The ethics of treating family members

Current Opinion in Anaesthesiology
Colin Hutchison, Paul C McConnell

Abstract

Many medical professionals receive requests from family and friends asking for medical advice and treatment. But should medics treat their family? Ethically can we treat, or refuse to treat, family members? This is a common ethical challenge that most doctors face during their career and there is limited evidence available. By examining ethical principles, we aim to answer these questions and provide a framework that will guide decision making in this area. There is a paucity of evidence available. Many ethical systems exist and have been discussed since ancient Greece but in recent years, bioethics has become more prominent in medical thinking and debate. We examine ethical systems such as virtue ethics, utilitarianism, deontology and principlism and how they relate to treating family members. We then look at cases in different contexts and describe a system for approaching such cases, allowing doctors to conform to moral standards, and consider ethical arguments, prior to embarking upon any treatment course with a relative.

References

Oct 31, 1991·The New England Journal of Medicine·J La PumaC A Darling
Jul 16, 2002·JAMA : the Journal of the American Medical Association·Brian M AboffDeborah B Ehrenthal
Dec 3, 2008·Annals of Internal Medicine·Erik K FrommeBrent W Beasley
Jan 21, 2012·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Jonathan R Scarff, Steven Lippmann
Jan 10, 2018·Annals of Family Medicine·Esther GiroldiJochen W L Cals

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