PHI 237 1st Edition Lecture 9 Christopher Boorse’s Goals of MedicineI. Introduction- Intro  has internal morality that restricts physicianso Boorse is a philosopher of medicine1. Nature of medicine  certain goals that medicine has - Directly opposed to those goals- Medicine of certain nature  make them whole2. Euthanize  help commit suicide … give prescription to make it- Contrary to nature of medicine if you thinks its to heal people and make them wholeo Contrary to nature of medicine- Internal Morality of Medicine (IMM)  accept these practices because its prima fascia wrong - Prima fascia  don’t lie, steal, cheat, kill3. These word have more than 1 meaning- Has to do with what practices of medical practitioners in the past- Physicals in terms of medicine4. Drs. Have always done things than fighting pathologist diseases - Pathocentric  focused on essentially pathology- His article focuses on ancient contraception … ancient Greek world5. Summaries - 1) Medicine has no essential connection to disease or - 2) Physicians may property practice qua physician something besides medicine6. Physicians not limited to promoting health or fighting diseases7. Maybe we shouldn’t spend $ on impairingIII. Internal Morality of Medicine: A Survey of Views- No consciousness of morality of medicine8. Clinical Medicine has a single goal  healing- Good dr. does healing well9. Pellegrino understands  health is making people whole- To heal them is to make them whole10. A lot of things Dr. can’t do in this field11. Knowledge or autonomous decision … may not be homemade at healing - Also cant find limits on confidentiality- *** Goals conflict ***o Give us a way to resolve conflict12. Alternative theory is Brody and Millers TheoryThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.- Medicine isn’t anything society creates and changes over time- Brody and Miller think medicine evolves- Nature of medicine helps society13. Old principles get reinterpreted1. Protect them for research2. Avoiding the problems of IMM by abandoning IMM  can be transformed by external things- Evolving views3. Veatch  IMM Impossible **- 1) So many medical roles with different propertieso Different roleso Pediatrician o Researchers vs. Nurses4. Goals aren’t incoherent- Goals:o Might pro long life but it would come at the expense of reliving the persono *Pain and diseaseo *Longevity and paino *Disease and longevity* can conflict*IV. Two Proposed Lists of the Goals of Medicine22. Boorse improves the list of goals from the Hastings center23. B&M is the worried well list24. B&M list doesn’t fit  torture26. B is critical- Not involved in medical news- Can be legitimated by society at large27. How society permits what is impermissible- Drs. cant do this but others can- What is wrong for doctors is what’s right- Wrong for them but okay for society at large- Don’t understand Brody and Millers Claimo Prohibited to certain people because of native of personality- Things wrong for the drs.  contraceptives- * not your standard model for