Integrating medical ethics with normative theory: Patient advocacy and social responsibility

  • N. S. Jecker Department of Medical History and Ethics, University of Washington School of Medicine, Mail Stop SB-20, Seattle, 98195, Washington, United States


It is often assumed that the chief responsibility medical professionals bear is patient care and advocacy. The meeting of other duties, such as ensuring a more just distribution of medical resources and promoting the public good, is not considered a legitimate basis for curtailing or slackening beneficial patient services. It is argued that this assumption is often made without sufficient attention to foundational principles of professional ethics; that once core principles are laid bare this assumption is revealed as largely unwarranted; and, finally, that these observations at the level of moral theory should be reflected, in various ways, in medical practice. Specifically, this essay clarifies a tension that exists between different kinds of moral principles and explores the possibility of dissipating that tension by shoring up foundational principles. The paper begins by setting out three alternative models of how best to balance patient advocacy responsibilities with broader social responsibilities. It then turns to critically assess these models and argue that one has several advantages over the others.


Albinger HS, Freeman SJ (2000), ‘Corporate Performance and Attractiveness as an Employer to Different Job Seeking Populations’, Journal of Business Ethics, Vol. 28, No. 3, 243-253
Calladine P, Stewart C (2002), ‘Be Grateful to Enron’, Ambassador, December, 36-37
Cooper C (2003), ‘Hooked on Ethics’, People Management, 10 July
Diller J (1999), ‘A Social Conscience in the Global Marketplace? Labour Dimensions of Codes of Conduct, Social Labelling and Investor Initiatives’, International Review of Labour, Vol. 138, No. 2, 99-129
Emmott M (2002), Perspectives: Corporate Social Responsibility, CIPD
Epstein MJ, Roy MJ (2001), ‘Sustainability in Action: Identifying and Measuring the Key Performance Drivers’, Long Range Planning, Vol. 34, 585-604
Greening D, Turban D (2000), ‘Corporate Social Performance as a Competitive Advantage in Attracting a Quality Workforce’, Business and Society, Vol. 39, No. 3, 254-280
Husni, H. (2018). The Challenges of Religious Education in Indonesia and the Future Perspectives. Religious Studies: An International Journal, 4(2). Retrieved from
Husni, H. (2020). Learning to Promote Anti-Intolerance and Anti-Hate Speech Attitudes and Behaviors. Educational Review: International Journal, 16(2), 79-98. Retrieved from
Husni, H., & Dafik, Y. (2018). Management of Islamic Higher Education in the 4.0 Industrial Revolution. Educational Review: International Journal, 15(2). Retrieved from
Husni, H., & Setiawan, I. (2018). Hermeneutics Paradigm in Religious Research. Religious Studies: An International Journal, 6(2). Retrieved from
Husni, H., & Tantowie, T. (2018). Religion, Modernism and Postmodernism: Study on Jean Baudrillard’s Philosophy. Religious Studies: An International Journal, 5(2). Retrieved from
Husni, Husni (2019). Moderate Muslims’ Views On Multicultural Education, Freedom Of Expression, And Social Media Hate Speech: An Empirical Study In West Java Indonesia. Jurnal Penelitian Pendidikan Islam, Vol. 7, No. 2, pp. 199-224, Nov. 2019. ISSN 2621-8275. Available At: . doi:
Husni, Husni. (2020) The Effect of Inquiry-based Learning on Religious Subjects Learning Activities: An Experimental Study in High Schools. Jurnal Penelitian Pendidikan Islam, vol. 8, no. 1, p. 43-54, June 2020. ISSN 2621-8275. Available at: doi:
Johnson R (2003), ‘A Fitting Role for HR’, People Management, 7 August
Local Government Information Unit (2003), Steer Policy Briefing: Corporate Social Responsibility
Maxwell G, Beattie R (2003), Developing an Ethical Framework for In-Company Ethnography: Human Resource Professionals as Practitioners and Researchers, Division of HRM and Development, Glasgow Caledonian University
Stainer A (2002), ‘Business Performance and Corporate Social Responsibility’, Management Services, Vol. 46, No. 7, 36-37
Ainusyamsi, F. Y., & Husni, H. (2020). Building ‘Tough Student Character’ through Optimization of Spiritual and Emotional Intelligence: An Action Research. International Journal of Advanced Science and Technology, 29(6).
Bisri, H., & Husni, H. (2020). The Influence of Teacher’s Multicultural Awareness on “Santri” Learning Activities. Journal of Critical Reviews, 7(7), 133–138.
Husni, H., & Bisri, H. (2020). Religious Community Responses to COVID19: Case Study on Muslim Small Community. International Journal of Psychosocial Rehabilitation, 24(8).
Husni, H., Bisri, H., Tantowie, T. A., Rizal, S. S., & Azis, A. (2020). Religious Community Responses to COVID19: Case Study on Muslim Small Community. International Journal of Psychosocial Rehabilitation, 24(8).
Husni, Setiawan, I., Azis, A., Tantowie, T. A. J., & Rizal, S. S. (2020). Validity and reliability of multicultural competency instruments for islamic education teachers. International Journal of Scientific and Technology Research, 9(2).
Manshur, F. M., & Husni, H. (2020). Promoting Religious Moderation through Literary-based Learning: A Quasi-Experimental Study. International Journal of Advanced Science and Technology, 29(6).
How to Cite
Jecker, N. S. (2020). Integrating medical ethics with normative theory: Patient advocacy and social responsibility. The Social Studies: An International Journal, 6(1), 51-64. Retrieved from