Well. That "photos every day!" thing didn't last very long, did it? No, it didn't. It isn't that I don't have photos that I'd
like to take. I have several in mind. The problem is in the execution. As in, I don't get around to it, and then another day has passed and I haven't updated my website in five days.
Well, of late I've been busy doing a reading with the
Guthrie. Every year about this time, the Guthrie partners with the University of Minnesota Medical School to present a reading of the play
Miss Evers Boys. The play was written by David Feldshuh, a dramaturg turned M.D., and it concerns the
Tuskegee Study of Untreated Syphilis in the Negro Male. The focus for the med students is on ethics in research and patient care. (Y'all are going to have to click that link to know more. I don't feel like summarizing.)
I was a reader for this event last year, and I've forgotten over the course of the last year how horrific the idea of research without informed consent can be, and how sticky a situation it was for the black physicians and nurses involved. They wanted to help their people, but in order to do so they felt they needed government money, and there wouldn't be any government money unless they complied and allowed the study to continue. Forty years later someone held up a hand and said, "Whoa there," but that was forty years. (The study began in 1932 and ended in
1972.)
And the issue of not treating patients as rational, intelligent human beings hasn't ended in 2007.
Studies have shown that women who are obese or undereducated or in at a lower socioeconomic level are more likely to receive a lower quality of care than women who are thinner or in a higher socioeconomic strata. These doctors mean well, but they have a hard time seeing something of themselves or their loved ones in these women, and that difference leads to an ethical dilemma. These doctors assume that the patient won't follow through with repeat visits, or their bodies can't handle higher doses of radiation, and in assuming they take choice away from their patients.
I'm not saying that our society is as racist as it was in the 30s when the Tuskegee study began, but the discrimination that arises is so much more subtle. So subtle that many would claim it doesn't exist. The facts say otherwise.