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Hedonism posits that the principal ethic is maximizing pleasure and minimizing pain . There are several schools of Hedonist thought ranging from those advocating the indulgence of even momentary desires to those teaching a pursuit of spiritual bliss. In their consideration of consequences, they range from those advocating self-gratification regardless of the pain and expense to others, to those stating that the most ethical pursuit maximizes pleasure and happiness for the most people.  : 37
There are a number of important traditional issues in medical ethics that still need to be solved. These include beginning- and end-of-life issues (notably abortion, euthanasia, and limiting therapeutic treatments), the physician-patient relationship, research on human beings (including research ethics and human genetics). More recent medical issues include reproductive decision making, organ transplantation, just distribution of healthcare resources, access to healthcare, and most recently vital issues concerning healthcare systems and (global) public health. In the twentieth century, medical ethics was focused on−but not limited to− two main issues: the concept of personhood (for example, the Singer debate) and the principle of autonomy (that is, individual informed consent). The rise of autonomy in the context of the physician-patient relationship can be seen as the counter-movement to paternalism in healthcare. Both vital issues pervaded many debates in medical ethics in the past and can been seen as key issues that shaped the discussions in academia, at the theoretical level, and were highly influential on the ward, that is in practice, as well.
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Hauerwas, Stanley. Vision and Virtue. Notre Dame: Fides/Claretian, 1974.