Medicine After Nuremberg: Purpose, Permeability , and the Dynamics of Ethical Systems

Medicine After Nuremberg: Purpose, Permeability , and the Dynamics of Ethical Systems What happens when ethical systems lose the capacity to receive, interpret, and respond to reality? Medicine After Nuremberg examines how ethical systems change over time. Beginning with the post-war protection of individual autonomy, it traces the gradual movement from direct ethical responsibility towards increasingly institutional forms of interpretation, oversight, and control. Drawing on history, medicine, systems thinking, and lived experience, the book develops an observational framework centred on purpose, permeability, coherence, fidelity, feedback, and organisational energy. It asks how institutions preserve the capacity for correction, how ethical drift becomes self-reinforcing, and how systems may remain internally coherent while becoming progressively less responsive to the reality they were created to serve.