A letter to a hospital

Non-judgmentalism includes not judging when the issue is moral standards we believe in.

[I wish to raise a concern] about policy stated in a notice in the waiting room which I felt raises legitimate concerns about whether the paramount priority of patient care is being maintained.

The notice said that the hospital would not allow patients to refuse treatment from a particular member of staff on racist grounds, and that any refusal of treatment on such grounds could be considered refusal of treatment altogether.

I was horrified to find that any patient of yours refuses to be treated by a particular person for such reasons. Racism is very wrong, and its ongoing presence in our communities is rightly a deep concern.

However, I was more horrified that a hospital would consider responding to the problem in this particular way. Granted, patient care requires politeness and mutual respect, and I think it is quite reasonable to insist that no one responsible for their actions uses certain types of language within the hospital. But this is different from removing the patient’s autonomy to ask for a different doctor irrespective of whether their reason is good or bad.

For one thing, it creates a practical problem, at the minimum being a cover for incompetence, and at the worst, an abusers’ charter. Suppose a woman (or a man) believes that a doctor (or other member of staff) is using medical access to her body as a cover for groping her sexually, and that doctor is of a different race.

Such a policy puts her in a situation where if she requests to be transferred, but cannot prove a complaint, she is liable to be accused of racism if she requests to be treated by someone else. This may prevent her receiving treatment or trap her in a situation where the price of treatment is submitting to abuse. In cases where a person is not happy with the doctor’s competence, playing the race card to block their access to another doctor is likely to be even easier, as such concerns are often instinctive rather than analytical. The only way of preventing this is not to regard the patient’s possible reasons for making the request as a relevant factor.

I would also ask whether refusing someone treatment because they are being racist is really any different, in theory, from refusing a pregnant woman treatment because she refuses to marry the father of the child. The precise similarities and differences of the two cases are interesting, but the question is worth asking. It is usually argued that it is right for medical practice to aim to be non-judgemental about moral issues.

I appreciate the awfulness of racism, and the fact that the policy is a natural reaction to it. However, I think in the case of a hospital, it is necessary to stop at insisting that people must not be verbally or physically abusive, and not to reduce the autonomy of patients to make choices about who treats them.

 

Any thoughts, further arguments for this position, counter-arguments to it, or experiences of (probable or indisputable) racism in such circumstances, or of being accused of racism, or being unwilling to make a request for a different reason for fear of being accused?  It is hardly a simple question.

Cherry Foster

A Question of Value

Conventional feminism and real freedom

Suppose someone takes their daughter, or a young friend, to a social gathering*. This young woman is conscientious and high-achieving, and she’s at the stage of thinking about what she wants to do with her life, or, better still, about how she can best serve given her God-given temperament, interests, and talents.

At this gathering, she meets and talks with two women in their late sixties, one of whom has recently retired after being a consultant doctor for many years, and the other of whom has spent her life as the stay-at-home mother of her three children and as a housewife and homemaker.

On the way home, discussing these conversations with her grown-ups, would you expect both these women to be held up as role models for her? Would their different life choices be regarded as equally good ways for her to consider using her gifts and talents by her teachers, her parents, her school careers advisers?

Freedom, I think, would mean having the choice between paid work or traditional woman’s roles equally valued, advocated, supported, and respected.  Not a situation where girls are pushed into medicine and engineering in order to prove someone else’s political point!

We seem to have an odd tendency as a culture to say nice things about stay-at-home motherhood when directly challenged, but to talk and behave the rest of the time as if it was a waste of people’s time and talents, which no intelligent girl or woman could possibly “want” to engage in.

The acceptance that stay-at-home motherhood is not the right way for every family to do things, and the insistence that it isn’t a laudable ambition for a young woman** who’s drawn in that direction to “want” to occupy herself chiefly with the daily care of her family, are very different things.

Cherry Foster

 

*Or suppose, being at the stage I’m describing, you go to a social gathering, etc. I couldn’t write it to include that grammatically without it being hopelessly confusing.

**Or for a young man.  The gender specific language here is chiefly because I am trying to make a point specifically about women and feminism, not because I think stay-at-home fatherhood is wrong, or that it should be off the map.  I am not an egalitarian but a complementarian: I don’t want men who are suited to usually feminine roles, or women who are suited to usually masculine roles, to be prevented by prejudice or convention from doing them, but I don’t think it helps to try to obliterate the tendency of some roles and tasks to devolve more to men or women.  Rather I think, where relevant, a masculine or feminine environment should be aware of its tendencies and understand what it needs to do to welcome and include members of the minority gender.