Patient, Heal Thyself: How "New Medicine" Puts the Patient in Charge by Robert M. Veatch Autonomy Amuck A review by Sherwin B Nuland Long regarded as central to the contemporary understanding of medical ethics are four principles that must be satisfied in order to fulfill the requirements of moral decision-making. These principles are autonomy, justice, beneficence, and non-maleficence. These terms are generally interpreted by ethicists in the following way: autonomy refers to the freedom of the patient to decide what is in his best interests, without interference from others; justice is the notion that no one should be deprived of any benefit to which he has a right, amounting, therefore, to fairness and equal opportunity in the way each individual is treated; beneficence is the physician's obligation to do only what will protect and promote the patient's well-being; and non-maleficence is the physician's obligation to avoid any undue harm to the patient. In an ideal world, these principles would guide every transaction that takes place between doctor and patient, regardless of how seemingly insignificant it... Read the entire review More reviews from The New Republic Online

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