Pilgrims in Medicine: Conscience, Legalism and Human Rights

Abstract

Preface and acknowledgements -- Image credits -- Abbreviations -- Abstract -- Student life -- Introduction: Themes / Schweitzer's J.S. Bach's contrapuntal themes & Keats the medical student. -- I. doctor-patient relationship -- Ch. 1. Difficulties with duty / Bergman's The seventh seal and Wild strawberries -- I. Near the end of its crusade -- II. Genome difficulties for doctor to patient duty -- III. Violations of patient human rights -- IV. Regulatory options -- Ch. 2. Exploration of the foundations / Anton Chekhov, Thorwalds' Dirty hands, and Olser's Aequanimitas. -- I. ideal in doctor- patient regulation -- II. first regulatory age: virtue ethics - - III. Second regulatory age: state and profession contract -- IV. Third regulatory age: deontology and codification -- V. Fourth regulatory age: rise of law and the fall of virtue -- Ch. 3. Virtue ethics and the medical humanities / Boswell and Samuel Johnson - - I. Direct role modelling or principlism -- II. Virtue ethics: a soft regulatory option? -- III. Indirect role modelling and narrative coherence -- IV. Prayer and contemplation -- V. Objections and implications -- Professional practise -- Ch. 4. Institutional ethical principles and rules / Sir Frederick Treves' The idol with hands of clay, The elephant man, Sinclair Lewis' Arrowsmith and Eliotts' Middlemarch -- I. professional community of principle -- II. Codes of medical ethics -- III. Guidelines -- IV. Objections and implications -- Ch. 5. Health law principles and rules / Aristotle' Poetics, Selzer's Imelda, Kafka's Before the Law and Shakespeare's The tempest. -- I. Medical malpractice as tragedy -- II. Consent: trust and the human right to inviolability -- III. Informed consent: patient authenticity and Article 7 of the ICCPR -- IV. medical fiduciary: can virtue be coerced? -- V. Contract: can vulnerable patients contractually bargain? -- VI. Confidentiality and privilege: protecting trust and loyalty -- VII. Medical legislation and professional life narratives -- VIII. Objections and implications -- Ch. 6. Constitutional and international human rights / Frankl's Man's search for meaning and Solzhenitsyn's One day in the life of Ivan Denisovich. -- I. Doctor to patient duty as a human right -- II. Rationing medical patents and managed care -- III. Refraining from eugenics: therapeutic loyalty or perfectionism? -- IV. Torture and cruel, inhuman or degrading treatment -- V. Respect, formal injustice and forensic genetic sampling -- VI. Protecting patients at the beginning of life -- VII. Protecting patients at the middle of life -- VIII. Protecting patients at the end of life -- IX. Objections and implications - - Retirement -- Ch. 7. Professional conscience and regulation / Chekhov's Ward six, de Beauvoir's A very easy death, Tolstoy's The death of Ivan Ilyich and Thorwald's The Dismissal. -- I. Integrated regulation -- II. Objections to integrated doctor-patient regulation -- Selected bibliography - - Index