13. Police published a “wanted” poster for a criminal fugitive in a medical journal, because the fugitive was known to have a certain acute noninfectious skin problem that would eventually require a visit to a doctor. The poster asked for information about the whereabouts of the fugitive. A physician’s responding to the poster’s request for information would not violate medical ethics, since physicians are already subject to requirements to report gunshot wounds to police and certain infectious diseases to health authorities. These exceptions to confidentiality are clearly ethical.
Which one of the following principles, while remaining compatible with the requirements cited above, supports the view that a physician’s responding to the request would violate medical ethics?
(A) Since a physician acts both as a professional person and as a citizen, it is not ethical for a physician to conceal information about patients from duly constituted law enforcement agencies that have proper jurisdiction.
(B) Since a patient comes to a physician with the expectation that the patient’s visit and medical condition will remain confidential, it is not ethical for a physician to share this information with anyone except personnel within the physician’s office.
(C) Since the primary concern of medicine if individual and public health, it is not ethical for a physician, except in the case of gunshot wounds, to reduce patients’ willingness to come for treatment by a policy of disclosing their identities to law-enforcement agencies.
(D) Except as required by the medical treatment of the patient, physicians cannot ethically disclose to others information about a patient’s identity or medical condition without the patient’s consent.
(E) Except to other medical personnel working to preserve or restore the health of a patient or of other persons, physicians cannot ethically disclose information about the identity of patients or their medical condition.
答案：C
以下是mindfree以前的解释，除了对正确答案C的解释理解外，其他的还是不太明白。哪位能再详细说明一下？
我选C. 原文说枪伤和传染病要report. 所以respond to the poster并不是unethical. 问怎么 respond就unethical而其它两个还是ethical.
A错. 说明respond是ethical
B错. 说明gunshot也是unethical
C对. 将guanshot wound和此例区分开.respond会使fugitive unwilling to visit a doctor.所以unethical
D错. 同B
E错. 同B
the stimulus: (physicians) reporting gunshot wounds and infectious diseases are required, therefore, responding to the poster is ethical.
Question: compatible with the requirements cited above, supports the view that a physician’s responding to the request would violate medical ethics?
Namely, compatible with the requirement and meanwhile weaken the argument
A: "it is not ethical for a physician to conceal information", i.e. it is ethical for a physician to respond. it does not weaken
B:"it is not ethical for a physician to share this information with anyone except personnel within the physician’s office. "----not compatible with the requirements (for reporting gunshot wounds and infectious dieseases)
Both D and E are incompatible with the requirements
Thanks chelseayang, I didn't realize that we have to take into consideration "while remaining compatible with the requirements cited above". If I did so, all cleared
Thanks again for your kind help.
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