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The Fragile Web of Responsibility

Aids and the Duty to Treat

Bibliographic Data

ID20337489
AuthorsJohn D Arras (Albert Einstein College of Medicine, corresponding author)
Year1988
Volume18
Issue2
Pages10
Publication date1988-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Hastings Center Report (JOURNAL)
Journal identifiersISSN: 0093-0334 • E-ISSN: 1552-146X
PublisherJSTOR (PUBLISHER)
DOI10.2307/3562421
PMID11650065
OpenAlexW2004350188
LanguageEN
Citations received14

Arras maintains that the AIDS crisis confronts society with the need\nto re-examine the proper role and duties of physicians and of the medical\nprofession. He rejects as ethically unacceptable and practically unworkable\nduties to treat based either on a voluntary, contractual physician patient\nrelationship or on a social contract with the profession. Although a\nvirtue-based approach upholds an individualized duty to treat, it depends upon\nsociety's shared concept of the good which is beginning to erode as AIDS is\nviewed as a problem of a stigmatized minority. Arras concludes that the\nmedical profession and society must decide whether to reaffirm the ideal of\nself sacrifice for patient benefit or--in keeping with the recent drift to the\nentrepreneurial, scientific, or bureaucratic models--to accept a self-centered\nrole for physicians that would signify moral failure and set a dangerous\nprecedent. (KIE abstract)

Bureaucracy · Duty · Family medicine · Ideal (ethics) · Medical profession · Moral responsibility · Political science · Public relations · Sacrifice · Social responsibility · Sociology · Virtue · Ethics in medical practice · Health, Medicine and Society · Healthcare Systems and Practices · Law · Medicine · Psychology

  • Do Physicians Have an Ethical Duty to Repair Relationships with So-Called “Difficult” Patients

    Open Access•Micah Johnson•The AMA Journal of Ethic•2017

  • Life quality vs the 'quality of life

    Open Access•Tom Koch•Social Science & Medicine•2000

  • The Smallpox Vaccination of Health Care Workers

    Thomas May, Kimberly A Strong et al.•The Hastings Center Report•2003

  • Debating a Duty to Treat

    Paul Wallis•Bulletin of the history of medicine•2011

  • Healthcare workers' attitudes towards working during pandemic influenza

    Open Access•Hal Draper, Sue Wilson et al.•BMC Public Health•2008

  • Healthcare workers' attitudes to working during pandemic influenza

    Open Access•Jonathan Ives, Sheila Greenfield et al.•BMC Public Health•2009

  • The duty of care and the right to be cared for

    Open Access•Zohar Lederman, Shalom Corcos•Medicine Health Care and Philosophy•2024

  • Harm or Mere Inconvenience? Denying Women Emergency Contraception

    Open Access•Carolyn McLeod•Hypatia•2010

  • Aids and the health crisis of the U.S. urban poor; the perspective of critical medical anthropology

    Open Access•M Singer•Social Science & Medicine•1994

  • Ethical Challenges in Preparing for Bioterrorism

    Matthew K Wynia, Lawrence O Gostin•American Journal of Public Health•2004

  • The Quality Improvement–Research Divide and the Need for External Oversight

    Eran Bellin, Nancy Neveloff Dubler•American Journal of Public Health•2001

  • The duty to care in an influenza pandemic

    Open Access•Cécile M Bensimon, Maxwell J Smith et al.•Social Science & Medicine•2012

  • Healthcare practitioners' construction of occupational risk during the Covid-19 pandemic

    Open Access•Wayne C Rivera-Cuadrado•Social Science & Medicine•2023

  • A qualitative study of the duty to care in communicable disease outbreaks

    Open Access•Cécile M Bensimon, C Shawn Tracy et al.•Social Science & Medicine•2007

Unique citing works14
Citations per year0,44
Citation span1994 - 2024 (31)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 10

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