Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 May;46(5):300-303.
doi: 10.1136/medethics-2019-106009. Epub 2020 Apr 29.

The right not to know and the obligation to know

Affiliations

The right not to know and the obligation to know

Ben Davies. J Med Ethics. 2020 May.

Abstract

There is significant controversy over whether patients have a 'right not to know' information relevant to their health. Some arguments for limiting such a right appeal to potential burdens on others that a patient's avoidable ignorance might generate. This paper develops this argument by extending it to cases where refusal of relevant information may generate greater demands on a publicly funded healthcare system. In such cases, patients may have an 'obligation to know'. However, we cannot infer from the fact that a patient has an obligation to know that she does not also have a right not to know. The right not to know is held against medical professionals at a formal institutional level. We have reason to protect patients' control over the information that they receive, even if in individual instances patients exercise this control in ways that violate obligations.

Keywords: autonomy; informed consent.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Comment in

References

    1. Council of Europe Convention for the protection of human rights and dignity of the human being with regard to the application of biology and medicine: convention on human rights and biomedicine. European Treaty series 164, 1997. - PubMed
    1. Wilson J. To know or not to know? genetic ignorance, autonomy and paternalism. Bioethics 2005;19(5-6):492–504. 10.1111/j.1467-8519.2005.00460.x - DOI - PubMed
    1. American Medical Association Code of medical ethics, opinion 2.1.1: informed consent 2006.
    1. Knoppers BM. From the right to know to the right not to know. J Law Med Ethics 2014;42(1):6–10. 10.1111/jlme.12113 - DOI - PubMed
    1. McDougall R. Rethinking the ‘right not to know’. Monash Bioeth Rev 2004;23(1):22–36. 10.1007/BF03351407 - DOI - PubMed

Publication types