By Elliot Cohen
Do sufferers have the fitting to understand their physician's HIV prestige? Can a dentist refuse remedy to an HIV-positive sufferer? How do educators ascertain even if to permit an HIV-positive baby to wait tuition, and in the event that they do, may still the fogeys of alternative youngsters be told? should still a counselor holiday confidentiality via disclosing to a spouse that her husband is contaminated with HIV? This choice of unique essays rigorously examines the tough ethical offerings the AIDS pandemic has offered for plenty of execs physicians, nurses, dentists, lecturers and college directors, company managers, psychotherapists, legal professionals, clergy, reporters, and politicians. within the office, difficulties posed through HIV and AIDS have resulted in a reexamination of conventional codes of ethics. offering systematic and reasoned discussions, the authors discover the ethical, felony, and moral matters fascinated by the reconsideration of regulations, criteria of behavior, and the practicality of balancing own ethics. Elliot D. Cohen is Professor of Philosophy at Indian River group university and Editor-in-Chief of the "International magazine of utilized Philosophy". Michael Davis is Senior study affiliate on the middle for the learn of Ethics in Professions, Illinois Institute of know-how.
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Extra resources for Aids: Crisis in Professional Ethics
53 They defend testing patients for HIV because it will help health-care professionals to better know with whom they should take greater precautions, arguing that such testing is necessary because it is unrealistic to expect health-care professionals to be vigilant in exercising infection control precautions at all times. 54 Actually, early HIV testing may be highly desirable since new drugs such as the antiviral azidothymidine (AZT) can help delay the onset of AIDS as well as possibly prolong life.
As we have previously suggested, HIV-,positive physicians should be granted the presumption of liberty to practice unrestricted, until it is proven or rationally presumed that they art~ unsafe to their patients. We should note, too, that physicians, like patients, have fundamental moral rights that are intended to protect their legitimate interests from unwanranted intrusions and that society has a correlative duty to respect. Anlong the most important of these rights is the right of a licensed, competent physician to practice medicine without undue restriction; this right can be overriden only if another, more pressing moral consideration, such as a patient's right not to be harmed, can be shown or reasonably presumed to take precedence.
The concept of informed consent was specifically designed to protect individuals from being forced to undergo medical treatment or experimentation against their wills. Because mandatory testing as a policy directly contradicts informed consent protections, most states currently have specific legal prohibitions against such testing. 64 Moreover, since mandatory "IV testing programs proposed for prisoners, immigrants, and others involved in high-risk activities have also been rejected across the board, it is curious why such a program would be viewed as appropriate for physicians.
Aids: Crisis in Professional Ethics by Elliot Cohen