Active voluntary euthanasia, terminal sedation, and assisted suicide.
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Biomedical subjects
Publications and source records attributed to C C Gauthier.
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Understanding the philosophical foundations of the principle of respect for autonomy is essential for its proper application within medical ethics. The foundations provided by Immanuel Kant's principle of humanity and John Stuart Mill's principle of liberty share substantial areas of agreement including: the grounding of respect for autonomy in the capacity for rational agency, the restriction of this principle to rational agents, and the important distinction between influence and control. Their work helps to clarify the scope and role of the principle of respect for autonomy in health care delivery; its implications for truth telling, informed consent, and confidentiality; and its relationship to other moral principles, such as beneficence and distributive justice.
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The perspectives of sociology and medical ethics are combined in this study of how the demands of women's social roles affect their efforts to obtain health care. The principles of justice, beneficence, and respect for autonomy are applied to the delivery of health care. A conflict between beneficence and respect for autonomy often leads to medical paternalism. Health care is not distributed justly in the United States, and three models of patient-practitioner interaction exist as a result of financial and time constraints on women. The first model is truly paternalistic. The second appears to be paternalistic. However, medical practitioners in this model are actually given a decision-making role by their female patients for specific issues for limited time periods. A third model exemplifies cooperation between medical professionals and patients, but this model is elusive to most women because of time constraints.