Should the Patient Conquer
نویسندگان
چکیده
Within the turreted ramparts of London’s ancient Tower, long the most famous political prison in the English-speaking world, modern tourists can view hundreds of inscriptions hand scratched on the walls of chambers that were once the habitations of those unfortunate enough to incur the wrath of the Crown. Some are mournful, some are sycophantic, some are bitter, some are philosophical, and some merely record a name or date to preserve the transitory existence of their authors. In 1596, one Robert Bainbridge carved the following in the Beauchamp Tower: “The patient shall conquer.” It is highly unlikely that Bainbridge was an early advocate for recipients of medical care, imprisoned perhaps by a cruel sheriff denied his payroll taxes or by a domineering barber refused his fee. But the inscription’s unintended meaning would immediately provoke sympathy from many health care reformers. Like the political prisoner, the medical patient endures suffering and loss of independence that compassionate people may well seek to relieve. Indeed, nearly all progressive impulses among American health lawyers and policy makers over the past half century have sought to liberate and empower the patient. Phrases used to express this desire include “patient autonomy,” “patients’ rights,” “patient self-determination,” “patient preferences,”
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