By Robert Baker, R.B. Baker
Like many novel principles, the belief for this quantity and its predecessor arose over lunch within the cafeteria of the previous Wellcome Institute. On an atternoon in Sept- ber 1988, Dorothy and Roy Porter, and that i, sketched out a plan for a suite of conf- ences within which students from a number of disciplines may discover the emergence of recent clinical ethics within the English-speaking international: from its pre-history within the quarrels that arose as gentlemanly codes of etiquette and honor broke down lower than the strain of the eighteenth-century "sick trade," to the Enlightenment ethics of John Gregory and Thomas Percival, to the yank appropriation strategy that culminated within the American clinical Association's 1847 Code of Ethics, and to the British flip to scientific jurisprudence within the 1858 clinical Act. Roy Porter officially provided our inspiration as a plan for 2 back-to-back c- ferences to the Wellcome belief, and that i offered it to the editors of the PHI- LOSOPHY and drugs sequence, H. Tristram Engeihardt, Jr. and Stuart Spicker. The reception from either events used to be enthusiastic and so, with the monetary backing of the previous and a dedication to booklet from the latter, Roy Porter, ably assisted by way of Frieda Hauser and Steven Emberton, - ganized meetings. the 1st used to be held on the Wellcome Institute in - cember 1989; the second one used to be backed via the Wellcome, yet was once truly held within the nationwide clinic, in December 1990.
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Additional resources for The Codification of Medical Morality: Historical and Philosophical Studies of the Formalization of Western Medical Morality in the Eighteenth and Nineteenth ... Jurisprudence in the Nineteenth Century
Nothing weakened the medical profession more than the bitter feuds and divisions that plagued doctors through the late nineteenth century. . They were open and acrimonious, and as common in the high tiers of the profession as in the low. Philadelphia, the center of early American medicine, was a maelstrom of professional ill will . . During the yellow fever epidemic in Philadelphia in 1793, Benjamin Rush and his rivals took to the press to denounce each other's treatment. " (, p. 93). 30 ROBERT BAKER W h y w e r e " c o n s u l t a t i o n s " so p r o b l e m a t i c ?
223--253, reprinted in [I 2], pp. 58-59). Thus, because o f the horizontal structure o f nineteenth-century medicine, when one physician consulted another, he was dealing with s o m e o n e w h o had an i m m e d i a t e self-interest in disparaging his care o f the patient. This placed physicians in a c o o p e r a t i v e d i l e m m a : for while, at any g i v e n time, they (and their patient) w o u l d be better o f f w e r e a consultation to be arranged, to consult was always to place o n e ' s s e l f at risk o f betrayal.
But nowhere did the standing committee introduce the word ethics and the "tacit compact" mentioned was in no way comparable to the social contract of the political theorists of the Enlightenment, from Locke to Rousseau. Its closest analogue was the agreement between the medieval craftsman and his guild (, p. 86). Chapman raises two intriguing questions: one historical, the other conceptual. The historical question is straightforward: was the Boston Medical Police a descendant of classical social contract theory?