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. 1983 Mar 11;249(10):1305-10.
doi: 10.1001/jama.249.10.1305.

Professing ethically. On the place of ethics in defining medicine

Professing ethically. On the place of ethics in defining medicine

L R Kass. JAMA. .

Abstract

Medicine, despite technological advances and societal changes, remains essentially what it has always been, a profession rather than a trade, with its own ends, means, and intrinsic norms of conduct. Being a professional is an ethical matter, entailing devotion to a way of life, in the service of others and of some higher good. The medical profession is devoted to the naturally given end of health and assists the immanent powers of self-healing. It serves the needs as it treats the infirmities of the sick, sensitive to their vulnerability, shame, and exposure and mindful of the meaning of the delicate tension between bodily wholeness and necessary decay. These special characteristics imply specific and inherently medical obligations, both of omission and commission, as well as an appropriately reverential stance of the physician before his chosen profession.

KIE: A thesis is developed concerning the basic nature of medicine as a profession, rather than a trade, and the ethical implications of being a medical professional. Unique moral duties and norms of conduct are ascribed to the physician; they flow from the precariousness of health, the human consciousness of illness, and the explicitly defined relationship of the patient's illness and health to the physician's professed devotion to healing and comforting.

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