Two Commitments in Competition?
The physician has a vocation, a calling, to deal with the deepest issues and commitments of life. Call it "sacred." The believer has a vocation, a calling, to deal with the deepest issues and commitments of life. Call it "sacred" as well.
Most of the time the two vocations are symbiotic: They live off each other, nourish each other, and prosper together. Rarely is there or must there be conflict between the two. However, most physicians report that on occasion there is competition for priority and conflict between the two.
What then?
I would argue that a patient cannot enter into the implied but profound covenant with a physician if something in that doctor's ideology or commitment might interfere with patient care. If I am transacting with a physician, I am not covenanting with him or her to be my priest. My religious convictions may be quite different from my doctor's. I am happy if she has organized herself around some healing approach, be it religious, philosophical, or practical. But I will assess the value of our relationship not on the basis of what she does in the mosque, but in the clinic, not in the chapel but in the hospital ward.
So, the physician's covenant comes first.
We admire doctors who refused to enter a profession or who leave it or subvert it when the whole profession is built upon a lie and dedicated to destruction. The German physicians who were chartered to deal death-dealing human experiments had to put "religion" or "humanistic beliefs" first, and did.
For most physicians the call to make an exception to "standard practice" is rare, and has to be dealt with as such. If that "rarity" becomes all-consuming, it may mean that a physician may have to leave a practice. Or she can make quite public her unwillingness to be committed to certain medical procedures, in which case patients would be referred to someone else. In any case, such exceptions would have to be made public and dare not be the result of some hidden scruples about which the patient does not know.
There are thousands of exceptions to any rules about vocation. But since we were asked to generalize, I'd come back to: the commitment to the patient comes first.
By
Martin Marty
|
August 13, 2007; 7:14 AM ET
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Posted by: amewayelack | October 9, 2007 6:30 PM
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Pacheco
Hablando a la fe de los medicos y como no debe de chocar con la razon.
Diariamente muchos mueren por falta de atention medica. No fallecian por falta de doctores, pero por su pobresa. Como no tienen sufficiente dinero para pagar los mejores doctores no reciben la atention que nesecitan, y se mueren.
Pienso yo que esos tipos de medicos ponen mas atention a su cuenta bancaria de su fe.
Asi es la vida en el tercer mundo. Triste pero cierto.
Posted by: 4th watch | August 14, 2007 12:03 AM
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The bottom line on abortion, doctors and pharmacists refusing service is political. There are very emotionally disturbed people to whom abortion is a "call to arms" issue. "They're killing babies" so to stop them they must be killed even. That blinds the voter. So if there is someone to blame try the "culture of corruption" DC style.
Those sincerely in favor of stopping abortion should address how pregnancy happens and when that fails be willing to shell out the bucks, public support, ATDC that will do a lot more than cause the unwanted child to live a miserable childhood and grow older, (not up) to be a criminal. I have many friends that sincerely want to stop abortion and so do I. Making it illegal isn't the way to fix the problem. Promising to make abortion illegal has done more than it's fair share to bring about the culture of corruption.
Would Regan, Bush, others have ever been elected without abortion? Vote the abortion issue and get an abortion for a government?
The money the Catholic church would have used to help the mothers through the unwanted pregnancies and place the babies seems to be going to pay irrational judgments. Isn't both homosexual sex and abortion just sins that Jesus forgives? It's a shame no one listens to Jesus,, or anyone else with a piece of a brain for that matter. One insanity leads to another.
Posted by: BGone | August 12, 2007 1:21 PM
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Paganplace,
Remind me never to get on your bad side.
I've said it before and I'll say it again - you rock, lady.
Posted by: lepidopteryx | August 11, 2007 9:17 PM
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Anyway, being a doctor is not competition.
It's being a doctor.
You do this, or you do not.
Period.
