Other observers, however, contend that the impact of the bioethics movement has been more muted. These critics argue that hospital, research, community, and professional ethics committees, like the earlier hospital abortion committees, exist primarily to offer legal protection and social support to researchers and clinicians, not to protect patients or research subjects. Furthermore, they argue, although clinicians have become more concerned with documenting their allegiance to ethics guidelines, they have not become any more concerned with following those guidelines. The following sections evaluate the impact of bioethics on health care research, medical education, and clinical practice.
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