The principle of patient autonomy dominates the contemporary debate over medical
ethics. In this examination of the doctor-patient relationship, physician and
philosopher Alfred Tauber argues that the idea of patient autonomy--which was
inspired by other rights-based movements of the 1960s--was an extrapolation from
political and social philosophy that fails to ground medicine's moral
philosophy. He proposes instead a reconfiguration of personal autonomy and a
renewed commitment to an ethics of care. In this formulation, physician
beneficence and responsibility become powerful means for supporting the autonomy
and dignity of patients. Beneficence, Tauber argues, should not be confused with
the medical paternalism that fueled the patient rights movement. Rather,
beneficence and