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Public Health Ethics Advance Access published online on October 1, 2009
Public Health Ethics, doi:10.1093/phe/php025
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The Author 2009. Published by Oxford University Press. Available online at www.phe.oxfordjournals.org

Public Health Doctors’ Ancillary-Care Obligations

Henry S. Richardson*

Georgetown University

* Corresponding author: Department of Philosophy, Georgetown University, Washington, DC 20057, USA. Tel.: (202)-687-7487; Email: richardh{at}georgetown.edu.


  Abstract

This comment on the case presented in ‘Cholera and Nothing More’ argues that the physicians at this public-health centre did not have an ordinary clinician's obligations to promote the health of the people who came to them for care, as they were instead set up to serve a laudable and urgent public-health goal, namely, controlling a cholera outbreak. It argues that, nonetheless, these physicians did have some limited moral duties to care for other diseases they encountered—some ancillary-care duties—arising from their voluntarily entering into a kind of intimate relationship with the patients they took in, one in which those patients effectively waive certain rights to bodily and medical privacy.


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