Ethical Analysis Of Primum Non Nocere

Improved Essays
Ethical issue in the news July 2015
Multimillionaire doctor who plunged hundreds of patients into bankruptcy by falsely diagnosing cancer and giving them unnecessary chemo is jailed for 45 YEARS.

News
Dr Farid Fata of Michigan, U.S. intentionally prescribed over 9,000 unnecessary injections and infusions to at least 553 patients over a six-year span. These treatments amounted to nearly $35 million in insurance billings. Victims, many of whom did not actually have cancer, suffered severe side effects, e.g., organ damage, loss of dentition, loss of limbs, some even lost their homes and jobs, and were forced into bankruptcy in order to pay for the false treatments.

My reaction to this news
I lost someone I loved very much to cancer,
…show more content…
The expression ‘Primum Non Nocere’ has long been invoked, and it is often thought that the very least that doctors can do is to refrain from harming patients. I understand that, when considered properly, Primum Non Nocere is very demanding and, when taken literally, greatly reduces treatment options. Therefore, imposing harm upon patients in the context of treatment is tolerated if it: is likely to yield benefits that are of at least the same level of magnitude as the harm they involve; represents the available treatment option with the most favourable profile for the patient’s interests; and the patient has validly consented to the imposition of …show more content…
One patient, who did not have cancer was actually told by Fata that she did have cancer. Fata reassured her that they had caught the cancer early but that she would need “a lifetime maintenance dose of chemotherapy.” Unfortunately, this patient was just one of many who have suffered such horrific mistreatment. Other patients were said to have late and aggressive cancer that would not have benefited from chemotherapy. Some were even take out of hospice care to undergo chemotherapy again. The magnitude of harm was unjustifiable by reference to the magnitude of benefit. Therefore, these patients suffered painfully and unnecessarily at the hands of Fata’s impure paternalism until the end of their

Related Documents

  • Great Essays

    New York City College of Technology City University of New York Law and Ethics Case: Jeanette M. and the Phone Call Erica Rotstein October 7, 2017 Professor Bonsignore HAS 3560 -Legal Aspects of Health Care Abstract The advancement in the field of medicine over the years has led to doctors and health care providers having more responsibilities on their hands. This brings into question what should and shouldn’t be done, as well as what is morally and ethically right. However, this isn’t so cut and dry.…

    • 1877 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    The policy prohibits active euthanasia, but the statement begins to deny that no further treatment is related to the intentional termination of life. Rachels points out the mistake in the statement. He thinks that doctors are only worried about the patient will die soon, or the patient’s life will become a huge burden. Nonetheless, he shows the same viewpoint in these cases that significant difference between killing and letting die hardly exist in the case of euthanasia. No matter what humane reasons that a doctor decides to let a patient die, his decision would be morally reprehensible.…

    • 515 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    There has come a time in the United States and other well-developed countries that large corporations have much more control than the general public would care to admit. This is particularly true with the greatest industry in the United States, the pharmaceutical industry. Affectionately known as “Big Pharma”, they have their influence in just about every aspect of healthcare; from the conducting of clinical trials, creating new drugs, the publication of medical journals, funding research, paying physicians commissions, and far beyond. Physicians nationwide read prestigious medical journals, such as New England Journal of medicine and believe they are fact. Unfortunately, the monopoly of Big Pharma has far too much control over how physicians…

    • 1253 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    The State of American Healthcare Based on the technology and innovation of the twenty-first century, one would like to think that the American health care system is healthy and always in the best interest of the patients. However, this is not always the case. Susannah Cahalan tells her own story through the eyes of a patient being drastically affected by America’s crippled healthcare system. Upon completion of medical school, most medical doctors will take the Hippocratic Oath, essentially pledging to not knowingly harm patients.…

    • 841 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Usually we hear of stories where physicians get sued because they fail to abide by a patient’s wishes, however, the article “All-Time Craziest Frivolous Lawsuits”, (Krane 2014), discusses how a physician was sued for abiding to a patient’s wishes. The article provides insight into how some malpractice lawsuits impact physicians who try to provide patients with standard of care, only to have care refused by them and then later have legal action taken against them for complying with their wishes. The author best explains how physicians are affected by malpractice lawsuits in stating, “The assault on their reputations and the emotional upheaval they face can be traumatic even when the lawsuit is obviously fraudulent” (Krane, 2014, p. 1). This particular article discusses the story of a man who cut his hand off because he “saw the number ‘666’ written on it and stated that he heard voices which told him to cut it off. When the on-call surgeon was called in for a consult, the patient stated that if the surgeon reattached his arm, “he would cut it off again” (Krane, 2014, p. 1).…

    • 401 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Test Item #2: The definition of the word autonomy means to be self-determined or to have free will. Patients, who are competent and are of an appropriate age, all have the ability to be autonomous when it comes to making decisions about their healthcare.…

