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Conclusion

I have suggested that collective or widely shared values exist in health care. They derive from ancient traditions and are re-enforced by teamwork in professional situations and by the collect­ivization of treatment decisions by algorithms.

But the situation in health care is complicated by the fact that hospitals also act as corporations or collectives with a different set of values — those of the market or of economics — which may be in tension with medical values. In addition, patients are increasingly taking on the role of consumers. This again will tend to clash with traditional medical values and will divide moral responsibility between doctor and patient­consumer. On the other hand, patient consumerism can be depicted as creating a new partner­ship between patient and doctor. But in the end, moral responsibility remains with individuals, although the collective aims and values of medicine, business corporations, and consumerism may all have causal responsibility for their impact on these moral decisions.

References

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Downie, R. (2017) “Patients and Consumers,” Journal Royal College of Physicians Edinburgh 47:261—265.

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French, P. (1984) Collective and Corporate Responsibility, New York: Columbia University Press.

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Institute of Medicine (2000) To Err is Human: Building a Safer Health System, Washington, DC: The National Academic Press.

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Luke 10:30-37, Holy Bible. Oxford: Oxford University Press.

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Further Reading

May, L., and Hoffman, S. (1991) (eds.) Collective Responsibility: Five Decades of Debate in Theoretical and Applied Ethics, Maryland: Rowman & Littlefield.

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Source: Bazargan-Forward Saba, Tollefsen Deborah (eds.). The Routledge Handbook of Collective Responsibility. Routledge,2020. — 538 p.. 2020

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