Rule utilitarianism specifically looks at which rules, heuristics or policies are able to do this, rather than looking at each action individually. ![]() Utilitarianism is the view that, when faced with a moral dilemma, we ought to act according to which of our options causes the greatest amount of overall wellbeing or happiness, and the least amount of suffering. ![]() According to Anjum and Mumford, “the policy side of evidence-based medicine is basically a form of rule utilitarianism” (p1045) In particular, I want to respond to a recent paper by Anjum and Mumford on ‘ A philosophical argument against EBM’, which argues that the values underpinning EBM inevitably collapse. It matters because this provides the standard for evaluating the success of EBM, and informs us about how we can make EBM better. ![]() For example, we might be interested in patient outcomes, patient choice, economic factors, public health, or a combination of these. In this blog I want to explore the question of what moral values underpin or justify the practice of evidence-based medicine (EBM).
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