Moral Contracts and the Patient-Physician Relationship
Journal of Bioethics. 1984 Spring/Summer; 5(1): 54-62.
Rothbart critically examines Robert Veatch's contractual model of the physician patient relationship, which grounds a physician's obligations in a just decision procedure and requires a mutual, full disclosure of personal values and ethical principles. He sees Veatch's model as making unrealistic demands on both parties, and instead proposes a counseling-sanctioning model. In this model, two conceptions of individual autonomy, one creating a right to voluntary and independent decision making and the other addressing the ability to act freely, establish rights and duties for patient and physician. Rothbart argues that this model realistically represents the value-laden dimensions of medicine and mandates reasonable standards of patient care. (KIE abstract)
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