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The promises and limitations of codes of medical ethics as instruments of policy change.
Komparic, Ana; Garon-Sayegh, Patrick; Bensimon, Cécile M.
  • Komparic A; Division of Clinical Public Health, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
  • Garon-Sayegh P; Faculty of Law, Université de Montréal, Montreal, Canada.
  • Bensimon CM; Canadian Medical Association, Ottawa, Canada.
Bioethics ; 37(4): 406-415, 2023 05.
Article in English | MEDLINE | ID: covidwho-2242277
ABSTRACT
Codes of medical ethics (codes) are part of a longstanding tradition in which physicians publicly state their core values and commitments to patients, peers, and the public. However, codes are not static. Using the historical evolution of the Canadian Medical Association's Code of Ethics as an illustrative case, we argue that codes are living, socio-historically situated documents that comprise a mix of prescriptive and aspirational content. Reflecting their socio-historical situation, we can expect the upheaval of the COVID-19 pandemic to prompt calls to revise codes. Indeed, Alex John London has argued in favour of specific modifications to the World Medical Association's International Code of Medical Ethics (which has since been revised) in light of moral and scientific failures that occurred during the COVID-19 pandemic. Responding to London, we address the more general question should codes be modified to reflect lessons drawn from the COVID-19 pandemic or future such upheavals? We caution that codes face limitations as instruments of policy change because they are inherently interpretive and 'multivocal', that is, they usually underdetermine or provide more than one answer to the question, 'What should I do now?' Nonetheless, as both prescriptive and aspirational documents, codes also serve as tools for reflection and deliberation-collective practices that are necessary to engaging with and addressing the moral and scientific uncertainties inherent to medicine.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Codes of Ethics / COVID-19 Limits: Humans Country/Region as subject: North America Language: English Journal: Bioethics Journal subject: Ethics Year: 2023 Document Type: Article Affiliation country: Bioe.13143

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Codes of Ethics / COVID-19 Limits: Humans Country/Region as subject: North America Language: English Journal: Bioethics Journal subject: Ethics Year: 2023 Document Type: Article Affiliation country: Bioe.13143