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Additional resources for Bioethics and Moral Content: National Traditions of Health Care Morality: Papers dedicated in tribute to Kazumasa Hoshino

Sample text

To tamper with it is to spoil it, and to grasp it is to lose it. In fact, for all things there is a going ahead, and a time following behind" (Lao Tzu, 1989, p. 29). While the Taoist position seems to be more accommodating to traditional conduct and customs, but ready to go ahead if the time is right or if great imbalances have developed, the post-enlightenment European approach is more active, sometimes not ready to appreciate rich TRANSCULTURAL PERSPECTIVE 53 moral and cultural traditions and communities.

Discourse, understanding, controversy, and tolerance are the life and blood of peaceable and free societies, based on the respect for persons, the recognition of individual conscience and the risks, obligations and rights associated with choice and error. The alternative to our post-enlightenment and post-modem discourses and quarrels over values and visions would be hierarchical systems of heteronymous domination, torture, and ideational exploitation and tutelage - systems developed by self-proclaimed philosopher-kings and priest-czars for the exploitation of their fellow humans, beginning in pre-historic times, successful from the times of the pharaohs through the dark ages and middle ages of humankind to the Hitlers, Stalins, Pol Pots, Bin Ladens and Saddam Husseins of our times.

If one is to act as a physician solely out of commitment to the patient, then logically one can never morally act out of self-interest or even out of the interest of others important to the physician, such as the physician's family. That, however, seems unrealistic. It is not even clear that morally that is what we should ask of physicians. Surely, at some point, physicians are entitled to incorporate their own interests and those of their family into their decisions. In the United States we assume that they must be expected, for example, to go on vacation, use answering services, and participate in coverage arrangements, even if those are not fully in accord with the patient's best interest.

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