Wong Gabriel Hong Zhe
Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Asian Bioeth Rev. 2020 Oct 17;12(4):419-433. doi: 10.1007/s41649-020-00146-y. eCollection 2020 Dec.
Based on an analysis of a landmark case in Singapore where a doctor was professionally disciplined for over-charging a wealthy patient, a judgement upheld by the Singapore High Court, this paper will discuss the notion of an 'ethical price' (EP) and its determination with respect to the provision of healthcare services. It will first examine the limitations of a legal approach for setting an ethical limit to pricing. From there, it will argue that Confucian philosophy provides a useful ethical framework to explore EP, with focus on the context of Singapore. The following question is addressed: What is an ethical pricing standard for medical practice from a Confucian perspective? The strengths and limitations of a Confucian value base as regards the determination of an objective EP will be analysed through an examination of the shortcomings of the doctor's behaviour in the Susan Lim case as well as other case scenarios. The paper will conclude with some practical suggestions on how Confucian-based ideas can be applied to decision-making on pricing and the importance of this for medical professionalism and ethics teaching.
基于对新加坡一个具有里程碑意义的案例的分析，在该案例中一名医生因向一名富有的患者过度收费而受到专业纪律处分，且该判决得到了新加坡高等法院的支持，本文将讨论“道德价格”（EP）的概念及其在医疗服务提供方面的确定方式。它将首先审视为定价设定道德界限的法律方法的局限性。在此基础上，本文将论证儒家哲学为探索道德价格提供了一个有用的道德框架，重点关注新加坡的背景情况。接下来将探讨以下问题：从儒家视角来看，医疗实践的道德定价标准是什么？通过审视苏珊·林医生案件中医生行为的缺陷以及其他案例场景，将分析儒家价值观基础在确定客观道德价格方面的优势和局限性。本文最后将提出一些实用建议，说明基于儒家思想的理念如何应用于定价决策，以及这对医学专业精神和伦理教学的重要性。
