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Should doctors lie to patients
Truth telling is a common ethical dilemma in health care settings
Honesty in medical ethics
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Truthfulness spreads into almost everywhere such as relationships, education, especially medicine because it is a very significant property. Since the beginning, there is an argument in medicine whether doctors should always tell the truth to seriously ill or dying patients or not. There are many various ideas, which may change by situation or people, in this issue. For example, according to Sisella Bok there are three main arguments on this issue, which are that truthfulness is impossible; patients do not want bad news; and truthful information harms them (227) in her article “Lying to the Sick and Dying”. However, while she refers to these arguments she debunks them because she thinks that doctors should not tell lies to their patients. On the other hand, M.Weil and M.Smith are for lying in their article “Truth Telling to Cancer Patients in the Western European Context”. In spite of everything and opinions, because of the importance of the truthfulness in terms of peoples’ rights to make free rational choices doctors should always tell the truth.
Although doctors believe that they should tell lies because truthfulness is impossible because patients cannot understand them; in fact, there is no need for not telling the truth. First of all, doctors say that patients do not understand them (Bok 227): because their diagnosis includes esoteric information and in general patients are unfamiliar with this information, so they cannot understand their doctors (M.Smith and M.Weil 21).However, this argument is not enough for lying because doctors can make good explanations for patients, and they can simplify their esoteric information. Second of all, doctors say that it is impossible because while patients are weakened by illness and...
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...y, truthfulness is a real necessity and knowing the truth is a personal right, so doctors should always tell the truth.
Works Cited
Bok, Sisella. “Lies to the Sick and Dying.” Lying: Moral Choice in Public and Private
Life. New York: Pantheon Books, 1978. 220-241
Carson, Janice. “Learning from a Dying Patient.” The American Journal of Nursing.
Vol. 71, No. 2 (Feb., 1971), 333-334. Lippincott Williams & Wilkins. JSTOR.
Bilkent University Lib., Ankara, 10 Sept. 2008. Web.
Mazur, Tim C. “Lying.” Markkula Center for Applied Ethics. Santa Clara University. 10
Sept. 2008.Web.
Weil, M. , M. Smith, and D. Khayat . “Truth Telling to Cancer Patients in the Western
European Context.” Psycho-Oncology. Vol.3: 21-26 (1994). Electronic Journals
Database. Bilkent University Library, Ankara. 10 Sept. 2008. Web.
Cullen and Klein understand that deception is wrong and disrespectful to the patient but criticize that some cases are more complicated and not so black and white. They argue that physicians should be able to withhold information that can significantly benefit the patient. The key part is that the benefit is greater than what the deception causes.
One of the most complex, ever-changing careers is the medical field. Physicians are not only faced with medical challenges, but also with ethical ones. In “Respect for Patients, Physicians, and the Truth”, by Susan Cullen and Margaret Klein, they discuss to great extent the complicated dilemmas physicians encounter during their practice. In their publication, Cullen and Klein discuss the pros and cons of disclosing the medical diagnosis (identifying the nature or cause of the disease), and the prognosis (the end result after treating the condition). But this subject is not easily regulated nor are there guidelines to follow. One example that clearly illustrates the ambiguity of the subject is when a patient is diagnosed with a serious, life-threatening
After reading Should Doctors Tell the Truth by Joseph Collins, I started steer away from Collins views. I disagree with Collins thesis because it isn’t permissible to take control of anyone’s autonomy whether or not it’s in his or her best interest.
The nurse should not inform the patient of her leukemia. The nurse has not been observing the patient long enough to use her assumption that the patient is mentally sound as a means to justify telling the patient stressful information. The nurse ought to follow the physicians instruction to refrain from giving the patient news about their chronic lymphocytic leukemia. This resolution follows with my own moral intuitions. If someone is not in a healthy mental state, it would not be morally permissible to provide information to that person which could cause their mental state to worsen. Although in most cases it is obligatory for a moral agent to always tell the whole truth in accordance with the prima facie principle of honesty, the principle of beneficence in moral situations similar to this one overrides the principle of honesty. One’s own health and well-being is more important than answering their questions to the fullest knowledge
Firstly, by looking at the first patient, whether she gets a kidney from her father or a “cadaver kidney” , there will be no difference because she needs a kidney nonetheless. The second patient however, cannot agree to give his kidney away because one of the main reasons is that he’s scared and lacks “the courage to make this donation”9. So right at this point, it can be seen that it would be better if the father didn’t give his kidney away because it wouldn’t cause him any happiness, whereas the daughter has two options to gIn everyday life, whether on a personal base or on a professional base, difficult scenarios, or also known as moral dilemmas, are present. Depending on whom the person is or what their belief and value systems are, the issue can be ‘resolved’. In this particular case, questions arise about whether it is morally right to lie to family members when something can be done, ignoring the fact of its after effects. The case will be explained in details later on including the patient’s state, but to answer this ethical question, two theorists will be presented for the con and pro side. For the con side, the deontologist Immanuel Kant will be presented with his theory that lying is prohibited under all circumstances, as for the pro side, John Stuart Mill will be presented for the utilitarian theory stating that whichever decision brings out the most happiness is the right decision. After discussing the case, my personal view of what is right will be stated with my own reasons, which is that lying is the right decision to be taken.
Fan, Ruiping, and Benfu Li. "Truth telling in medicine: the Confucian view." The Journal of medicine and philosophy 29.2 (2004): 179-193.
However, it has been reported that telling a patient the truth may significantly improve their wellbeing as they approach the end of their life. One study revealed that truth telling may reduce terminal cancer patients’ uncertainty and anxiety, as indicated by lower scores on a Hospital Anxiety and Depression scale, and higher scores on a Spiritual Well-being scale (Kao et al. 2013). Furthermore, while there is no explicit principle regarding lying within the Hippocratic Oath, honesty is a virtue that is closely associated with physicians and health care providers. In fact, honesty can be closely related to respect for persons, which implies that it is necessary for the maintenance of the physician-patient relationship. Honesty about all relevant aspects of a patient’s diagnosis, prognosis and treatment are necessary to build trust, and to obtain informed consent.
Truth in medicine is a big discussion among many medical professionals about how doctors handle the truth. Truth to a patient can be presented in many ways and different doctors have different ways of handling it. Many often believe that patient’s being fully aware of their health; such as a bad diagnosis, could lead to depression compared to not knowing the diagnosis. In today’s society doctor’s are expected to deliver patient’s the whole truth in order for patients to actively make their own health decisions. Shelly K. Schwartz discusses the truth in her essay, Is It Ever Ok to Lie to Patients?. Schwartz argument is that patients should be told the truth about their health and presented and addressed in a way most comfortable to the patient.
Almost doctors and physicians in the world have worked at a hospital, so they must know many patients’ circumstances. They have to do many medical treatments when the patients come to the emergency room. It looks like horror films with many torture scenes, and the patients have to pay for their pains. The doctors have to give the decisions for every circumstance, so they are very stressful. They just want to die instead of suffering those medical treatments. In that time, the patients’ family just believes in the doctors and tells them to do whatever they can, but the doctors just do something that 's possible. Almost patients have died after that expensive medical treatments, but the doctors still do those medical procedures. That doctors did not have enough confidence to tell the truth to the patients’ families. Other doctors have more confidence, so they explain the health condition to the patients’ families. One time, the author could not save his patient, and the patient had found another doctor to help her. That doctor decided to cut her legs, but the patient still died in fourteen days
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