Devan Stahl, PhD, MDiv and Christian J. Vercler, MD, MA
Social and cultural influences significantly contribute to our conceptions of healthy and pathological anatomy, and surgeons play critical roles in how these influences are expressed in clinical settings and social media.
AMA J Ethics. 2018;20(4):384-391. doi:
10.1001/journalofethics.2018.20.4.msoc4-1804.
People have a social obligation to conform to the general rules of sleeping: sleep at night, in a bed, in a private place away from public view, and in proper attire.
Physicians make patients aware of those interventions that they (the patients) may then refuse. In short, informed consent is less about patient decisions than it is about restraining physicians.
The U. S. health care system encourages patients to take more responsibility for their own treatment decisions and expects their doctors to cooperate in that effort. But the guidelines for exercising that responsibility remain very murky indeed.
Neuroscience's associations between localized brain activity and specific cognitive tasks is not sufficient evidence for rejecting the notion of free will and absolving individuals of responsibility for their behavior.
If society values physicians because they possess valuable clinical skills and exercise those skills with a fiduciary ethic of care toward their patients, we ought to evaluate physicians on those grounds directly, rather than looking to their behavior “after hours.”