Matthews E
J Med Ethics. 1986 Sep;12(3):133-5. doi: 10.1136/jme.12.3.133.
The contention that paternalism can be modernised in such a way as to avoid the usual criticisms is examined and dismissed. The alleged 'modernisation' consists simply in going through the motions of achieving the patient's free consent, while leaving the ultimate decision to the physician. Paternalism in this form is no better than the more old-fashioned variety, since it still takes away from patients the fundamental human right to make decisions about their own fate.
那种认为家长式作风可以以避免常见批评的方式实现现代化的观点，经过审视后被驳回。所谓的“现代化”仅仅在于走过场以获得患者的自由同意，而将最终决定权留给医生。这种形式的家长式作风并不比更为老式的那种更好，因为它仍然剥夺了患者对自己命运做出决定的基本人权。
