Character, virtue, and self‐interest in the ethics of the medical profession: Part i: The erosion of virtue and the rise of self‐interest

A species of moral malaise afflicts the professions today, a malaise that may prove fatal to their moral identities and perilous to our whole society. It is manifest in a growing conviction even among conscientious doctors, lawyers, and ministers that it is no longer possible to practice their professions within traditional ethical constraints. More specifically, the belief is taking hold that unless professionals look out for their own self‐interest, they will be crushed by commercialization, competition, government regulation, malpractice actions, advertising, public and media hostility, and a host of other inimical socio‐economic forces. This line of reasoning leads the professional to infer that self‐interest justifies compromises in, and even rejection of, obligations that standards of professional ethics have traditionally imposed.