Religion must not influence medical practice
The
great socialist leader Karl Marx famously said, "Religion
... is the opium of the people,"
and I agree entirely. Marx and I share similar principles and
priorities when it comes to looking after people. We believe that
humans are so subdued by their unerring faith in an omnipotent being
that they accept the hand life has dealt them. They fail to rise up and
fight the real evils in life-poverty, oppression, and
disease.I have deliberately not
mentioned if I have any affiliation, past or present, with a secular
group, as I think this would cloud the issue concerning my revulsion
towards religion. I am not an atheist (someone who does not believe
that there is a god) nor am I an agnostic (someone who believes that
human beings know nothing of things outside the material world). But
why should I need to be anything? Why do we need religious labels?
Religions are no more than social clubs; ways to pass some time in the
company of people with similar interests. I do not have to defend my
absence of religion to anyone; if anything the reverse is
true-the pious have to convince
me.
The
same standard of medical care must be provided equally
by all doctors and must be based on evidence and
not on personal beliefs
Religion is superstition; an ancient relic
of days when human beings had no answers, before science and
innovation-when the skies fell on our heads as a sign of the
Almighty's rage, or when thunder was Thor bashing on a vast anvil
with his mighty hammer. As our civilisation develops and evolves then,
as the poet Philip Larkin affirmed, "Superstition, like belief,
must
die".1
Religion is fine if people just get on with it, but if their hectoring
and pontificating enters a hospital or clinic, then this is
unacceptable.
Religion has no place
in the practice of any healthcare professional. The same standard of
medical care must be provided equally by all doctors and must be based
on evidence and not on personal beliefs. I have strong faith in my
abilities to follow the teaching that I received at university, that
everyone must be treated with equality, respect, and
non-judgmental care. All doctors should follow these
basic principles regardless of their own faiths, and should not attempt
to instil other beliefs into the medical
doctrine.
Hippocrates, the father of
modern medicine, was the first to separate medicine from religion. He
introduced science to medicine and believed that human disease had only
natural causes. The medicine which he practised removed the treatment
of disease from the hands of the superstitious and religious. Whether
or not on graduation you take the Hippocratic oath, we should still
hope to emulate this ancient doctor's dedication to treat his
patients using logic and reason.
We
should not disregard the wishes of our patients, however, even if they
seem illogical. Paradoxically, I think that if a patient says no, even
if they will die as a result of non-intervention, then that is
their decision and their right. Patient's beliefs must be held
sacrosanct above clinical judgment, although every attempt should be
made to advise them so they can make an informed
decision.
Death seems to be a major
feature of all religions. The big question is where do we go when we
die? Most say some sort of heavenly afterworld, where an all loving God
will admit only his followers-that is, those who contributed the
most to the weekly collection. All others will be banished to burn with
their fellow infidels. Most religions now peddle a more watered down
portrayal of this fire and brimstone; too many members were dropping
off the subscriptions list. Some faiths believe in reincarnation, that
if you lead a good life you move up a rung in the evolutionary ladder
before eventually reaching Utopia; if you lead a bad life you end up as
a dung beetle. I firmly believe in reincarnation of sorts, and as far
as I am aware it is the only evidence based version of our fate as we
shuffle off this mortal coil: when we die we all inevitably enter the
nitrogen cycle. Whether buried or cremated our remains will feed back
into the soil providing nutrients for plant life, animals, and humans
in the future. Through this cycle, life on earth will continue until
the sun runs out of gas.
In the beginning there was medicine by folklore,
anecdote, and witchcraft. Today we must practise evidenced based
medicine, free of beliefs that may confuse our clinical judgment. We
must keep religion out of medical
practice.
Stephen J Goldie fifth
year medical student University of Glasgow
Email: Stephen_goldie@hotmail.com
- Larkin P. Church going. In: Collected poems. 1st ed. London: Marvell, 1988.