RT Journal Article SR Electronic T1 Can paternalism be modernised? JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 133 OP 135 DO 10.1136/jme.12.3.133 VO 12 IS 3 A1 E Matthews YR 1986 UL http://jme.bmj.com/content/12/3/133.abstract AB The contention that paternalism can be modernised in such a way as to avoid the usual criticisms is examined and dismissed. The alleged 'modernisation' consists simply in going through the motions of achieving the patient's free consent, while leaving the ultimate decision to the physician. Paternalism in this form is no better than the more old-fashioned variety, since it still takes away from patients the fundamental human right to make decisions about their own fate.