Climate change mitigation reforms of government policy, medical curricula, and health professions organizations should be the focus of physician advocacy.
AMA J Ethics. 2017;19(12):1222-1237. doi:
10.1001/journalofethics.2017.19.12.sect1-1712.
When a would-be living organ donor wants to accept risk in the name of altruism when there is little chance for benefit or significant chance for harm, physicians are justified in limiting that altruism.
While respecting patient autonomy and involving patients in decision making, physicians must recognize that some situations call for them to exercise selective paternalism in order to fulfill their professional duty to uphold standards of care.
Physician organizations have an ethical obligation to advocate for general improvement of public health, even if it is sometimes at the expense of interests of medical professionals.