PHL281H1 Chapter Notes - Chapter Vaugn: Plastic Surgery, The Hastings Center

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10 Dec 2018
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Is cosmetic surgery a medical privilege or an abuse of medical knowledge and skill: consumer oriented entrepreneurial practice. Professional integrity and internal morality of medicine perspective. Medicine is not a morally neutral technique (353)- vulnerability and need for professional care. Internal morality of medicine: governed by moral framework of goals proper to medicine, duties, clinical virtues. Multiple goals: medicine is too diverse to be encompassed by one goal. Essentialist view: rules out too many medically appropriate procedures like sterilization that aren"t necessarily healing focused. Patient autonomy is not consumer sovereignty: depends on informed consent. Normative domain of medicine: causing risks/harms not associated with medical benefits- don"t serve goals of medicine, example of execution: suggest that physician can execute criminals. Pregnancy can be seen as a disability interfering with ability to function in life.

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