The Ethics of Medical Homicide and MutilationO'Malley, Austin
Religion
The Ethics of Medical Homicide and Mutilation
O'Malley, Austin
Medical ethics
Syphilis that affects the nervous system as in tabes and paresis is
an incurable syphilis, and there is no means whereby any physician,
no matter how skilful he may be, can tell whether or not a given
patient has such an infection. The physician, then, who tells a
syphilitic that he or she is cured and lets such a person marry
is responsible for all the evils that result from his rashness.
Once a syphilitic, not necessarily always a syphilitic; but once a
syphilitic, _possibly_ and probably always a syphilitic, and that no
matter what the treatment or the lack of clinical symptoms. Damaged
goods of this kind are to be looked upon as damaged goods forever.
Any man or woman, then, who has ever had a clear case of syphilis
(and the diagnosis is easy, as a rule) is likely to be for
the remainder of life a source of syphilitic infection. There
is even question of late of spirochete-carriers, as there are
typhoid-carriers and diphtheria-carriers, who may infect others while
not suffering themselves. If one who has been a syphilitic marries
without informing the other party to the contract of the condition,
the injustice is, without doubt, very grave. I should call such
concealment a mortal sin, and a condition exposing the sacrament to
sacrilege.
Suppose the second party is informed of the old infection and is
then foolish enough to risk the marriage. No one but an experienced
physician has any notion of the indescribable horror that may come
of taking this risk, and no one has the right to expose his own body
to infection by syphilis for the advantage of marriage. There is no
approach to a juridic equilibrium between these two conditions. If
in such a marriage children are begotten and infected, (1) embryos
will die without baptism; (2) later possible children will be born
who will die of congenital syphilis; (3) possible children who will
escape syphilis; (4) children who may have to pass through tabes or
paresis to death, after begetting other degenerates.
A syphilitic embryo which dies without baptism is better than
no child at all. It will live in a state of natural happiness
after abortion. A baptized child which has congenital syphilis is
immeasurably better off than a sound child that lacks baptism.
Eugenics as a prudent investigation of conditions before marriage
is a good thing; eugenics as the drivel of agitators, who cannot
tell the difference between a gentleman and a corn-fed hog, is quite
another thing. The marriage, therefore, of a person who has been
syphilitic to one who knows or does not know of this condition gets
its mortality chiefly from the damage to one of the contracting
parties which is imminent. It is difficult to estimate the morality
of the act as it refers to the children infected congenitally, and to
society.
Public-domain text, read in full here on John Shaqi.
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