    • 843 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Hippocrates, a Greek physician in the 5th century BCE, is misquoted with saying “First, do no harm” in the oath, where in actuality, this quote was from another of his publications, Of the Epidemics. Nowhere in the original oath, or the modern version is this phrase, making the position who uses this phrase as evidence against P-AS is obsolete (Shmerling). However, if one were to use this phrase in the argument against physician-assisted suicide, it can be turned around easily in favor of it. There is no harm in hastening a patient’s inevitable death, except for the prevention of prolonged pain (Palmore). According to Peter Tyson, the editor in chief for PBS NOVA, more and more physicians are taking a different oath or no oath at all because they feel the oath cannot address current and changing medical practices of the modern world (Tyson).…

    • 778 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    In Kevin Keith’s article “Doctor’s Should Stop Treatment That Is Futile”, he claims that, regardless of difficulty, ending the treatment for those who wouldn’t benefit is the best thing to do. He uses pathos and logos, in the argumentative format, to give a detailed explanation of his claims to the guardians of patients and the medical community in a way that is both compassionate and insistent. Keith invokes an emotional response in the reader to open their minds to his reasoning, such as when he expresses that “The obvious advisability of this [aggressive care] in many hopeless cases was handled informally by hospital staff who agreed. Without consulting with the patients, that certain patients would be ‘allowed’ to slip away” (para. 2). This statement forces the reader to feel that they have no choice about aggressive care anyway, that is pointless to try because the decision was already made for them.…

    • 522 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Cassandra is a 17 year old female diagnosed with Hodgkin’s lymphoma. She presents to an oncology office in Connecticut with her parents to discuss possible new treatment options and for a routine follow-up visit. Her cancer is so aggressive that your team informs her that she must continue in her chemotherapy. Cassandra’s parents are very understanding and want to continue forth in treatment using chemotherapy.…

    • 340 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    If it is a physician's job to do no harm, and a patient is in constant pain is it not the more merciful action to take to make the patient finally at peace. Whether it be merely suggesting aided death as an option or prescribing the lethal dose of medication, physicians should feel obligated to have this legalized for their patients. “ As it is stated in this article the author says that the Hippocratic oath says a physician will do no harm, that harm may include prolonging a life of a dying patient. Yes, it is a physician's job to heal and to make a patient's life as long as possible, but are they really following their oath when a patient is asking for death” (Bloustein). Some say this is ethically wrong for a doctor to make the respectful…

    • 207 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    In Rebecca Skloot’s book, The Immortal Life of Henrietta Lacks, the author reveals a real-life story about the life of Henrietta Lacks. Henrietta Lacks was an African American woman who was diagnosed with a fast-growing cervical cancer at a very young age. The cells retrieved from her cervical tumor, later termed “HeLa”, became the first immortal cell that could survive in the lab and replicate continuously without dying. These cells later became key components to the development of many groundbreaking inventions such as the polio vaccine and in vitro fertilization. The purpose of this paper is to examine the social covenant of nursing in relation to the ethical dilemmas.…

    • 1167 Words
    • 5 Pages
    Great Essays
  • Superior Essays

    In regards to the quoted “do no harm”, does doing “no harm” mean that life should be prolonged even if the patient is in pain and feels as if they are a burden. "The Hippocratic Oath is not the only time-honored school of ethical and moral thought to be discarded because of inflexibility. Rules stated as always or never are sooner or later discredited by failure to withstand the ' Yes but, what if...? ' questions.”…

    • 1895 Words
    • 8 Pages
    Superior Essays
  • Superior Essays

    One of the most fundamental trust relationships is between a patient and their doctor. Physicians have supposedly earned their trustworthy title because of their extended education and desire to help others. However, this perception is being shattered by physicians violating patients’ trust by not providing all the information needed for making a responsible decision for a person’s health and performing unimaginable procedures. “The Immortal Life of Henrietta Lacks” provides multiple examples of the unethical practice of doctors. When scientists do not recognize their subjects as human beings and their relationship results in an unbalanced power dynamic, their advantageous position often leads to the unethical treatments of subjects, especially…

    • 1566 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Understanding the foundation and application of medical professionalism is very critical to the development of a healthcare professional’s medical career. As stated by Merriam-Webster, medical professionalism is defined as the conduct, aims, or qualities that characterize or mark a medical professional. In addition, privilege is an important characteristic related to medical professionalism. Privilege is a right or benefit that is given to some, but not others, and a special opportunity to do something that makes someone proud, which can also be used as an advantage that the wealthy and powerful have over others in a society. Privilege and medicine are often overlooked and undermined by those in practice, but it is important acknowledge as it can be troublesome when professionals forget their role in the field.…

    • 776 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Actions that are right or wrong is all a matter of a difference of opinion amongst individuals. What they learn from their family, where they grew up, what institutions they attend, their religious views, and their reflection of themselves and the world around them, all influence their morals and ethical beliefs. New ideas are constantly emerging causing us to consistently review and reconsider our beliefs. One idea that emerged and caused ethical consideration is the goal of keeping ill persons alive. This first came in the nineteenth century and has since given rise to moral questions on the care for patients.…

    • 1465 Words
    • 6 Pages
    Great Essays

Related Topics