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
The indirect and collateral effects of deception are often manifest
in a family of children. Its influence extends beyond the mind and
character of the deceived child. If the other children witness the
deception, what hinders them from believing that their parents can
deceive them also whenever it suits their convenience? And if they
do not witness it, the sick child will remember it when he recovers,
and the rebellion which he has, in consequence, in his bosom towards
an authority that rules by deceit, and is therefore deemed with good
reason oppressive, is of course communicated to the other bosoms
of the little flock. Many a parent, who supposed that he was doing
nothing that would last beyond the present moment, has thus sown the
seeds of rebellion among the little band of subjects, over whom God
has placed him; and who can tell what the fruits will be, or to what
extent or length of time they will grow!
I need barely say in concluding my remarks on this consideration,
that the momentary good which occasionally results to _individual_
cases from deception, is not to be put in comparison, for one moment,
with the vast and permanent evils of a _general_ character, that
almost uniformly proceed from a breach of the great law of truth.
And there is no warrant to be found for shutting our eyes to these
general and remote results, in our earnestness to secure a particular
and present good, however precious that good may be—a plain
principle, and yet how often it is disregarded.
Sixthly. If it be adopted by the community as a common rule, that
the truth may be sacrificed in urgent cases, the very object of the
deception will be defeated. For why is it that deception succeeds
in any case? It is because the patient supposes that all who have
intercourse with him deal with him truthfully—that no such common
rule has been adopted. There is even now, while the policy on this
subject is unsettled and matter of dispute, enough distrust produced
to occasion trouble. And if it should become a settled policy under
an acknowledged common rule, the result would be _general_ distrust,
of course defeating deception at every point. And yet if it be
proper to deceive, then most clearly is it proper to proclaim it as
an adopted principle of action. Else we are driven to the absurd
proposition, that while it is right to practice deception, it is
wrong to say to the world that it is right.
It is in vain to say that the evil result which would attend this
adoption of occasional deception, as the settled policy of the
medical profession, would find a correction in the very terms of the
rule which should be adopted, viz. that the case must be an urgent
one to warrant deception, and there must be a fair prospect that it
can be carried through without discovery. For every patient, that was
aware of the adoption of such a rule, might and often probably would
suspect that his own case is considered as coming within the terms of
the rule.
Public-domain text, read in full here on John Shaqi.
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