10 points The key points of the Theory of Double Effect healtheare decisions are always complicated so the profession's good intentions are all we can count upon the good effect must outweigh the bad effect The bad effect must not be a required means to the good effect The act must be good, or at least morally neutral regardless of consequences to athieve good effects we must always expect some bad consequences good intentions alone are not sufficient the agent (doctor, nurse, etc.) intends only good effects Good effects always outweigh a bad effect