Du paternalisme ou que feriez-vous à ma place ?

Paternalism legally yields the step to the decisional autonomy of the patient in the form of the obligation of its enlightened and free assent. But, information, necessary and required, can appear nonsufficient as for the choice of the patient and leave it disabled. What to make, in front of one “That you in my place would make”, while at the same time the law prohibited which one answers for him this essential question? Neither neutrality nor the right distance answer this assignment. The responsibility required by this injunction rests the question of the ethical statute of paternalism. Ethics in what this convocation illustrates and lights the conditions of possibility of the exercise of a different responsibility for that resulting from the theological model and autoritarist of the divine Father, a responsibility which is not the only fruit of an altruistic will nor of an instinct of natural benevolence but which, being originant in the model jonassien of the father towards his child, engages “duty-to be” accompanied one “duty-to make”. A priori of the rejection of paternalism, such as it is legally imposed without understanding like guarantor of the ethicity of the care, rests on an ideological consensus.