Ethical Issues in the Prevention and Treatment of HIV Infection and AIDS
Science. 1988 Feb 5; 239(4840): 597-603.
The epidemic of infection with the human immunodeficiency virus (HIV) and the acquired immunodeficiency syndrome (AIDS) poses a major ethical question: How can we control the epidemic and the harm that it causes without unjustly discriminating against particular social groups and without unnecessarily infringing on the freedom of individuals? This question pertains to three spheres of public policy in the United States: public health, the delivery of health care, and research. In the public health sphere, vigorous educational efforts will be required, as will modified approaches to intravenous drug use, prostitution, and homosexual and bisexual sexual activity. Carefully targeted, voluntary testing and screening programs should be coupled with counseling and with guarantees of confidentiality and nondiscrimination where these are appropriate. Both health care workers and the health care system have a moral obligation to provide care to people....
Advance Directives; Aids; Aids Serodiagnosis; Allowing to Die; Altruism; Attitudes; Autonomy; Acquired Immunodeficiency Syndrome; Beneficence; Biomedical Research; Brain; Confidentiality; Counseling; Drug Abuse; Duty to Warn; Delivery of Health Care; Discrimination; Economics; Education; Financial Support; Freedom; Government; Government Regulation; Harm; Health; Health Care; Health Care Delivery; Health Education; Health Personnel; HIV Seropositivity; Homosexuals; Justice; Mandatory Programs; Mass Screening; Minority Groups; Moral Obligations; Moral Policy; Obligations of Society; Patient Care; Public Health; Public Policy; Refusal to Treat; Regulation; Research; Resource Allocation; Review; Risks and Benefits; Sex Offenses; Social Discrimination; Statistics; Voluntary Programs;
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