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This article discusses the inadequacy of the "four principles" framework in medical ethics and the need for care ethics, particularly in the provision of healthcare to vulnerable populations. The authors argue that the dominant framework of principlism, which focuses on autonomy, beneficence, non-maleficence, and justice, is insufficient in addressing ethical dilemmas in medicine. They propose that an ethics of care, as outlined by Joan Tronto, provides a more comprehensive understanding of moral practice, emphasizing attentiveness, responsibility, competence, and responsiveness. The authors also highlight the importance of Indigenous voices in healthcare institutions and the need for systems to be responsive to the values and interests of marginalized groups. [Extracted from the article]

The article offers some insights into health care education in remote areas in Australia. Rural area inhabitants apparently suffer from poorer health outcomes and weak implemention of health care policy. The goals and objectives of a rural health program developed by a national university is described.

To what extent should we cushion the realities of remote area living for young people who are seeking challenge and inspiration? [ABSTRACT FROM AUTHOR]

The authors reflect on the realities of remote area medical education in Australia. They argue that the political will from remote and rural educators to undertake programs lacks good planning. They suggest that establishing remote educational facilities include provisions for the needs of the students and community such as housing and transportation. They conclude that efforts to lobby for rural and remote education of medical students have proved its worth.