1996 ASHG Presidential Address. Toward the 21st century.
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The lecture focuses on two issues related to intensive care in pediatrics: uncertainty in prognosis and plurality in ethics. Despite the increasing plurality in ethics consensus can be achieved about the basic moral principles in medicine. The principles of medical ethics--mainly autonomy, beneficience, nonmaleficience and justice--provide an acceptable normative basis. The uncertainty of prognosis is described as an unavoidable element of acting in medicine, in particular in intensive care. Internalized dispositions are proposed to be a morally adequate answer to this structure given in medicine: conscientiousness, carefulness, engagement.
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The Canadian Association of General Surgeons, representing community and academic general surgeons throughout Canada, is concerned about the widespread effects of health care restructuring on clinical care, education and research. The general surgeon remains one of the critical members of the health care team and should have an adequate voice in ongoing discussions regarding health care reform.
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