Oddie G J, Perrett R W
N Z Med J. 1986 Oct 8;99(811):759-61.
We argue that if a terminally ill patient wants to know the truth about his or her condition, and the patient's doctor possesses that information, then the doctor is morally obliged to tell the truth. The argument is not based on any supposed right to information (even information about oneself); nor on any supposed moral obligation to tell the truth; nor on any supposed property rights the patient might have. Rather, the argument is based on the very principle usually invoked to license deception: the harm principle (that doctors ought to take that course of action which does least harm to the patient).
我们认为,如果一位绝症患者想了解自己病情的真相,而该患者的医生掌握这一信息,那么医生在道德上有义务告知真相。这一论点并非基于任何假定的知情权(即使是关于自身的信息);也不是基于任何假定的讲真话的道德义务;更不是基于患者可能拥有的任何假定的财产权。相反,该论点基于通常被用来为欺骗行为辩护的那个原则:伤害原则(即医生应该采取对患者伤害最小的行动方案)。