Without contrastive explanatory power, a causal principle cannot ground the counterfactual dependency relationships that Hart and Honoré identify as essential to medical causation.
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Medical causation(as used in philosophy of law and medical ethics)
The specific way causation works in medicine—figuring out whether a doctor's action (or inaction) actually caused a patient's harm, which is important for determining medical malpractice.
counterfactual dependency(in causality)
When one thing would not have happened if another thing hadn't happened first—like saying 'if the match hadn't been struck, the fire wouldn't have started.'