too many beta males wrote:
patient autonomy wrote:
Patient autonomy. The doctor's job is to explain the risks and benefits of the procedure. If the patient takes that information and makes a choice that they regret, that's on them.
Part of freedom is the freedom to make bad choices. I've done things I regret. Doesn't mean I think the government should substitute their judgment for my own.
It's the physician's fiduciary duty to do what's in the patient's best medical interest, not be a "yes man" who does whatever the patient wants. Providing genital mutilation surgery to people with severe psychological problems is like Conrad Murray giving Michael Jackson propofol.
If a patient who has been fully informed of the benefits and risks of an operation concludes that the procedure is in their own best interest, who am I to tell them that they are wrong? Whether the quality of life improvement brought by this particular surgery exceeds the risk is something that the only the patient can decide.
Sure, there are times that a surgeon needs to say no to what the patient is asking for. I'm not doing an elective procedure on a Child class C patient with an ejection fraction of 15% because they will die on the table. But "they may regret this later" isn't a good enough reason for all physicians everywhere to deny a patient a procedure. In this case, it's you job to make sure that the patient has all the information necessary to make their own informed decision.
And there certainly isn't grounds for the government to step in and substitute their own judgement for that of both the patient and the physician.