Activism is rare among clinical ethicists because the position of ethics consultant is constructed in a way that makes activism very difficult. Clinical ethicists have little formal power and few job protections; they work in organizations in which dissent is discouraged if not punished; and as institutional insiders, they often become blind to the injustices that outsiders protest against.

中文翻译：

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为什么临床伦理学家不是积极分子

行动主义在临床伦理学家中很少见，因为伦理顾问的职位是以一种使行动主义变得非常困难的方式构建的。临床伦理学家几乎没有正式的权力和工作保障；他们在不鼓励异议的组织中工作，如果没有受到惩罚；而作为机构内部人员，他们往往对局外人抗议的不公正行为视而不见。