2016, Number 2
The bioethical dilemma facing the iatrogenesis of others - will my colleagues be as equal to my brothers?
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ABSTRACTThe physician who blows the whistle poses a threat to the accused and to herself, and both parts know it. The dilemma consists in knowing whether, by the same iatrogenesis which originates the complaint, a report is of public interest, inasmuch as it can produce a benefice to the system. Even considering all conditions around the fact and all plausible scenarios of the consequences, it is not possible to elucidate the effect that a complaint will have. There is no relationship between reporting and the result sought with this intervention on a multifactorial iatrogenesis. It is not possible to know if an aggregation of incidental causes can override, by emerging factors, the desired effect. On the contrary, whistleblowing can cause self-organizing processes out of the disorder initially triggered which themselves can produce undesirable effects on the complainant and the system, with a final result that increases the fragility of both. It is more plausible that, in the light of considerations on the consequences, the moral agent seeking to nullify the effects on her, rather than resolve, dissolves the dilemma.
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