title: Singling out the double effect - some further comment.
abstract: We comment on a paper published in the same issue of the London Journal of Primary Care. We applaud Bow's engagement with the ethical issues in a previous LJPC paper but argue that further work is needed to establish the everyday moral concerns of health care workers in primary care. We also suggest that the ethical distinction between advice and medication and devices may be artificial if both have an effect on a patient.
authors.affiliation: Nuffield Department of Primary Care Health Sciences, University of Oxford , New Radcliffe House, Radcliffe Observatory Quarter, Woodstock Road, Oxford OX2 6GG , UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Papanikitas
authors.affiliation: Primary Care Education and Development, Health Education South London , London , UK.
authors.forename: John
authors.initials: J
authors.lastname: Spicer
keywords: Conscience; child; contraception; double effect; ethics; law; minor; moral; sexual health advice