A 21 year-old woman.
70 N.J. 10 (1976)
355 A.2d 647
IN THE MATTER OF KAREN QUINLAN, AN ALLEGED INCOMPETENT.
The Supreme Court of New Jersey.
Argued January 26, 1976.
Decided March 31, 1976.
Richard L. Elliott, MD, PhD, FAPA
Professor and Director, Medical Ethics
Mercer University School of Medicine
Mercer University School of Law
Why is medical ethics important?
What is medical ethics and what are its principles?
Principles of medical ethics
What is “The Law” and how does it relate to the Ethics Committee?
Elements of informed consent
Capacity vs. Competence
What can we do when a patient is thought to lack capacity?
What is implied consent? Therapeutic privilege?
O.C.G.A., DBHDD policy
Other ethical issues important to CSH
Mock ethics case consultations
Evaluation of Ethics Committee functions
Composition – Patient/community involvement?
Knowledge and skills of members
Adequacy of ethics consultation process
Data on numbers, types of consultations, and trends
Comments on group process within the committee
Timeliness- Do you have a requirement? Do you meet it?
How often does treatment team follow recommendations?
Satisfaction of committee members, customers?
And now . . .
I swear by Apollo, the healer, Asclepius, Hygieia, and Panacea, and I take to witness all the gods, all the goddesses, to keep according to my ability and my judgment, the following Oath and agreement:
To consider dear to me, as my parents, him who taught me this art; to live in common with him and, if necessary, to share my goods with him; To look upon his children as my own brothers, to teach them this art; and that by my teaching, I will impart a knowledge of this art to my own sons, and to my teacher's sons, and to disciples bound by an indenture and oath according to the medical laws, and no others.
I will prescribe regimens for the good of my patients according to my ability and my judgment and never do harm to anyone.
I will give no deadly medicine to any one if asked, nor suggest any such counsel; and similarly I will not give a woman a pessary to cause an abortion.
But I will preserve the purity of my life and my arts.
I will not cut for stone, even for patients in whom the disease is manifest; I will leave this operation to be performed by practitioners, specialists in this art.
In every house where I come I will enter only for the good of my patients, keeping myself far from all intentional ill-doing and all seduction and especially from the pleasures of love with women or men, free or slaves.
All that may come to my knowledge in the exercise of my profession or in daily commerce with men, which ought not to be spread abroad, I will keep secret and will never reveal.
If I keep this oath faithfully, may I enjoy my life and practice my art, respected by all humanity and in all times; but if I swerve from it or violate it, may the reverse be my life.
Walter Reed, MD 1851-1902
Jesse Lazear, MD PhD 1866-1900
Julius Wagner-Jauregg, MD 1857-1940
Paul Ehrlich, MD 1854-1915
1968 Peter Buxtun voices concerns
1969 CDC, AMA, NMA reaffirm support for TSUS
1972 Buxtun approaches AP, expose published
1973 HEW Report critical of Study