By Elliot Cohen
Do sufferers have the suitable to understand their physician's HIV prestige? Can a dentist refuse therapy to an HIV-positive sufferer? How do educators be certain no matter if to permit an HIV-positive baby to wait university, and in the event that they do, may still the fogeys of different little ones learn? may still a counselor holiday confidentiality via disclosing to a spouse that her husband is contaminated with HIV? This choice of unique essays rigorously examines the tough ethical offerings the AIDS pandemic has offered for plenty of pros physicians, nurses, dentists, lecturers and faculty directors, enterprise managers, psychotherapists, attorneys, clergy, reporters, and politicians. within the office, difficulties posed by means of HIV and AIDS have ended in a reexamination of conventional codes of ethics. offering systematic and reasoned discussions, the authors discover the ethical, felony, and moral concerns excited about the reconsideration of regulations, criteria of behavior, and the practicality of balancing own ethics. Elliot D. Cohen is Professor of Philosophy at Indian River group collage and Editor-in-Chief of the "International magazine of utilized Philosophy". Michael Davis is Senior examine affiliate on the heart for the research of Ethics in Professions, Illinois Institute of know-how.
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For Edelheit, the sanctity of human life itself provides a common thread binding past religious traditions to future ones, thereby permitting a coherent transformation. But will those clergy who resist such a 22 • Elliot D. Cohen and Michael Davis transformation find at least as compelling grounds for adhering to established traditions? Will they eventually be persuaded to yield to Edelheit's new perception? This last question is fundamental since religious traditions require consensus. lfhe answer may be the most important factor in determining whether many of those with HIV who would not now seek pastoral care will eventually find solace in established religion.
Finally, a cogent argument against instituting a program of mandatory "IV testing for all physicians is that it would not be worth the cost either financially or socially. Even ignoring the social cost, if each test costs an average of $50, and we administer "IV tests but three times a year to the 300,000-plus membership of the AMA alone, the bill would total about $45 million annually; and many times that if residents, medical students, and other health-care professionals were also routinely tested.
This conclusion also helps resolve questions of whether restricting physicians with HIV is a fair limitation of their liberty. To justify 36 • Albert Flores restricting the liberty of HIV-positive physicians to practice, it must be shown that patients are harmed by the unrestricted practice of seropositive physicians. Violations of the "harm principle" have been the principal moral justification for restricting a person's freedom; as John Stuart Mill has eloquently argued, "The only purpose for which power can be rightfully exercised over any member of a civilized community against his vvill is to prevent harm to others.