.
BrodyHoward.“Patient's Responsibilities: Duties of Patients.”Encyclopedia of Biomedical Ethics. Revised Edition. New York: Simon and Schuster Macmillan,1995.
6.
LalondeMarc.A New Perspective on the Health of Canadians: A Working Document.Ottawa: Government of Canada,1974.
7.
LebacqzKaren.“Patients’ Responsibilities: Virtues of Patients.”Encyclopedia of Biomedical Ethics. Revised Edition: New York; Simon and Schuster Macmillan,1995.
NelsonJ.L.“Duties of Patients to Their Caregivers.”Theology and Medicine: Duties to Others. Edited by: CampbellCourtney S., and LustigB. Andrew.London: Kluwer Academic Publishers,1994.
10.
PellegrinoEdmund D., and ThomasmaDavid C.For the Patient's Good: The Restoration of Beneficence in Health Care.Oxford: Oxford University Press,1988.
11.
Secondary Sources:
12.
CallaghanDaniel.“Bioethics: Private Choice and Common Good.”Hastings Centre Report. Vol. 24, No. 3, 1994, pp. 28–31.