The experience of an English professor dying of ovarian cancer in Margaret Edson’s play Wit shows that both literary and medical discourse obfuscate and objectify rather than promote communication of “simple human truths” that dignify life and death.
AMA J Ethics. 2015;17(9):858-864. doi:
10.1001/journalofethics.2015.17.9.imhl1-1509.
When the tension between solidarity and individualism hardens into entrenched oppositional politics, attempts to widen health care coverage are stymied.
Physicians will have a greater impact on health if they advocate for changes needed to prevent illness and harm than if they simply patch up those who are sick or harmed.
By virtue of their education and expertise, physicians have a responsibility to challenge scientifically inaccurate information about sexual health, but they may not opine about sexual norms for society in their professional capacity.
Physicians have a duty to educate lawmakers and the public about misinformation but they should not advocate for specific policies and thereby foreclose social dialogue on issues related to public health.
Both bans on unhealthful foods and warning label requirements face strong legal opposition from industry and ignite furious public debate about the role and limits of government intervention in American lifestyles.
Doctors and hospitals must stop being bystanders to food-related illness and begin to become role models and educators in the transition to healthful eating habits, just as they did in tobacco cessation.
Conducting community-based research in the community where one resides demands careful planning, sensitivity to community members’ privacy, and a strong commitment to full and respectful communication.