Abstract

Since the traumas of the last quarter of the 20th century forced all professions into the light of public scrutiny, we have seen the destruction of the parochial boundaries of the ethical understandings of the past, and the development of a cosmopolitan professional ethics. It is now understood that we have to have an ethics that travels well, whose principles operate with equal force and plausibility in all disciplines. Without good passports, principles become locked into their own disciplines, Ethics as a subject loses its integrity, and every profession has an excellent reason to insist that “their” ethics have nothing to do with the rest of the world. Consideration of professional ethics as a whole shows that the general principles that we use travel very well indeed, and rapidly smokes out those that do not. “The Doctrine of Double Effect” is one of the non-travelers; from that fact we explore the possibility that the Doctrine is radically misconceived even in its home discipline of­medicine.