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Informed consent and nudging.

William Simkulet1

  • 1Mid Michigan College, Harrison, Michigan, USA.

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|June 20, 2018
PubMed
Summary
This summary is machine-generated.

Physician nudging, influencing patient decisions without limiting choices, conflicts with genuine informed consent. This practice violates the physician

Keywords:
bullshitdecision-makinginformed consentlibertarian paternalismlyingnudgingprofessional ethicstruth-telling

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Area of Science:

  • Bioethics
  • Medical Law
  • Philosophy of Medicine

Background:

  • Informed consent requires patient competence, understanding of condition, options, risks, benefits, and express consent.
  • Physicians often face challenges with patients making 'irrational' decisions, impacting efficient healthcare delivery.
  • Philosophical proposals suggest physician 'nudging' to guide patients toward physician-preferred options.

Purpose of the Study:

  • To evaluate the ethical compatibility of physician nudging with the principle of informed consent.
  • To determine if nudging practices align with a physician's duty of truthful disclosure to patients.

Main Methods:

  • Philosophical argumentation analyzing the ethical implications of nudging within the informed consent framework.
  • Examination of the definition of nudging and its potential conflict with the physician's duty of full disclosure.

Main Results:

  • Nudging, defined as predictable behavior alteration without limiting options or providing reasons, is argued to be incompatible with genuine informed consent.
  • The core conflict lies in nudging potentially violating the physician's obligation to provide complete and truthful information.

Conclusions:

  • Physician nudging fundamentally undermines the integrity of informed consent by compromising the physician's duty of truthfulness.
  • Genuine informed consent necessitates transparent disclosure, which is inherently at odds with subtle behavioral manipulation through nudges.