The Hard Question of Justification in Health Care Ethics Consultation

"The Hard Question of Justification in Health Care Ethics Consultation." The American Journal of Bioethics, 19(11), pp. 65–66

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Taxonomizing Views of Clinical Ethics Expertise

Notes

1 I do not mean to suggest that these contextual features must merely be accepted; many people have articulated ways in which HCECs should challenge certain assumptions or dynamics (see, e.g. Myers 2007). But usually most of this context will not need to be challenged. Moreover, even when some aspect of a case should be challenged, it is often something—e.g. a state or federal law—that an HCEC is powerless to change, at least for the purposes of the case at hand. In other cases—for example, when the problem involves local practice or policy—the HCEC is in an ideal (even if uneasy) position to challenge the appropriateness of a contextual feature.