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7.justice_and_autonomy.pptx

The Principle of Justice

In the practice of medicine, the principle of justice refers to the allocation of limited health resources preferring to benefit first those who need them the most.

*Deontology*

As opposed to allocating health resources in order to maximize the overall wellbeing of a group of patients or a group containing patients and others affected by the distribution of benefits.

*The Principle of Beneficence*

*Utilitarianism*

Autonomy

Psychology

The capacity of people to make life changing decisions and to follow through with the choices they make.

The capacity may be context specific.

The capacity may come in different degrees.

Legal autonomy

Legally competent individuals are authorized to make life-changing decisions, including decisions regarding their healthcare on their own.

Paternalism puts constrains on psychologically autonomous individuals by passing laws that restrain their actions for their own good.

The Principle of Respect for Autonomy

Moral philosophy

“an action or practice is morally wrong insofar as it attempts to control the actions of substantially autonomous persons on the basis of a concern for their own welfare” (textbook, p. 108)

Healthcare ethics

“patients have the right to be self-determining insofar as their actions affect only themselves.” (textbook, p. 108)

Hippocratic paternalism goes against this principle.