Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the communityHooker, Worthington
Science
Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the community
Hooker, Worthington
Medical ethics; Physician and patient; Physicians; Quacks and quackery
On the question, whether strict veracity should be adhered to, in
every case and under all circumstances, in our intercourse with
the sick, there is very great difference of opinion, as well among
medical men, as in the community at large. Some are most scrupulously
strict in their regard to truth; others, while they are generally so,
make some few occasional exceptions in cases of great emergency and
necessity; while others still (and I regret to say that they are very
numerous) give themselves great latitude in their practice, if they
do not in their avowed opinions.
In examining this subject, it is not so much my intention to
discuss the abstract question, as to present the many practical
considerations that present themselves, illustrating them, so far as
is necessary, by facts and cases.
In order to introduce the subject, I will here quote a passage from
Percival’s Medical Ethics, which presents the views of those who are
in favor of an occasional departure from truth, where the necessity
of the case seems to demand it.
“Every practitioner must find himself occasionally in circumstances
of very delicate embarrassment, with respect to the contending
obligations of veracity and professional duty; and when such trials
occur, it will behoove him to act on fixed principles of rectitude,
derived from previous information and serious reflection. Perhaps
the following brief considerations, by which I have conscientiously
endeavored to govern my own conduct, may afford some aid to his
decision. Moral truth, in a professional view, has two references;
one to the party to whom it is delivered, and another to the
individual by whom it is uttered. In the first it is a _relative
duty_, constituting a branch of justice, and may properly be
regulated by the divine rule of equity prescribed by our Saviour,
_to do unto others as we would_, all circumstances duly weighed,
_they should do unto us_. In the second it is a relative duty,
regarding solely the sincerity, the purity and the probity of the
physician himself. To a patient, therefore, perhaps the father of a
numerous family, or one whose life is of the highest importance to
the community, who makes inquiries, which, if faithfully answered,
might prove fatal to him, it would be a gross and unfeeling wrong to
reveal the truth. His right to it is suspended, and even annihilated;
because its beneficial nature being reversed, it would be deeply
injurious to himself, to his family, and to the public. And he
has the strongest claim, from the trust reposed in his physician,
as well as from the common principle of humanity, to be guarded
against whatever would be detrimental to him. In such a situation,
therefore, the only point at issue is, whether the practitioner shall
sacrifice that delicate sense of veracity, which is so ornamental
to, and indeed forms a characteristic excellence of the virtuous
man, to this claim of professional justice and social duty. Under
Public-domain text, read in full here on John Shaqi.
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