Ackerman

Question 1

“Why Doctors Should Intervene”

Answer 1

terrence ackerman

Question 2

AMA Principles of Medical Ethics

Answer 2

makes noninterference of doctors in patients lives the key moral factor:

• confidentiality
• honesty
• respect right to refuse treatment
• respect right to informed consent

Question 3

Goal

Answer 3

to show that noninterference not best way to respect patient autonomy because illness transforms the patient

Question 4

2 features of autonomy

Answer 4

1. autonomous behavior governed by deliberation (information gathering/priority setting)
2. people make choices based on life plans

Question 5

Impediments to autonomous behavior

Answer 5

• physical
• cognitive
• psychological: fear, depression
• social (roles, expectations, “the expert”)

Question 6

illness and autonomy

Answer 6

• loss of control the most destructive aspect of illness
• doctors goal should be to restore control
• but how? need to go beyond simple non-interference and provision of information

Question 7

underlying flawed model

Answer 7

• commodity exchange between equals
• doctor supplies medical care for a fee
• the goal here is to develop the patient through care
• sick people are not “equals” - they are qualitatively different (p. 114)