> Philosophical systems of ethics have always seemed to me like elaborate rationalizations for what we all know to be right and wrong innately. Since most of us possess this faculty with or without philosophy, the formalization is just self-flattery.
The evidence for this claim is scant: the Ancient Greeks (and not-so-ancient Western Europeans) extolled the virtues of various forms of slavery, all of which we find morally reprehensible today. Moral views of abortion, homosexuality, and blasphemy have all undergone complete reversals in the last 150 years. Intuitionism alone can't account for these changes.
> Do you think healers sought to do harm before Hippocrates came around and that the mere phrase "do no harm" ushered in a new era of helpful medicine?
Hippocrates formalized and systematized what was otherwise a naggling feeling. Just because doctors happened to perform in a morally acceptable fashion pre-oath does not mean that the system prescribed by the oath is redundant -- it serves to establish why certain procedures are right and wrong, when a doctor might be punished or blamed, and so forth.