They maintain that to be guided by beneficence a physician must perform a right and good healing action which is consonant with the individual patients values in order to act in the patients best interests or the patients good the physician and patient must discern what that good is. For the patients good the restoration of beneficence in health care arthur l caplan phd acting for the good of the patient and on virtue is more appropriate to the special context of the medical encounter today p 3 for the patients good the restoration of beneficence in health care jama 1989261223314 3315 doi10 . In this companion volume to their 1981 work a philosophical basis of medical practice pellegrino and thomasma examine the principle of beneficence and its role in the practice of medicine their analysis which is grounded in a thorough going philosophy of medicine addresses a wide array of practical and ethical concerns that are a part of health care decision making today. The authors argue for the restoration of beneficence to its place as the fundamental principle of medical ethics they maintain that to be guided by beneficence a physician must perform a right and good healing action which is consonant with the individual patient s values. The restoration of beneficence in health care but entails positive enhancement of all components packed into the complex notion of the patients good pellegrino argues that medicine is neither a science nor an art but a practice that gives rise to ethical axioms if these axioms are violated the good of medicine is also violated
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