Journal of Oncology Practice, Vol 5, No 5 (September), 2009: pp. 250-251
© 2009
American Society of Clinical Oncology.
DOI: 10.1200/JOP.091031
Can Physicians Refuse Treatment to Patients Who Smoke?
Timothy M. Pawlik, MD, MPH,
Ian N. Olver, MD, PhD,
Courtney D. Storm, JD, MBE,
Maria Alma Rodriguez, MD
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Introduction
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According to the Hippocratic tradition, the guiding principle for physicians is "first do no harm," or nonmaleficence, which is closely followed by the obligation to "do good," or beneficence.1 In Western medicine, much of medical ethics has been dominated by respect for individual patient autonomy. In their interactions with patients, physicians often go to great lengths to provide detailed information about the risks and benefits of medical treatments so that patients can make independent medical decisions consistent with their personal values and beliefs.2
Enabling patients is particularly challenging when patients engage in behaviors or activities that are harmful to their . . . [Click for More]

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