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Key Ethical Principles

This section of Ascension Health's Ethics Resources is intended to explain key ethical principles that are relevant to healthcare ethics. Only those principles considered to be most foundational have been included in this section. Other principles may be discussed in the Issues & Concepts section of the Web site.

Some of the principles discussed here are unique to the Catholic moral tradition, while others may be recognized by the general secular methods as well. These key ethical principles also have been linked to legal or clinical cases that illustrate how a particular principle may factor into moral analysis within healthcare ethics.

  • Principle of Beneficence

    Traditionally understood as the "first principle" of morality, the dictum "do good and avoid evil" lends some moral content to this principle. The principle of beneficence is a "middle principle" … read more

  • Principle of the Common Good

    In general, the common good consists of all the conditions of society and the goods secured by those conditions, which allow individuals to achieve human and spiritual flourishing. The social … read more

  • Principle of Distributive Justice

    Considered as one type of justice, distributive justice is a central concept in the Catholic tradition and is closely linked to the concepts of human dignity, the common good, and … read more

  • Principle of Double Effect

    An action that is good in itself that has two effects--an intended and otherwise not reasonably attainable good effect, and an unintended yet foreseen evil effect--is licit, provided there is … read more

  • Principles of Formal and Material Cooperation

    Moralists have long recognized that under many circumstances, it would be impossible for an individual to do good in the world, without being involved to some extent in evil. Along … read more

  • Principle of Human Dignity

    The intrinsic worth that inheres in every human being. From the Catholic perspective (among other Christian perspectives), the source of human dignity is rooted in the concept of Imago Dei, … read more

  • Principle of Informed Consent

    It is the right and responsibility of every competent individual to advance his or her own welfare. This right and responsibility is exercised by freely and voluntarily consenting or refusing … read more

  • Principles of Integrity and Totality

    These principles dictate that the well-being of the whole person must be taken into account in deciding about any therapeutic intervention or use of technology (see Ethical and Religious Directives, … read more

  • Principle of Proportionate and Disproportionate Means

    Often used synonymously with the term "ordinary/extraordinary means" since the two sets of terms were equated in the 1980 Vatican Declaration on Euthanasia. This principle constitutes an important approach to … read more

  • Principle of Religious Freedom

    All persons have a right to religious freedom, which has its foundation in human dignity. This principle implies that competent individuals should never be forced to act in a manner … read more

  • Principle of Respect for Autonomy

    As commonly understood today, autonomy is the capacity for self-determination. Being autonomous, however, is not the same as being respected as an autonomous agent. To respect an autonomous … read more

  • Principle of Respect for Persons

    All individual human beings are presumed to be free and responsible persons and should be treated as such in proportion to their ability in the circumstances. Individuals with reduced autonomy … read more

  • Principle of Stewardship

    Stewardship requires us to appreciate the two great gifts that a wise and loving God has given: the earth, with all its natural resources, and our own human nature, with … read more

  • Principle of Subsidiarity

    Often considered a corollary of the principle of the common good, subsidiarity requires those in positions of authority to recognize that individuals have a right to participate in decisions that … read more

  • Principle of Toleration

    Tolerance of moral and religious views other than one’s own is often considered a civic virtue in the United States. In the Catholic moral tradition, however, the principle has a … read more

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