Posted by: Paganplace | August 11, 2007 6:22 PM
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Hi, Vie. Unfortunately, the 'public piety' vote too often sees pregnancy as yet another way to *punish* what they see as inappropriate sexuality, even as they oppose sex education to prevent unwanted pregnancy... even as they love to complain that the very 'welfare mothers' they scream to disinform are the cause of the country's economic woes, as opposed to massive subsidies to the very energy industries that guarantee we're dependent upon foreign energy to preserve the very empty consumerist lifestyle you're a 'godless commie' to oppose.
I couldn't count the number of times I've been called a 'baby-killer' who pops down to the abortion clinic on a weekly basis to kill babies so I can be in my 'objectively-disordered' ...impossible 'man-hating-lesbian' relationship of six years...
In trying to sort out right wing agendas, don't look to what they say it's about. When it comes down to it, they like absolutes, hate sex, and want to punish those different.
Any 'virtue' they claim, they neither live up to, nor actually support.
I say, Fundie Doctors... You seem to religiously believe in the unchecked free market in the name of Jesus.
Surely there are enough patients willing to subject themselves to your moral judgements?
Surely?
Moral majority?
Right?
I mean, just last week you were saying that as a minority, my religion and many others should therefore go entirely unrepresented in our government....
Ye of little faith in the market..
Why are you afraid of truth in advertising?
Posted by: Paganplace | August 11, 2007 6:08 PM
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Lepidopteryx:
I have never felt that criminalization and harrassment were effective tools for the promotion of life.
As an active Catholic of course I have many friends who are passionately pro-life. I am most impressed by those who really do follow through on their beliefs. There are some who have adopted hard-to-place children. Others have followed through on an even more difficult path, which is helping women with children to provide a decent life for themselves and their families.
Unfortunately the pro-life movement -- especially the most vocal factions -- seems to be riddled with patriarchal and anti-woman agendas.
More to the point of this question, the problem arises in two circumstances: When religious beliefs or any other motives cause medical people to withhold information that patients need to make informed choices, and when there is a shortage of providers to perform services that doctors refuse. It is one thing to send away patients in a large city where there are plenty of choices, but what about small towns and rural areas? I think this situation currently exists in the case of pharmacists....
Posted by: Viejita del oeste | August 10, 2007 12:15 AM
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BGONE: **Those against will have their names put in the barrel. When an unwanted pregnancy happens one name will be drawn and that luck person will get the bills for all the costs including those of the forced mother, her loss of income etc. When the baby is born it is turned over to the same lucky individual to raise.**
Reminds me of the early 90's when Operation Rescue tried to shut down a women's clinic here. I was part of a group escorting patients into and out of the clinic, keeping the OR's at bay, etc. One kept screaming, "Adoption, not abortion!" and I finally asked him how many he had adopted. He spluttered, "I haven't, but my brother has..." I asked him how many he was prepared to personally take on the responsibility for. "Well, I'm not married, so I couldnt..." Bull.
He was perfectly willing and even eager to tell these women that they ought to have all these unwanted, unsupportable babies, but he wasn't willing to do anyhting about caring for them after they were born. For him, pro-life apparently stopped at birth.
Posted by: lepidopteryx | August 9, 2007 10:29 AM
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Here's the plan.
Voting on issues, abortion in particular will be done in open ballot. Those against will have their names put in the barrel. When an unwanted pregnancy happens one name will be drawn and that luck person will get the bills for all the costs including those of the forced mother, her loss of income etc. When the baby is born it is turned over to the same lucky individual to raise.
Abortion rights are one of the few rights conservatives ever supported, maybe guns. The RvW ruling was at their demand. All those "bastards" on welfare cost money. And they grow up in poverty to become drug dealers, prostitutes and other types of criminals was their cry. They got their way. Now what's the problem? They don't like worm soup? Maybe a few bugs in the stew will fix it for them?
Posted by: BGone | August 9, 2007 9:36 AM
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Says bgone, "The real question is when does human life actually begin." To many of those who believe there's a spiritual component to the human critter (call it "soul" for brevity's sake), that moment arrives when the soul does that swan dive into its erstwhile new home.
