RT Article
T1 The promises and limitations of codes of medical ethics as instruments of policy change
JF Bioethics
VO 37
IS 4
SP 406
OP 415
A1 Komparic, Ana
A1 Garon-Sayegh, Patrick
A1 Bensimon, Cécile M.
LA English
PB Wiley-Blackwell
YR 2023
UL https://www.ixtheo.de/Record/1841909823
AB Codes of medical ethics (codes) are part of a longstanding tradition in which physicians publicly state their core values and commitments to patients, peers, and the public. However, codes are not static. Using the historical evolution of the Canadian Medical Association's Code of Ethics as an illustrative case, we argue that codes are living, socio-historically situated documents that comprise a mix of prescriptive and aspirational content. Reflecting their socio-historical situation, we can expect the upheaval of the COVID-19 pandemic to prompt calls to revise codes. Indeed, Alex John London has argued in favour of specific modifications to the World Medical Association's International Code of Medical Ethics (which has since been revised) in light of moral and scientific failures that occurred during the COVID-19 pandemic. Responding to London, we address the more general question: should codes be modified to reflect lessons drawn from the COVID-19 pandemic or future such upheavals? We caution that codes face limitations as instruments of policy change because they are inherently interpretive and ‘multivocal’, that is, they usually underdetermine or provide more than one answer to the question, ‘What should I do now?’ Nonetheless, as both prescriptive and aspirational documents, codes also serve as tools for reflection and deliberation—collective practices that are necessary to engaging with and addressing the moral and scientific uncertainties inherent to medicine.
K1 World Medical Association
K1 Professions
K1 Policy
K1 Medical Ethics
K1 Covid-19
K1 codes of ethics
DO 10.1111/bioe.13143