TEXT D Should doctors ever lie to
benefit their patients--to speed recovery or to conceal the approach of death
In medicine as in law, government, and other lines of work, the requirements of
honesty often seem dwarfed by greater needs, the need to shelter from brutal
news or to uphold a promise of secrecy. What should doctors say,
for example, to a 46-year-old man coming in for a routine physical checkup who,
though he feels in perfect health, is found to have a form of cancer If he
asks, should the doctors deny that he is iii, or minimize the gravity of the
illness Doctors confront such choices often and urgently. At times, they see
important reasons to lie for the patients own sake. In their eyes, such lies
differ sharply from self-serving ones. Studies show that most
doctors sincerely believe that the seriously iii do not want to know the truth
about their condition, and that informing them risks destroying their hope, so
that they may recover more slowly, or deteriorate faster, perhaps even commit
suicide. As one physician wrote. "Ours is a profession which traditionally has
been guided by a precept that transcends the virtue of uttering the truth for
truth’s sake, and that is, as far as possible ’do no harm’. " Armed with such a
precept, a number of doctors may slip into deceptive practices that they assume
will "do no harm" and may well help their patients. But the
illusory nature of the benefits such deception is meant to produce is now coming
to be documented. Studies show that, contrary to the belief of many physicians,
an over- whelming majority of patients do want to be told the truth, even about
grave illness, and feel betrayed when they learn that they have been misled. We
are also learning that truthful information, humanely conveyed, helps patients
cope with illness. Not only do lies not provide the "help" hoped
for by advocates of benevolent deception, they invade the autonomy of patients
and render them unable to make informed choices concerning their own
health. Lies also do harm to those who tell them. harm to their
integrity and, in the long run, to their credibility. Lies hurt their colleagues
as well. The suspicion of deceit undercuts the work of the many doctors who are
scrupulously honest with their patients; it contributes to the spiral of
lawsuits and of "defensive medicine", and thus it injures, in turn, the entire
medical profession. Most patients think that being told the truth of their illness may______.
A.slow down recovery B.lead to suicide in some cases C.be too hard for them to accept D.help deal with illness