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  • Title: The fragile web of responsibility: AIDS and the duty to treat.
    Author: Arras JD.
    Journal: Hastings Cent Rep; 1988; 18(2):S10-20. PubMed ID: 11650065.
    Abstract:
    Arras maintains that the AIDS crisis confronts society with the need to re-examine the proper role and duties of physicians and of the medical profession. He rejects as ethically unacceptable and practically unworkable duties to treat based either on a voluntary, contractual physician patient relationship or on a social contract with the profession. Although a virtue-based approach upholds an individualized duty to treat, it depends upon society's shared concept of the good which is beginning to erode as AIDS is viewed as a problem of a stigmatized minority. Arras concludes that the medical profession and society must decide whether to reaffirm the ideal of self sacrifice for patient benefit or--in keeping with the recent drift to the entrepreneurial, scientific, or bureaucratic models--to accept a self-centered role for physicians that would signify moral failure and set a dangerous precedent.
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