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Rights, Duties, and Limits of Autonomy

  • H.E. Emson (a1)
Abstract

In the language of secular bioethics, autonomy is always accorded first place in the hierarchy of values that has come to be referred to as the “Georgetown mantra” A dictionary definition of mantra is “a verbal spell, ritualistic incantation, or mystic formula used devotionally,” and the value placed upon autonomy is largely of this nature: uncritical and uncriticised. That there should be and are limits to autonomy is obvious, but these boundaries are undefined, little discussed, and mostly unexplored. To use another metaphor, our emphasis on autonomy is an index of how far the pendulum has swung in an understandable and partly justifiable reaction from, earlier paternalism; has this swing approached its proper limit, and should we be seeking a less extreme and more balanced assessment of autonomy as a bioethical value?

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1. Rozovsky LE. The Canadian Patient's Book of Rights. Toronto: Doubleday, 1980.

2. American Medical Association. Fundamental Rights of the Patient-Physician Relationship. Chicago: AMA, 1990.

3. An Act Providing Certain Rights to Patients. Massachusetts Acts of 1979, Chap. 14.

4. Consumers Association of Canada. Policy Statement on Consumers and Health Care. 1989.

5. Emson HE. Rights, duties and responsibilities in health care. Journal of Applied Philosophy 1992;9:312.

6. Rene Descartes. Le Discours de la Methode.

7. Steinbrook R, Lo B. The Oregon Medicaid Demonstration Project; will it provide adequate medical care? New England Journal of Medicine 1992;326:340–4.

8. Hardin G. The tragedy of the commons. Science 1968;162:1243–8.

9. Hiatt HH. Protecting the Medical Commons; who is responsible? New England Journal of Medicine 1975;293:235–41.

10. Daniels N. Am I My Parents' Keeper? New York: Oxford University Press, 1988.

11. Callahan D. Setting Limits—Medical Goals in an Aging Society. New York: Simon & Schuster, 1987.

12. Trugg RD, Brett AS, Frader J. The problem with futility. New England Journal of Medicine 1992;326:1560–4.

13. Callahan D. Symbols, rationing and justice; rationing health care. American Journal of Law and Medicine 1992;18:113.

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Cambridge Quarterly of Healthcare Ethics
  • ISSN: 0963-1801
  • EISSN: 1469-2147
  • URL: /core/journals/cambridge-quarterly-of-healthcare-ethics
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