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Avoiding “Cloudcuckooland” in Ethics Committee Case Review: Matching Models to Issues and Concerns

Published online by Cambridge University Press:  29 April 2021

Cynthia B. Cohen
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Extract

Two Athenians set out to found a city free from the sophistry, power struggles, and litigiousness of Athens in Aristophanes’ play, The Birds. Their creation is to stand as a shining example of a virtuous demos in which reasoned discourse will give birth to goals beneficial to the individual and the community. The city that emerges, “Cloudcuckooland,” turns out to be a replica of Athens, driven by a morality of self-interest and the lust for world conquest. Its founders’ dream fades in a maze of doubtful arguments, crippling red tape, and insatiable litigiousness. Even so, Aristophanes hints, the dream survives, for no Athenian can escape from the restless hubris that leads to daring creation.

Special committees have been created in recent years to address difficult ethical issues in clinical care free from the bureaucratic amorality, professional friction, and litigiousness that can characterize problem-solving within health care institutions.

Type
Article
Information
Law, Medicine and Healthcare , Volume 20 , Issue 4 , Winter 1992 , pp. 294 - 299
Copyright
Copyright © American Society of Law, Medicine and Ethics 1992

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References

Agich, George J. and Youngner, Stuart J., “For Experts Only? Access to Hospital Ethics Committee,” Hastings Center Report, 21 (1991):17–25.CrossRefGoogle Scholar
Siegler, Mark, “Ethics Committees: Decisions by Bureaucracy,” Hastings Center Report 16 (1986):22–24.CrossRefGoogle Scholar
Wolf, Susan M., “Ethics Committees and Due Process: Nesting Rights in a Community of Caring,” Maryland Law Review 50 (1991):798–858.Google Scholar
Lo, Bernard, “Behind Closed Doors: Promises and Pitfalls of Ethics Committees”, New England Journal of Medicine, 317 (1987): 46–50.CrossRefGoogle Scholar
Lantos, John D., Miles, Steven H., Cassel, Christine K., “The Linares Affair,” Law, Medicine and Health Care 17 (1989):308–315; Nelson, Lawrence J., Cranford, Ronald E., “Legal Advice, Moral Paralysis and the Death of Samuel Linares,” id., 316–324; Wynstra, Nancy A., “Role of In-House Counsel in Decisions about Withdrawal of Life Sustaining Treatment,” id., 325–329.Google Scholar
La Puma, John, Schiedermayer, David L., “Ethics Consultation: Skills, Roles, and Training,” Annals of Internal Medicine, 114 (1991):156–160.CrossRefGoogle Scholar
Ross, Judith Wilson, “Case Consultation: The Committee or the Clinical Consultant?” HEC Forum 2 (1990):289–298.CrossRefGoogle Scholar