Topic > Avoiding paternalism with Plato: Levin's doctor-patient...

The model of a truly collaborative relationship between doctor and patient has so far been elusive. In Susan Levin's article, The Doctor-Patient Tie in Plato's Laws: A Backdrop for Reflection, the author criticizes two models proposed by Ezekiel and Linda Emanuel, Edmund D. Pellegrino, and David C. Thomasma. By analyzing both they come close to achieving perfect balance, but ultimately fail. Their failures lie in the possibility that their models become paternalistic, considered an imperfect model. In the article, Levin proposes his own approach that adopts concepts taken from Plato's Laws. In this essay I will argue that, with the help of Plato's ideas, Levin is able to create a model that distances itself from paternalism in ways that other models could not and, in doing so, achieves a more collaborative relationship. predominant concern during the period of publication of both the texts of Ezekiel and Linda Emanuel, and of Edmund D. Pellegrino and David C. Thomasma. During that time, the paternalistic model, in which a doctor uses his or her skills to understand the disease and choose the best course of action for the patient, had been replaced by the informational model, which focused on patient autonomy. The latter model envisaged a relationship in which control over medical decisions was entrusted exclusively to the patient and the doctor was reduced to a technical expert. Pellegrino, Thomasma, and the Emanuels found that moving from one extreme, the paternalistic model, to the other, the information model, did not move adequately toward an ideal model. The problem with the information model, according to Emanuel, is that the autonomy described is simple, which means that the model “presupposes that p...... in the center of the paper ......r away from the thread of paternalism because the doctor is neither willing nor able to take advantage of the patient. By studying Plato's law, Levin was able to find themes in the work to create a doctor-patient model that successfully departed from that of the paternalistic model and included autonomy without leaving the patient. By recognizing and accounting for the innate fallibility in all human beings, Levin is able to eliminate the problem of presumed moral knowledge. By shifting the possible power imbalance between doctor and patient by adopting a balanced asymmetry, the model avoids an unjustified power gap that caused the downfall of the two models proposed by the Emmanuels and by Pellegrino and Thomasma. Furthermore, moral education is implemented to prevent doctors from having too much power and control, which helps keep away from the paternalistic model..