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Threats to Humanity and Doctors' Duties.
1Te Pokapū Matatiki Koiora-Bioethics Department, Te Kura Whaiora o Ōtepoti-Dunedin School of Medicine, Ōtākau Whakaaihu Waka-University of Otago, Dunedin, Otago, New Zealand.
Emergency Medicine Australasia : EMA
|April 6, 2026
Summary
Doctors have a duty to address climate change impacts from healthcare. While some actions are outside their scope, many environmental mitigation efforts can be integrated into daily medical practice.
Area of Science:
- Medical Ethics
- Environmental Health
- Climate Change Mitigation
Background:
- Healthcare systems significantly contribute to climate change.
- Physicians have a general ethical duty to do good and prevent harm.
- The intersection of medical practice and environmental responsibility is increasingly recognized.
Purpose of the Study:
- To explore the ethical obligations of doctors regarding climate change.
- To address objections concerning doctors' scope of influence and patient care priorities.
- To establish the validity of a duty for physicians to mitigate environmental impacts.
Main Methods:
- Ethical analysis of physicians' duties.
- Examination of objections to physician involvement in climate action.
- Discussion of practical implementation within medical institutions.
Main Results:
- Doctors have a plausible duty to mitigate climate change impacts from healthcare.
- Objections regarding specialist knowledge and influence are not applicable to actions within medical institutions.
- Prioritizing patient care does not negate the duty to address environmental concerns.
Conclusions:
- Physicians possess an ethical imperative to address climate change.
- Environmental mitigation efforts can be integrated into clinical practice without compromising patient care.
- Doctors can and should act to reduce the health system's environmental footprint.
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