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AIDS: The Ethical Dilemma for Surgeons

Published online by Cambridge University Press:  29 April 2021

Extract

“No man is an island entire of itself; every man is a piece of the Continent, a part of the maine.”

J. Donne, “Devotions,” XVII

“… Father Paneloux evoked the august figure of Bishop Belzunce during the Marseille plague. He reminded his hearers how, toward the end of the epidemic, the Bishop, having done all that it behoved him, shut himself up in his palace, behind high walls, after laying in a stock of food and drink. With a sudden revulsion of feeling, such as often comes in times of extreme tribulation, the inhabitants of Marseille, who had idolized him hitherto, now turned against him, piled up corpses around his house in order to infect it, and even flung bodies over the walls to make sure of his death. Thus in a moment of weakness the Bishop had proposed to isolate himself from the outside world—and lo and behold, corpses rained down on his head! This had a lesson for us all; we must convince ourselves that there is no island of escape in time of plague.

A. Camus, The Plague

Type
Article
Copyright
Copyright © American Society of Law, Medicine and Ethics 1989

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References

Donne, J., Devotion XVII. The Complete Poetry and Selected Prose of John Donne. NY: The Modern Library, Random House 1941; 332.Google Scholar
Camus, A., The Plague. Trans. by Gilbert, S. NY: Alfred Knopf, 1960; 205.Google Scholar
Gruson, L., “AIDS fear spawns ethics debate as some doctors withhold care,” New York Times 1987; July 11: 1; Starer, S., “Fear of AIDS,” American Medical News 1987; October 2: 1; Guy, P.J., “AIDS: A Doctor's Duty,” British Medical Journal 1987; 294: 445.Google Scholar
“AIDS in the Operating Room,” Surgical Practice News 1987; August: 511.Google Scholar
Gillon, R., “Refusal to Treat AIDS and HIV Positive Patients,” British Medical Journal 1987; 294: 1332–3.Google Scholar
“Prevention and Control of Acquired Immunodeficiency Syndrome,” JAMA 1987; 258: 2097–103.Google Scholar
“AMA Principles of Medical Ethics,” 1980. In Beauchamp, T. Childress, R., Principles of Biomedical Ethics. Oxford: Oxford Univ. Press, 1983; 332.Google Scholar
AMA Council on Ethical and Judicial Affairs, “Ethical Issues Involved in the Growing AIDS Crisis,” JAMA 1988; 259: 1360–1.Google Scholar
Loewy, E.H., “Duties, Fears and Physicians,” Social Science Medicine 1986; 12: 1363–66.Google Scholar
Zuger, A. Miles, S.H., “Physicians, AIDs and Occupational Risk: Historic Traditions and Ethical Obligations.” JAMA 1987, 258: 1924–28.Google Scholar
Fox, D.M., “The Politics of Physicians' Responsibility in Epidemics: A Note on History,” Hastings Center Report 1988; special supplement 18: 510.Google Scholar
Annas, G.J., “Legal Risks and Responsibilities of Physicians in the AIDS Epidemic,” Hastings Center Report 1988; special supplement 18: 2632.Google Scholar
Dworkin, R., Taking Rights Seriously. Cambridge: Harvard Univ Press, 1978; 199.Google Scholar
AMA, supra note 7.Google Scholar
Arras, J.D., “The Fragile Web of Responsibility: AIDS and the Duty to Treat,” Hastings Center Report 1988; special supplement 18: 1020.Google Scholar
Feinberg, J., Harm to Others. Oxford: Oxford University Press 1984, 127129.Google Scholar
Dennes, A.E. South, J.L. Maynard, J.E. et al., “Hepatitis B Infection in Physicians: Results of a Nationwide Seroepidemiologic Survey,” JAMA 1978; 239: 210–12.Google Scholar
“Recommendations for Prevention of HIV Transmission in Health-Care Settings,” JAMA 1987; 258: 1293–305.Google Scholar
Friedland, G.H. Klein, R.S., “Transmission of the Human Immunodeficiency Virus,” New England Journal of Medicine 1987; 317; 1125–35.Google Scholar
Osborn, J.E., “The AIDS Epidemic: Multidisciplinary Trouble,” New England Journal of Medicine 1986; 324: 779–82.Google Scholar
Geddes, A.M., “The Risk of AIDS to Health Care Workers,” British Medical Journal 1986; 292: 711–2.Google Scholar
Confronting AIDS: Directions for Public Health, Health Care and Research, Washington DC: National Academy Press, 1986.Google Scholar
Ockner, R.K., “Chronic Hepatitis,” In Cecil-Loeb, Textbook of Medicine, Philadelphia: WB Saunders, 1985; 824–7.Google Scholar
Rothenberg, R. Woelfel, M. Stoneburner, R. et al., “Survival with the Acquired Immunodeficiency Syndrome,” New England Journal of Medicine 1987; 212: 1297–302.Google Scholar
Hagan, M.D. Meyer, K.B. Pauker, S.G., “Routine Preoperative Screening for HIV: Does the Risk to the Surgeon Outweigh the Risk to the Patient?” JAMA 1988; 259: 1357–59.Google Scholar
Elster, J., Ulysses and the Sirens: Studies in Rationality and Irrationality, Cambridge: Cambridge University Press, 1984.Google Scholar
Jonsen, A., “Ethics and AIDS,” Bulletin of American Cell Surgeons 1985; 70: 1618.Google Scholar
Zuger and Miles, supra note 10.Google Scholar
Pellegrino, E.D., “Altruism, Self-Interest and Medical Ethics,” JAMA 1987; 258: 1939–40.Google Scholar
Matthews, G.W. Neshund, V.S., “The Initial Impact of AIDS on Public Health Law in the United States—1986,” JAMA 1987; 257: 344–52.Google Scholar
Beecher, H.K., “Ethics and Clinical Research,” New England Journal of Medicine, 1966; 274: 1354–60.Google Scholar
JAMA, supra note 18.Google Scholar
Cleary, P.D. Barry, M.J. Mayer, K.H. Brandt, A.M. Gostin, L. Fineberg, H.V., “Compulsory Premarital Screenings for the Human Immunodeficiency Virus,” JAMA 1987; 258: 1757–62.Google Scholar
Eisenberg, L., “The Genesis of Fear: AIDS and the Public's Response to Science,” Law, Medicine & Health Care 1987; 14: 243–9.Google Scholar