Premium
The Morality of Refusing to Treat HIV‐positive Patients
Author(s) -
SILVER MITCHELL
Publication year - 1989
Publication title -
journal of applied philosophy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.339
H-Index - 30
eISSN - 1468-5930
pISSN - 0264-3758
DOI - 10.1111/j.1468-5930.1989.tb00387.x
Subject(s) - obligation , moral obligation , argument (complex analysis) , alienation , morality , medicine , human immunodeficiency virus (hiv) , warrant , social psychology , psychology , nursing , psychiatry , family medicine , law , political science , business , finance
Do physicians and nurses have an obligation to treat patients who are HIV‐positive? Although an initial review of the possible sources of such an obligation yields equivocal results, a closer examination reveals a clear obligation to treat. The current risk of job‐caused HIV‐infection is not sufficient to warrant a refusal to treat. This is so because there exist rationally justified, general social, as well as specific peer expectations, that health care professionals treat HIV‐positive patients. These expectations impose moral obligations on doctors and nurses. Moreover there is no sound libertarian argument entitling doctors and nurses to refuse to treat HIV‐positive patients. A morally appropriate identification with his or her role would disincline a health care professional to refuse treatment to an HIV‐positive patient. The likely source of such refusal is occupational alienation and an irrational reaction to AIDS symbolism.