But that's the simple piece of the issue. The key question -- when exactly does that happen? -- is unanswerable. Science can't help. Neither is it "common sense". It's purely a matter of personal belief.
Of course what happens when we shuffle off this mortal coil is the more fascinating topic ... but I digress.
And in the interim, wouldn't it be nice if a couple folks could Grab Some Kind Of A Life Any Time Now, instead of lurking to be first to post and re-post the same copies of the same played-out screeds on every new thread? Particularly the Mensa blackbelt who can only manage to cut and paste the results of two-word Google searches: "Muslim" and "Today's Thread Topic".
Posted by: Loco_Moco | August 8, 2007 10:30 PM
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No es facil decidir entre lo bueno y lo correcto los medicos deben en virtud de su llamado hacer lo correcto para salvar una vida, pero nunca chocar la Fe con la razon. Prima la vida sobre cualquier ideal.
Posted by: Donaldo Pacheco | August 8, 2007 10:09 PM
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almaden, Your president takes an oath too. Does he live up to that oath? Is granting tax money to ministries a violation of the first amendment?
So far all presidents have put their hands on the Bible while taking the oath. Does that tell you something? You do know the Bible is a proved hoax?
You are aware that lies that cause people to faith are moral? Silly question: is God or Devil behind religion?
Hell is chaos? Do religious issues create social chaos? Where are we going? Heaven? Hell? Which group is going where, the ones for and the ones against? Are moralist actually trying to protect unborn babies or feather an evangelical nest? They create chaos using abortion as an issue. Is hell chaotic? Is abortion an issue or a means to an end? What is the end?
Children go to sleep, (maybe in a bed) hungry every night in the USA. There's not enough hungry children to make evangelicals happy? Are they supporters of welfare, ATDC? Are they willing to pay taxes to feed, clothe, shelter and educate them. Why are they not not railing on those issues? Why abortion? Are they supported by big insurance, the AMA, other special interests, the GOP even? Lucky they're moral else....
Posted by: BGone | August 8, 2007 6:10 PM
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Plenty of military doctors reportedly were found to assist in the various forms of torture inflicted upon prisoners at the U.S. military prison at Guantanamo Bay. They were Americans. Just as plenty of doctors where found to assist the operations of death camps, Gestapo torture chambers and elimination of the genetically or culturally unfit. They were Germans. Just as plenty of doctors were found to assist the KGB in dealing with political prisoners in the Soviet Union. They were Russians. Why is it so universally easy to find doctors who will set aside their oaths as physicians to assist the state for nationalistic, ideological or careerist or personal safety reasons? Surely a solemn oath should not so quickly crumble? Surely an emeritus professor has the answers?
Posted by: almaden | August 8, 2007 5:29 PM
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If there are aspects of a particualar field of work that you cannot in good conscience perform, the pick another field. Simple as that.
Posted by: lepidopteryx | August 8, 2007 3:33 PM
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I recall a TV program way back. The host is now long dead. He was ragging on Godless communism and used the Marx expression, "religion is the opiate of the people." To which he said "give us more religion for it's the salvation of democracy." I wonder what he would think in today's world where "super religion" dwarfs religion as he understood it, no or at least minimal interference in government at the time.
RvW happened while liberals were busy protesting Viet Nam. We never hear a liberal associated with it. The CJ was a former Republican governor. It's been suggested that the same people who now rage about abortion were the supporters of RvW at the time, the ultra conservatives. Then their pet beef was welfare. The change came when Regan suggested turning welfare over to the "church" as though there was but one of them chruches. All issues eventually boil down to money. Wouldn't it be nice to turn the welfare department with it's taxing authority over to religion?
ANONYMOUS can probably suggest a religion that needs a taxing base because "we need all the religion we can get" to ward off Godless communism. The "charitable" organization mentioned gets tax breaks because all religions are charitable organizations, by government decree.
