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In this regard, these cases are mirror images only in the first case did the clinician, an obstetrician, have sufficient professional authority to refuse to perform the desired intervention. In the second case, the clinicians who expressed the most distress regarding the patient's trajectory were the nurses, who largely lacked similar autonomy. Viewed together, these cases share a core question What does paternalism look like in the contemporary era? Despite the need for trained physician ethicists, fellowships in clinical ethics are limi