Just a few days ago, I was discussing about different ethics essay topics appearing in the examinations for year 1 medical students. Although I had intended for it to be last minute revision combined with crowd intelligence. However, an interesting conclusion was reached by my family, one that I had never seen despite similar facts being presented before me, or most of us who have ever been implicated in the healthcare system, or the legal system for the unlucky layman.
So, it was just a usual family discussion over dinner when my brother decided to make a statement I was told was commonly made in the legal circles. "Lawyers should not play doctor, and doctors should not play god", he proclaimed, loud and proud, much to my horror as he told me that no doctor has the right to remove patients off life-support, or to allow patients to refuse treatment that a doctor deems to be necessary for the patient's survival. While the horror wasn't due to my brother's opinion that "the plug should not be pulled", I was rather affected by how strongly he held onto his belief that doctors in the medical field (i.e. my self in the future) are attempting to play god.
Indeed, many would argue that deciding if people live or die should be a power that resides in divine powers. After all, if all men are to be considered equals in society, which is what most societies enforce with the rule of law, no one should have the power over the life of another man. However, it is quite apparent that doctors, in certain situations, end up taking charge of the fate of their often incompetent (e.g. patients being coma) patients, and a single statement from the doctor could well bring "good-willed" death to patients in the name of beneficence. If doctors are to be considered humans and hence equal to their patients, do they have the right to decide the fate of their patients without their consent?
Doctors are not the only ones who wield such disproportionate powers. Judges can be said to wield power even greater than those of doctors. Judges, in their sentencing of individuals facing the death penalty, decide the fate of competent individuals who might have otherwise lead lives longer and potentially much more fulfilling than those of coma patients (who probably don't have social and family support as well) who are left under the charge of doctors.
It is worth noting the "distortions" within society caused by this. I can almost confidently say that many view doctors and judges as saintly figures, much like the way the view powerful religious figures. A survey conducted in the UK showed that doctors and judges are some of the most trusted people, with over 90% of those interviewed saying that they trust doctors. But some would argue that it is a matter of chicken and egg as we review how the opposite may be true as well, as these respected individuals are only conferred power because of their morality.
Less apparent to many is the impact seen in doctors as well. In judges, such information is not well collated (if at all) but I will not be surprised if it was the similar to those of doctors. It has been shown that doctors have high depression rates. Perhaps, taking on superhuman roles such as deciding on the fate of fellow human beings whose lives they see as equals has impacted the medical community adversely as much as it has made it respected. In fact, the jury system, which comprises the average man on the street, has been shown to churn out individuals who require counselling after they realised that what they have said in court lead to criminals being convicted of the death penalty. To make such decisions, to take on the role of divine powers, takes a toll on all who attempt it, lest he/she be ignorant or twisted, both of which people entrusted with such responsibilities should never be.
With all the pessimism stated above, perhaps, it should be appropriate to end off with a quote by William Shakespeare. "Be not afraid of greatness: some are born great, some achieve greatness and some have greatness thrust upon them". It is indeed a sad fate that doctors (and possibly judges) end up doing stretching their minds, and more so their conscience just to find the compromise and reach a decision on what to do. But eventually, someone has to get the job done. While it may be taxing for doctors and judges to be "playing god", it is only right that they, the most qualified people, take over these roles to ensure that the best outcome is reached presumably from their superior knowledge and experience (and in many cases, intellect). To have greatness thrust upon me one day makes me fearful, but when I reach that day, I will not give this power up to anyone who will not be in a better position to make the decision than me.
After all, this is what the profession is at its best. Doctors are but a candle burning on both ends: burning ever faster to shed light to the lost and bring warmth to cold, while draining itself of all that sustains the burning passion before it runs out.
Phew mid-terms/CA1 is finally over... but I probably only got by well enough to be in the bottom quartile anyway. Strange that the school will think that giving us our quartile is going to help REDUCE COMPETITION among medical students. Save that load when you're talking to multi-talented, holistically developed students who go for international COMPETITIONs in sports and olympiads, or have been to other local sports and academic COMPETITIONs. The fact that we came in with stellar grades shows we outCOMPETEd everyone else on the bell curve. I'd be happier to know I'm still a long way from failing but sitting in the bottom quartile, which I suspect will be the case with the faculty stressing up an already academically inclined student population.
On a side note, for anyone who actually bothers about knowing what I do/go through, this section will be shifted all the way from the front of my posts to the end of each post from now on.
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