The right not to know and the obligation to know
- PMID: 32350031
- PMCID: PMC7250654
- DOI: 10.1136/medethics-2019-106009
The right not to know and the obligation to know
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.
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Conflict of interest statement
Competing interests: None declared.
Comment in
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Obligations and preferences in knowing and not knowing: the importance of context.J Med Ethics. 2020 May;46(5):306-307. doi: 10.1136/medethics-2020-106108. Epub 2020 Apr 29. J Med Ethics. 2020. PMID: 32350032 No abstract available.
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'The right not to know and the obligation to know', response to commentaries.J Med Ethics. 2020 May;46(5):309-310. doi: 10.1136/medethics-2020-106261. Epub 2020 Apr 29. J Med Ethics. 2020. PMID: 32350033 Free PMC article. No abstract available.
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Commentary on 'The right not to know and the obligation not to know'.J Med Ethics. 2020 May;46(5):304-305. doi: 10.1136/medethics-2020-106082. Epub 2020 Apr 29. J Med Ethics. 2020. PMID: 32350034 No abstract available.
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Is the right not to know an instance of 'bad faith'?J Med Ethics. 2020 May;46(5):308. doi: 10.1136/medethics-2020-106145. Epub 2020 Apr 29. J Med Ethics. 2020. PMID: 32350035 No abstract available.
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Is there a right not to know?J Med Ethics. 2020 Jun;46(6):414-415. doi: 10.1136/medethics-2020-106190. Epub 2020 May 27. J Med Ethics. 2020. PMID: 32461242 No abstract available.
References
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- 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
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- American Medical Association Code of medical ethics, opinion 2.1.1: informed consent 2006.