The problem of developing a moral philosophy of medicine is explored i
n this essay. Among the challenges posed to this development are the g
eneral mistrust of moral philosophy and philosophy in general created
by post-modernist philosophical and even anti-philosophical thinking.
This reaction to philosophical systematization is usually called antif
oundationalism. I distinguish different forms of antifoundationalism,
showing that not all forms of their opposites, foundationalism, are al
ike, especially with regards to claims made about the certitude of mor
al thought. I conclude that we are correct to mistrust absolutist prin
ciples in a moral philosophy of medicine, but can find some center wit
hin the practice of medicine itself for a moral foundation.