Hidden Health Disabilities and the Presidency: Medical Management and Political Consideration

Robins, Robert S.; Rothschild, Henry

doi:10.1353/pbm.1981.0026

Cited by 11 publications

(3 citation statements)

References 3 publications

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“…Furthermore, if the leader in question were in such a precarious situation as to constitute a public danger, his political mismanagement would become obvious to other individuals more qualified to take public decisions and would not require the physicians to play the role of enlightening figures. Observers of the political scene have preferred to suggest constitutional amendments and political measures to cope with this problem, being aware that cajoling physicians out of their commitment to confidentiality is no solution (18).…”

Section: Medical Consultationsmentioning

confidence: 99%

Medical confidentiality: an intransigent and absolute obligation.

Kottow¹

1986

J Med Ethics

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Clinicians' work depends on sincere and complete disclosures from their patients; they honour this candidness by confidentially safeguarding the information received. Breaching confidentiality causes harms that are not commensurable with the possible benefits gained. Limitations or exceptions put on confidentiality would destroy it, for the confider would become suspicious and un-co-operative, the confidant would become untrustworthy and the whole climate of the clinical encounter would suffer irreversible erosion. Excusing breaches of confidence on grounds of superior moral values introduces arbitrariness and ethical unreliability into the medical context. Physicians who breach the agreement of confidentiality are being unfair, thus opening the way for, and becoming vulnerable to, the morally obtuse conduct of others. Confidentiality should not be seen as the cosy but dispensable atmosphere of clinical settings; rather, it constitutes a guarantee of fairness in medical actions. Possible perils that might accrue to society are no greater than those accepted when granting inviolable custody of information to priests, lawyers and bankers. To jeopardize the integrity of confidential medical relationships is too high a price to pay for the hypothetical benefits this might bring to the prevailing social order.

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Section: Medical Consultationsmentioning

confidence: 99%

Medical confidentiality: an intransigent and absolute obligation.

Kottow¹

1986

J Med Ethics

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“…Providing medical care and counsel for any person of great importance and responsibility is always a special problem (Kucharski, 1984;L'Etang, 1980;Post and Robins, 1987;Robins and Rothschild, 1981;Wiegele, forthcoming). Practically speaking, the pressure is particularly hard on the physician in these cases.…”

Section: What Are the Physician's Obligations?mentioning

confidence: 99%

“…In 1969 the Federal Bureau of Narcotics and Dangerous Drugs removed all controlled substances from Jacobson's possession. Six years later his license was revoked by the New York State Board of Regents (Rensberger, 1972;Robins and Rothschild, 1981 ).…”

Section: The Physician Is Likely To Lose Professional Status and Othementioning

confidence: 99%

Ethical Dilemmas of the President's Physician

Robins

Rothschild

1988

Politics and the Life Sciences

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During the 1984 presidential campaign, questions were raised concerning President Reagan's cognitive integrity in the televised debates. He hesitated before answering questions, appeared to lack attentiveness, and had difficulty remembering and finding words to accurately express his thoughts. These signs, sometimes indicative of early dementia, were reportedly intensified during the 1987 Reykjavik Conference, at which time the President was criticized by James Reston–admittedly an unsympathetic critic–the New York Times columnist. According to Reston, there may be “a human problem at the top of the government [that] … will have to be addressed with uttermost sympathy and care” (December 21, 1986). These questions were again raised by the Iran-Contra affair. For the President of the United States to have even a hint of cognitive dysfunction carries profound implications.

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Organophosphate poisoning—An overview

Koelle

1981

Fundamental and Applied Toxicology

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Hidden Health Disabilities and the Presidency: Medical Management and Political Consideration

Cited by 11 publications

References 3 publications

Medical confidentiality: an intransigent and absolute obligation.

Medical confidentiality: an intransigent and absolute obligation.

Ethical Dilemmas of the President's Physician

Organophosphate poisoning—An overview

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