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Conflict Between Autonomy And Voluntary

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House M.D. uses the consistent lying of patients and a contrasting lecture to further explore the conflict between beneficence and autonomy in medical ethics. Medical autonomy is the ability for a patient to make his or her own decision when it comes to their health. Medical beneficence however, is the doctor’s responsibility to maximize the benefits of the patient and minimize the cost. These two parts of medical ethics are constantly in conflict throughout the entire House series, with the motto of the show being “Everybody Lies”. The main character House, with his cynical and untrusting nature, is the ideal doctor to deal with these, sometimes unknowingly deceitful patients. The chosen episode “Three Stories” exhibits this deception of …show more content…

The three patients are a farmer who claims to have been bitten by a snake, a volleyball player, and a middle aged golfer. All but one of the patients have some sort of moral flaw, one being a drug addict and the other being a farmer protecting his aggressive dog. These moral flaws lead to the patients leaving out information which could lead to a correct diagnosis.
The episode starts with House giving a lecture to medical students about three previous cases of leg pain, one of them is lying to get drugs and one of them will die if not treated immediately. When a student in the lecture asks why he doesn’t know what they were doing when the injury happened saying “You didn’t ask? You didn’t take a history?” and House wittingly responds with “Of course, but all that told us is what they said happened” (Shore). This statement is a clear hint of House’s lack of trust in not just these patients, but any patients. In this lecture, House is trying to convey to the students his obvious opinion that beneficence is more important than autonomy. The student’s naïve and young view, that the patient is always telling the truth, successfully contrasts with House’s narcissistic opposing view and provides a path for the story to progress through. Using these two views going back and forth allows the exploration of the problem that exists between beneficence and

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