In Reply: Mr Hall has misread my article, which
neither urges "ethical agnosticism" nor refrains from making recommendations
about how physicians should cope with role conflict. As Dr Suchman observes,
I advocate an approach anchored by the ethical import of keeping faith within
clinical relationships. Hall's incisive writings on rationing by clinical
caretakers give much less ethical weight to interpersonal fidelity at the
bedside than do I. Hall and I do agree on a key point—that physicians'
obligations to third parties and to society as a whole deserve ethical weight,
and that stewardship of scarce resources is one such obligation. We differ
in two basic ways.
Bloche MG. Exploring the Ethics of Clinical Role Conflicts—Reply. JAMA. 1999;282(2):132-133. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-2-jbk0714