Posted by: BGone | August 8, 2007 3:07 PM
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16 July 2007: The Northeast Intelligence Network was first to confirm during the June 30, 2007 edition of the Homeland Security Report that last month’s failed London car bomb plot had its tentacles reaching far into the United States. Now, NBC24, a television station in Toledo, Ohio is reporting that the FBI has questioned a Muslim doctor who recently moved to Toledo from the UK. Toledo also happens to be the corporate home of KindHearts for Charitable Humanitarian Development, an Islamic charity chaired by Hatem El-HADY, a Toledo physician, and a charity that has been the subject of an investigation for its reported ties to terror organizations.
The Toledo doctor was questioned by the FBI on July 4, 2007, less than a week after the failed bomb plot in London. According to information obtained through additional investigation conducted by the Northeast Intelligence Network, authorities are focused on a number of subjects in the U.S., including Muslim doctors, and others in the Toledo area who are also associated with a specific Toledo, Ohio mosque. When contacted by this agency, a spokesperson for the mosque declined to speak with this Northeast Intelligence Network investigator.
The July 4th visit to the unnamed Toledo doctor has prompted Toledo area Muslims to circulate an e-mail warning to Muslim doctors “to be ready for a knock at the door by the FBI,” and urged them to “have an attorney present” when answering questions asked by law enforcement officials. Following up on the investigation in Toledo, this Northeast Intelligence Network investigator spoke to a federal law enforcement official from Cleveland, Ohio who is familiar with the various overlapping investigations in Toledo. [MORE: Click on "read more" above or on article title to continue reading].
Responding to the e-mail being circulated, this law enforcement official stated that this type of “feigned cooperation” by the majority of Muslims, whether they are imams, Muslim community leaders or simply members of the Muslim community “is the norm.” “It has been my experience that it’s not unusual for Muslims to publicly portray a sense of cooperation, yet privately stonewall our investigations by refusing to answer questions, or limit their dialogue with law enforcement to communicating only though an attorney, even for the most basic of questions.”
This federal official, speaking to this investigator on the strict condition of anonymity, expressed his frustration at the misconception of a working dialogue between federal agents and “certain Muslim leaders and their representatives.” If you listen to them, they are actively trying to help us [law enforcement] weed out the bad guys,” stated this source. “That’s not quite the reality of it. There is a lot of stonewalling, unwillingness to share information about possible actions of other Muslims that could have criminal implications, or even ties to terrorism,” he added. “We’re talking about everything from possible terrorist funding to direct or peripheral ties to terrorism. When it comes down to them helping us by providing even some answers to the most basic of questions, there is a tremendous amount of resistance and unnecessary roadblocks. I can say from experience that instead of answering questions openly when asked, we have been put off, told to direct our inquiries to their legal representatives, or simply turned away. To make matters worse, we have been frequently told to ‘lay off’ by higher ups, to avoid causing a PR problem, I guess,” stated this source. “It’s definitely frustrating and the supposed cooperation, at least from my experience, is not being honestly portrayed.”
When asked about the media reports that Muslims are urged by Islamic advocacy groups to fully and truthfully cooperate with law enforcement whenever questioned, this source stated “I wish it was that easy, but it’s not like that at all. There is a tremendous unwillingness for Muslims to talk other Muslims, and it’s getting worse.”
This is not the first time a doctor in Toledo has been questioned or at the center of investigation. In an unrelated case, Dr. Mohammad ANVARI-HAMEDANI, 72, a licensed physician, pleaded guilty last April to 36 counts of money laundering, making illegal money transfers to Iran and tax evasion for sending at least $4 million to his native Iran over a four year period. ANVARI-HAMEDANI was sentenced to 60 days in a community jail and ordered to pay $1.15 million in fines and forfeitures. U.S. District Judge James Carr permitted ANVARI-HAMEDANI to serve his jail time on weekends so that he can continue practicing medicine.
Posted by: Anonymous | August 8, 2007 1:41 PM
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The Hippocratic Oath is the most significant form of professional affirmation and service cohesion that is uniformed worldwide despite religion, despite the various types of economies a country abides by such as Capitalism, Communism, Socialism, etc., despite language, despite nationality, despite cultural history and genealogy, despite the types of governments such as Republics, Monarchies, Dictatorships, Confederations, Military, etc. Medical professionals are obligated to serve the patient. A doctor's sole obligation is to practice their craft only for the good of the patient, if that can't be done at least do no harm.
