The idea that one can understand and address specific ethical questions in medicine without a theoretical lens for doing so is popular in medicine, often taking the form of support for principlism. The so-called Four Principles Approach developed by Beauchamp and Childress (2013) is the most well-known and used form of principlism in bioethics (Lawrence, 2007, 34). It emphasizes autonomy, justice, beneficence and non-maleficence. Brannmark (2017) has recently developed a five principles approach which emphasizes autonomy, dignity, integrity, privacy and protection in the context of vulnerability.