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Abstract
The practice of medicine is an intrinsically ethical endeavor because its fundamental goal is health, a good necessary for and integral to human flourishing. This goal also helps define and identify what counts as ethical behavior in the practice of medicine. Fundamentally, actions that promote the possibility of health are generally to be accounted as ethically good actions. Conversely, those that tend to frustrate or destroy the possibility of health are to be accounted as ethically bad. In addition to having an identity-defining goal, clinical medicine also has a nature or structure proper to it. That structure is relational. The authentic and effective practice of medicine requires a relationship of deep mutual trust between the physician and the physician’s patient and the patient’s family. Therefore, a commitment to and an ability to create and sustain such a relationship is a legitimate moral expectation of a physician and is the source of many of the physician’s ethical responsibilities. In the eleven case studies that follow, common ethical challenges that pediatricians might reasonably expect to encounter in their practice are explored. In each case, it is recommended that the pediatrician adopt the course of action that is most consistent with the nature and goal of medicine understood as a healing profession rooted in and requiring a relationship of mutual trust.
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