Critical Discussion Collins

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Ayesha Tabassum

Professor Ryan Fanselow

PHI 1120

9th November 2020

Critical Discussion: Should Doctors Tell the Truth?

In the article "Should Doctors Tell the Truth," Collins argues why doctors should develop

different lying skills and not fully disclose the nature of the illnesses to the patients. Although

Collins deduces that most patients do not want to know or are not equipped to handle the

truth, what he fails to recognize is that falsifying information can be more detrimental to the

patient's mental and physical health. On top of affecting the patient, misleading a patient may

directly impact a physician's reputation in medicine.

Collins mentions about a patient who was about to start his new business faced a

complicated orthopedic surgery and described how the doctor only disclosed what the surgery

accomplished but left out the part that they failed to accomplish. Doctors assumed; the truth

will morally break down the patient’s hopes to move forward with the dream that he has been

building over decades. What Collins fails to understand is, holding back the vital information

from the patient, in a way, is sabotaging the patient's right to autonomy. Patients who are not

disclosed about the entire surgical procedures can experience a loss of trust from the doctors,

which can be crucial for their healing. Honesty is an essential key for patients to be at ease

about what went on with their bodies. The patient deserves to know nothing but the truth
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because of their susceptibility that requires truthful answers. However, doctors can do as much

distress to the patient in other perspectives by telling the truth as they can by withholding it

from the patient. Telling the truth about a critical medical condition requires empathy,

articulation, subtlety, and a commitment to help the patient out after the truth has been

revealed. If the truth is told with compassion and keeping in mind the patient's sensitivity to the

truth, a patient is likely to take the truth in more positive ways than instead believing the lies.

As Collins mentions in his article, " Every physician should cultivate lying as a fine art"

(Collins page 194). In this statement, Collins fails to understand that a lack of honesty can have

unfavorable consequences to the physician's reputation in the field of practicing medicine. If,

for example, the patient consults a different physician, it will be apparent that the facts did not

line up, so that means the doctor's diagnosis was not reliable. Hence, the loss of reputation for

honesty in medical practice means the end of medicine as a profession.

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