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Response to Jesudason on ethical problems with kindness in healthcare

Bibliographic Data

ID21514877
AuthorsC Tan (0000-0002-5711-3749, College of Arts, Humanities and Languages, Life University, Sihanoukville, Cambodia, corresponding author), Ruth Neo (UNSW Medicine & Health, University of New South Wales - Kensington Campus, Sydney, New South Wales, Australia)
Year2025
Volume51
Issue12
Pages851-852
Publication date2025-12-01
Open AccessNo
TypeARTICLE
VenueJournal of Medical Ethics (JOURNAL)
Journal identifiersISSN: 0306-6800 • E-ISSN: 1473-4257
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/jme-2025-110820
PMID39971487
OpenAlexW4407738744
LanguageEN
Citations received2
References cited2

In this paper, we respond to a recent article by Edwin Jesudason regarding the ethical problems associated with kindness in healthcare. Jesudason contends that kindness contributes to unkind outcomes such as discrimination and systemic problems in healthcare. We disagree with his above assertion by forwarding three arguments. First, we question his association of kindness with favouritism through his conflation of favour with favouritism. We counter that doing someone a favour does not necessarily mean that preferential treatment is involved. Second, we object to his interpretation of discretionary kindness as possessing ‘circumscribed scope’, that is, doing favours to the ingroup and leaving out others. We maintain that the discretionary element of kindness does not denote inclusivity and instead refers to the judgement and prudence needed for a person to act kindly in specific circumstances. Our third argument concerns Jesudason’s emphasis on kindness as an action. By focussing on kind acts, he has inadvertently overlooked kindness as a moral value, attitude and inclination of a person. Overall, Jesudason has provided an inadequate explanation of kindness as a virtue. We suggest that a kind person does not promote or condone unkind outcomes such as prejudice, abuses and structural problems in healthcare. Instead, such a person goes beyond discrete kind acts and ingroup loyalty to actively demonstrate compassion, generosity and assistance towards those in need in a spontaneous and consistent manner

Compassion · Epistemology · Generosity · Judgement · Kindness · Political science · Virtue · Ethics and Legal Issues in Pediatric Healthcare · Ethics in medical practice · Law · Medicine · Philosophy · Political Philosophy and Ethics · Psychology · Social Psychology

  • Ethical detective work in healthcare

    Shang Long Yeo•Journal of Medical Ethics•2025

  • Iatrogenic kindness

    Edwin Jesudason•Journal of Medical Ethics•2025

  • Ethical problems with kindness in healthcare

    Edwin Jesudason•Journal of Medical Ethics•2023

Citations per year2
Citation span2025 - 2025 (1)
Highly citedNo

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