AI Article Synopsis

  • The Hippocratic oath is a promise that doctors make to treat patients well and not harm them, and it was even used by some doctors in Nazi Germany to stand against the wrongful killing of sick and disabled people.
  • In 1947, the World Medical Association updated the oath to ensure that future doctors would understand their duties to protect all patients, regardless of their background.
  • The article explains that the oath doesn't actually stop doctors from doing things like abortions or euthanasia, and it suggests that the oath can help doctors remember their responsibilities while supporting women's rights to health care.

Article Abstract

The Hippocratic oath is such an enduring icon of medical morality that physicians in Nazi Germany invoked it to protest Euthanasie, the systematized killing of weak or sick children, people with incurable diseases, hospitalized criminals (a category applicable to gays), geriatric patients, long-term patients, patients not of German blood (Jews and Romani), and people with disabilities. Several expert witnesses at the 1945 Nuremberg Medical Trial also cited the oath to condemn Nazi physicians' abuse of human research subjects. Noting these invocations, in 1947 the physicians who founded the World Medical Association modernized the Hippocratic oath to convey to future medical students its foundational precepts: benefitting the sick, not harming them, not breaching confidentiality, and not treating patients unjustly, irrespective of their gender or social status. This article presents a historically accurate reading of the oath's strange-seeming passages to show that it does not prohibit abortion, euthanasia (medical aid in dying), or surgery. The article also contends that oath-swearing remains an important asset in teaching clinicians their role responsibilities, and that its ethics supports women's rights to reproductive health care and can valorize challenges to venture-capitalist and for-profit managements that prioritize profitability over providing quality health care for patients.

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http://dx.doi.org/10.1353/pbm.2024.a936216DOI Listing

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