Contractarian foundations of order ethics

The following discussion uses these three brief case studies to illustrate first the inadequacy of classic bioethical approaches and the basic reasons why approaches that rely on moralistic rules, shaming, and ethics as the setting of limiting rules are unable to efficiently guide medicine in avoiding the dilemmas of the cases. The paper then examines how structural misalignments and institutional incentives are relevant for medical ethics. Finally, the paper offers an argument for an ordonomic approach for medical ethics analogous to the ordonomic approach in business ethics (Pies et al. 2009).