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Both an ehtics of autonomy (stressing the right to make choices) and a virtue ethics (stressing the characteristic dispositions that a virtuous person should possess) tend to slight the actual content of choice.
Rather, step back and consider the physician loyalty question from a broader perspective, including an expanded 1990s notion of "quality" and "medical ehtics.
Well, the NAR argues that sub-agency is so dangerous, because of its liability problems, that all members of an MLS must be bound by the NAR's Code of Ehtics, which means they must join the NAR.