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Published on: February 16, 2011
The role of conscience and virtue: contrasting two models of medicine
Jaime Hernandez-Ojeda1, Xavier Symons2
1School of Theology, Department of Moral Theology, Pontifical University of the Holy Cross, Piazza di Sant'Apollinare, 49, 00186, Rome, Italy. jaheroj@gmail.com.
Abstract:
Today's medical ethics involve two different viewpoints based on how we understand the role of conscience in medicine and the purpose of healthcare. The first view, called the health-directed model, sees medicine as a way to improve health and promote healing, while also respecting the values of both patients and doctors. In this model, doctors need some discretionary space to decide how to achieve the best health outcomes in their practice. On the other hand, the service-provider model sees the main goal of medicine as providing a service, especially healthcare, with a strong focus on protecting patient autonomy. In this view, doctors are required to provide care even when it goes against their personal beliefs.The goal of this article is to explore the foundations and arguments of these two medical models. Understanding the key ideas behind these models is important for deciding whether to support or oppose conscientious objection in medical ethics. Additionally, the article aims to figure out which model makes a stronger case and to offer advice on how to engage with the opposing view from a virtue ethics perspective.
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