Abstract
The author examines and rejects two common types of argument in support of the duty to care for persons infected with HIV, namely, the view that exposure to this contagion has been accepted (individually or communally) by physicians, and the view that physicians can be held to a high standard of moral conduct that encompasses a substantial degree of self-sacrifice. He suggests rather that the duty to care for the HIV-infectious patient is grounded in the harm that would ensue were discrimination to be permitted, and in fairness to those members of the medical profession who refuse to discriminate.
Keywords: AIDS, family medicine, infectious diseases, medical ethics, occupational risks
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- Albert J., Pehrson P. O., Schulman S., Håkansson C., Lövhagen G. B., Berglund O., Beckman S., Fenyö E. M. HIV isolation and antigen detection in infected individuals and their seronegative sexual partners. AIDS. 1988 Apr;2(2):107–111. doi: 10.1097/00002030-198804000-00006. [DOI] [PubMed] [Google Scholar]
- Anderson R. M., May R. M. Epidemiological parameters of HIV transmission. Nature. 1988 Jun 9;333(6173):514–519. doi: 10.1038/333514a0. [DOI] [PubMed] [Google Scholar]
- Freedman Benjamin. A meta-ethics for professional morality. Ethics. 1978 Oct;89(1):1–19. doi: 10.1086/292100. [DOI] [PubMed] [Google Scholar]
- Gillon R. Refusal to treat AIDS and HIV positive patients. Br Med J (Clin Res Ed) 1987 May 23;294(6583):1332–1333. doi: 10.1136/bmj.294.6583.1332. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pellegrino E. D. Altruism, self-interest, and medical ethics. JAMA. 1987 Oct 9;258(14):1939–1940. [PubMed] [Google Scholar]
- Ward J. W., Holmberg S. D., Allen J. R., Cohn D. L., Critchley S. E., Kleinman S. H., Lenes B. A., Ravenholt O., Davis J. R., Quinn M. G. Transmission of human immunodeficiency virus (HIV) by blood transfusions screened as negative for HIV antibody. N Engl J Med. 1988 Feb 25;318(8):473–478. doi: 10.1056/NEJM198802253180803. [DOI] [PubMed] [Google Scholar]
- Zuger A., Miles S. H. Physicians, AIDS, and occupational risk. Historic traditions and ethical obligations. JAMA. 1987 Oct 9;258(14):1924–1928. [PubMed] [Google Scholar]