PHLB09H3 Lecture Notes - Lecture 3: Paternalism, Harm Avoidance
Document Summary
If not, some form of p may be permissible goldman: p is impermissible. The most inclusive notion of harm is relative to the values and preferences of the particular individual (94) (paternalism questions one"s autonomy) Assume: harm is objective (pain, depression, death) Reason: refusing treatment implies tolerance: empirical argument: Claim: honoring autonomy won"t cause harm (thus paternalisms may be impermissible) Reason: refusing treatment implies ranking (projects interrupted by treatment worse than advanced illness) This at most shows doctors need training to judge effects of disclosure. More needed to show that: doctors must practice full disclosure to enable patient a, tf: paternalism may be impermissible. Rebuttal: medical profession may still be the only one, or one of only a few, paternalistic in this way (authority over driving vs. health: moral argument: We rarely subordinate long-term goals to hpl otherwise we"d (hpl = health. Prolonged life: avoid driving, fund more hospitals, avoid defensive wards, avoid indulgence, sacrifice unfished projects while sick.
