Document Detail


Should doctors intentionally do less than the best?
MedLine Citation:
PMID:  10226916     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The papers of Burley and Harris, and Draper and Chadwick, in this issue, raise a problem: what should doctors do when patients request an option which is not the best available? This commentary argues that doctors have a duty to offer that option which will result in the individual affected by that choice enjoying the highest level of wellbeing. Doctors can deviate from this duty and submaximise--bring about an outcome that is less than the best--only if there are good reasons to do so. The desire to have a child which is genetically related provides little, if any, reason to submaximise. The implication for cloning, preimplantation diagnosis and embryo transfer is that doctors should only produce a clone or transfer embryos expected to enjoy a level of wellbeing which is less than that enjoyed by other children the couple could have, if there is a good reason to employ that technology. This paper sketches what might constitute a good reason to submaximise.
Authors:
J Savulescu
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Publication Detail:
Type:  Comment; Journal Article    
Journal Detail:
Title:  Journal of medical ethics     Volume:  25     ISSN:  0306-6800     ISO Abbreviation:  J Med Ethics     Publication Date:  1999 Apr 
Date Detail:
Created Date:  1999-06-30     Completed Date:  1999-06-30     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7513619     Medline TA:  J Med Ethics     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  121-6     Citation Subset:  E; IM    
Affiliation:
Murdoch Institute, Royal Children's Hospital, Melbourne, Australia.
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MeSH Terms
Descriptor/Qualifier:
Beneficence*
Child Welfare
Cloning, Organism*
Complicity*
Decision Making*
Disabled Persons
Ethics, Medical*
Female
Genetic Diseases, Inborn*
Humans
Infant, Newborn
Male
Moral Obligations*
Patient Selection
Personal Autonomy*
Pregnancy
Preimplantation Diagnosis*
Social Values*
Stress, Psychological
Comments/Corrections
Comment On:
J Med Ethics. 1999 Apr;25(2):108-13   [PMID:  10226914 ]
J Med Ethics. 1999 Apr;25(2):114-20   [PMID:  10226915 ]
Comment In:
J Med Ethics. 1999 Apr;25(2):127-9   [PMID:  10226917 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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