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Who Should Decide? Paternalism in Health Care.

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By Childress James F.. . 250 pages. Oxford University Press: , New York; , 1983.. $24.95.

Ann Intern Med. 1983;99(2):825. doi:10.7326/0003-4819-99-2-285_1
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Childress argues that paternalism justifies practices, policies, and acts in medicine, and he aims to test the adequacy of these justifications. His is the most important book on this topic to date.

The first of two appendices contains 22 paternalism cases that are discussed throughout the text. The second appendix contrasts the author's position on paternalism, defined as "a refusal to accept or acquiesce in another person's wishes, choices and actions for that person's own benefit" (page 13), with that of Gert and Culver. Childress objects to their rejection of paternalism on the narrow grounds of consequences and violations of




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