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Why physicians have authority over patients.

Jake Greenblum1, Ryan Hubbard2

  • 1Clinical Ethicist, Memorial Health, Springfield, IL, USA.

Medicine, Health Care, and Philosophy
|May 17, 2022
PubMed
Summary

Physicians possess normative authority over patients, challenging views that deny this. This authority is demonstrated through four illustrative clinical cases.

Keywords:
AuthorityBioethicsDutyMedical AuthorityRaz

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Area of Science:

  • Medical Ethics
  • Philosophy of Medicine

Background:

  • The nature of physician-patient relationships is a key area in medical ethics.
  • Discussions on physician authority often involve complex philosophical arguments.

Purpose of the Study:

  • To establish the normative authority of physicians over patients.
  • To critique existing philosophical viewpoints that deny physician authority.
  • To provide case-based evidence supporting physician authority.

Main Methods:

  • Conceptual analysis of normative authority.
  • Examination and critique of Arthur Isak Applbaum's arguments.
  • Case study analysis of four distinct clinical scenarios.

Main Results:

  • Physicians do hold normative authority over patients.
  • Critiques of Applbaum's position highlight its limitations.
  • The presented cases exemplify and support the concept of physician authority.

Conclusions:

  • The normative authority of physicians is a fundamental aspect of medical practice.
  • Philosophical arguments against physician authority are insufficient.
  • Clinical practice and ethical frameworks should recognize physician authority.