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Abandoning informed consent: an idea whose time has not yet come

B C White1, J Zimbelman

  • 1Department of Philosophy, California State University at Chico, 95929-0730, USA.

The Journal of Medicine and Philosophy
|January 19, 1999
PubMed
Summary

This study defends informed consent in medicine, arguing that patient-physician communication adequately protects patient interests, contrary to critiques. It concludes that informed consent, despite challenges, remains essential for ethical medical practice.

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Area of Science:

  • Medical Ethics
  • Bioethics
  • Philosophy of Medicine

Background:

  • Robert Veatch critiques informed consent, asserting its theoretical inability to achieve its objectives.
  • Veatch's critique focuses on the difficulty of determining patients' best interests.

Purpose of the Study:

  • To refute Veatch's critique of informed consent.
  • To re-evaluate the practical and philosophical underpinnings of informed consent.
  • To advocate for the retention of informed consent in medical practice.

Main Methods:

  • Philosophical analysis of informed consent principles.
  • Critique of Veatch's arguments regarding patient best interests and communication.
  • Evaluation of Veatch's proposed alternative: value-based patient-professional pairing.
Keywords:
Analytical ApproachProfessional Patient Relationship

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Main Results:

  • Veatch's focus on theoretical impossibility is misapplied to practical medicine.
  • Patient-physician communication is sufficient for safeguarding patient interests.
  • Veatch's alternative pairing is unimplementable.

Conclusions:

  • Informed consent is practically achievable and philosophically justifiable.
  • The practice of informed consent should be maintained in healthcare.
  • Veatch's critique overlooks the functional aspects of medical ethics.