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The Foundations of Bioethics.

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By Engelhardt H. Tristram Jr. . 398 pages. Oxford University Press; , New York: , 1986.. $27.95.

Ann Intern Med. 1986;105(6):987-988. doi:10.7326/0003-4819-105-6-987_2
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Tristram engelhardt has produced one of the most important, sophisticated, and controversial books in the history of medical ethics. Engelhardt, along with many others writing on medical ethics today, recognizes that the traditional Hippocratic ethic will no longer suffice as a moral guide for the physician-patient relationship. Engelhardt has crafted an entire system of ethics from which he then derives an ethic for medical decisions. That ethic, he argues, must be invented by rational persons. The result will be a minimal ethic for a secular society supplemented by a more particular ethic for voluntary, sectarian communities. The minimal ethic will


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