Justice is the hardest precept for the individual physician to deal with. It asks how to best allocate resources fairly so that patients with similar situations get treated the same way.
More Quotes from Dr. Tepperman:
The family needs to know whether they want to be on a ventilator or not. Discuss those issues with your friends, your family, with anyone who is likely to have significant input when the time comes. Don't leave it to the courts to designate your proxy.Dr. Tepperman
He's there to offer expertise, to explain options and to keep explaining until everything is clearly understood. But the patient, sitting on the examining table in a paper gown with the wind whipping around his knees, is the only person in the room with a decision to make. As such, he makes the decision and gives consent based on the information, which includes risks and benefits weighed against his personal values.
Dr. Tepperman
The judges had no basis for making any judgment for the medical experimentation that took place in the Nazi war camps unless they set down some rules to judge by.
Dr. Tepperman
It's the patient's expression of their values.
Dr. Tepperman
I don't think there's any question in ethical thinking that if treatment is medically futile, you don't continue it. But what is 'medically futile' Often there's no clear line.
Dr. Tepperman
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