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Citing Chapter 2 of Panicola et al., Health Care Ethics, what are the principles needed, in addition to the virtues, to form a normative basis

Citing Chapter 2 of Panicola et al., Health Care Ethics, what are the "principles" needed, in addition to the virtues, to form a "normative basis" for ethical decision-making? Why those principles? How do they relate to the virtues

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