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Why "do no harm"?

V A Sharpe1

  • 1Department of Philosophy, Georgetown University, Washington, D.C. 20057, USA.

Theoretical Medicine
|March 1, 1997
PubMed
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The obligation to "do no harm" in healthcare ethics is best understood through the fiduciary nature of the patient-physician relationship, not solely through nonmaleficence. This fiduciary duty encompasses beneficence, challenging libertarian medical ethics models.

Area of Science:

  • Medical Ethics
  • Bioethics
  • Philosophy of Medicine

Background:

  • The traditional norms of the therapeutic relationship require critical reflection due to significant changes in American healthcare.
  • The principle of

Observation:

  • This paper critically examines the ethical obligation to "do no harm" within the context of modern healthcare.
  • It analyzes the limitations of libertarian medical ethics models in upholding this obligation.

Findings:

  • The libertarian model of medical ethics, as proposed by Engelhardt, inadequately supports the obligation to "do no harm."
  • This obligation encompasses both a negative duty of nonmaleficence and a positive duty of beneficence.

Implications:

Keywords:
Analytical ApproachBioethics and Professional EthicsHealth Care and Public HealthPhilosophical ApproachProfessional Patient Relationship

Related Experiment Videos

  • The ethical imperative to "do no harm" is best derived from the inherent fiduciary nature of the healing relationship.
  • Understanding this fiduciary basis is crucial for sustaining robust ethical practice in medicine.