As for the "Right of Conscience," for which they can inform patients in regards to medical practices or procedures and dispensing medicine that they can claim to have a moral objection. Moral objections pertaining to what? The only true moral physicians and pharmacists have to benefit the patient and only the patient. Further more, no potential patient should ever be refused vital medical services or prescriptions due to their sexual orientation or unprecedented pregnancies because their personal morals forbids it. If the medical profession based upon the Hippocratic Oath contradicts their religious, cultural, traditional values or mores, then they should never have entered the medical profession in the first place! If they were intelligent enough to be physicians or pharmacists then they should possess enough sense and whit to discover this potential contradiction between the medical profession's sworn affirmation and their own core values before entering or completing medical school. Besides since the Hippocratic Oath and all of its fine details are universally accepted worldwide, and is considered to be the supreme value of the medial profession, then students should have realized that there would experience a moral struggle.
The real question to ask is not whether or not the right of conscious is valid? We should ask why would anyone continue medical school if they know that moral conflicts would arise? What's their true endeavor? Are they interested in patients well being or do they have their own predetermined endeavor that requires extensive knowledge of the medical field in order to fulfill their personal goals, which won't likely comply with the Hippocratic Oath? These are some questions that must be answered.
Posted by: Verse Infinitum | August 8, 2007 1:36 PM
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Re: Anonymous' post:
Still want doctors and pharmacists putting religion first, then, folks? :)
Though I hesitate to question what religion *really* thinks, say, a simply-false belief that emergency contraception is abortion is an excuse to perhaps force women to become pregnant with their rapists' child.
I'd think that should conflict with *both* religion and a doctor's oath.
Posted by: Paganplace | August 8, 2007 1:29 PM
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Interesting how we span the canyons of law to suit our own beliefs. The German doctors who used humans as lab animals worked off the principle of law. Jews, Russians, Gypsies and others were by law lower class animals that had many "human body" characteristics and therefore suitable for the lab animal task.
I don't know how that relates to abortion or other similar "faith" issues. The real question is when does human life actually begin. Maybe that was when God said "let there be light"? It has to be between there and the grave. Well maybe not. We do live on after death? Could it be that the aborted also stand before the great judgment seat, were always alive and will never die?
I think our individual attitudes depend on what we are taught to be absolutely so while we are children. Then there's that nagging aggravating, "nose in other people's business" by noses that have been stretched by so many lies they reach all the way into the doctor's office. Just make sure those absolute truths are absolutely true before wrecking other people's lives based upon them. Those German doctors were absolutely sure their lab animals were not human.
Posted by: BGone | August 8, 2007 1:27 PM
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July 5 news roundup of UK terror plot investigation activities and related news:
-- 45 Muslim doctors planned US terror raids. Daily Telegraph reports that "45 Muslim doctors threatened to use car bombs and rocket grenades in terrorist attacks in the United States during discussions on an extremist internet chat site". Police found details of discussion on the British Jihadist web site run by Younis Tsouli ("Terrorist 007"). Jihadists stated "We are 45 doctors and we are determined to undertake jihad and take the battle inside America.The first target which will be penetrated by nine brothers is the naval base which gives shelter to the ship Kennedy." Telegraph believes that is refers to the USS John F Kennedy, which is often at Mayport Naval Base in Jacksonville, Florida. Daily Telegraph states that the Jihadists also referred to using six Chevrolet GT vehicles and three fishing boats and blowing up petrol tanks with rocket propelled grenades. This would support Sky News report on July 4 of British Anglican cleric Canon Andrew White who has said of an April discussion with Al-Qaeda representative where "[h]e told me that they were going to start killing in the UK then the USA".
Posted by: Anonymous | August 8, 2007 12:14 PM
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