Reynolds, J.M.K. orcid.org/0000-0002-6418-1467 and Mitchell, C. orcid.org/0000-0002-4790-0095 (2019) ‘Inglan is a bitch’ : hostile NHS charging regulations contravene the ethical principles of the medical profession. Journal of Medical Ethics, 45 (8). pp. 497-503. ISSN 0306-6800
Abstract
Following the recent condemnation of the National Health Service charging regulations by medical colleges and the UK Faculty of Public Health, we demonstrate that through enactment of this policy, the medical profession is betraying its core ethical principles. Through dissection of the policy using Beauchamp and Childress’ framework, a disrespect for autonomy becomes evident in the operationalisation of the charging regulations, just as a disregard for confidentiality was apparent in the data sharing Memorandum of Understanding. Negative consequences of the regulations are documented to highlight their importance for clinical decision makers under the principles of beneficence and non-maleficence. Exploration of the principle of justice illuminates the core differentiation between the border-bound duties of the State and borderless duties of the clinician, exposing a fundamental tension.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019 The Authors. This is an author-produced version of a paper subsequently published in Journal of Medical Ethics. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | allocation of healthcare resources; autonomy; ethics; minorities; right to healthcare |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 29 Jul 2019 11:22 |
Last Modified: | 08 Dec 2021 12:24 |
Status: | Published |
Publisher: | BMJ Publishing Group |
Refereed: | Yes |
Identification Number: | 10.1136/medethics-2019-105419 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:149048 |