Tuesday, September 22, 2009

Doctors and virtue

From "The Hand of God", by Bernard N. Nathanson:
The minimal description of a doctor then is this: a highly trained technician, daily exposed to exceptionally powerful material and spiritual temptations. It has been my experience that only those who have an inflexible inner spiritual column supporting the immense weight of medical obligations and responsibilities survive intact the lure of the worldly temptations in the medical world: the uninterrupted flow of money, the drumfire of flattery, and the inebriating effects of special privilege. It is no accident that great early physicians and scientists were deeply spiritual: Hippocrates swore his oath to his gods; Aristotle (perhaps the greatest empirical scientist of all time) revered the idea of God as the Prime Mover; Claudius Galen, who built upon the work of Aristotle and Hippocrates, early on declared himself a monotheist and was cherished by Arabic and Hebrew physicians who followed in his wake; and Rabbi Moses ben Maimon (Maimonides), a codifier of the Talmud, was a talented physician to the court of Saladin in Egypt and wrote the Guide for the Perplexed, which strove to marry the elements of spirituality with the science of medicine. William Harvey, the discoverer of the circulation of blood, was convince of the evidence of a Supreme Creative Intelligence and practiced his Protestant religion zealously. Without such an absolute guide to virtue, doctors, exposed as they are to greater temptations than most, are likely to fall further.


So this begs the question... what kind of doctor do you have? What kind of doctor am I?

Medical schools these days are good at selecting smart, even brilliant, students, but they have no way of instilling virtue. Indeed, there is often a bias against anyone with such a foundation, although we seem to get in anyways!

There has been the appearance lately in medical schools across Canada (and I'm guessing the States and elsewhere) of "Professionalism" and "Ethics" classes in an attempt to fill the void left by and increasingly secular and amoral physician body. And of course, we don't take the oath of Hippocrates anymore - it was changed and edited and spit shined in order to cover those that practice the more fringe medicine that we see being forced on society (abortion, assisted suicide, embryonic stem cell use, etc.). But I digress.

The point is, if you have the option, find yourself a doctor with moral integrity and virtue.

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