The Four Pillars of Medical Ethics Were Destroyed in the Covid ResponseMuch like a Bill of Rights, a principal function of any Code of Ethics is to set limits, to check the inevitable lust for power, the libido dominandi, that human beings tend to demonstrate when they obtain authority and status over others, regardless of the context.
Though it may be difficult to believe in the aftermath of COVID, the medical profession does possess a Code of Ethics. The four fundamental concepts of Medical Ethics – its 4 Pillars – are Autonomy, Beneficence, Non-maleficence, and Justice.
Autonomy, Beneficence, Non-maleficence, and JusticeThese ethical concepts are thoroughly established in the profession of medicine. I learned them as a medical student, much as a young Catholic learns the Apostle’s Creed. As a medical professor, I taught them to my students, and I made sure my students knew them. I believed then (and still do) that physicians must know the ethical tenets of their profession, because if they do not know them, they cannot follow them.
These ethical concepts are indeed well-established, but they are more than that. They are also valid, legitimate, and sound. They are based on historical lessons, learned the hard way from past abuses foisted upon unsuspecting and defenseless patients by governments, health care systems, corporations, and doctors. Those painful, shameful lessons arose not only from the actions of rogue states like Nazi Germany, but also from our own United States: witness Project MK-Ultra and the Tuskegee Syphilis Experiment.
The 4 Pillars of Medical Ethics protect patients from abuse. They also allow physicians the moral framework to follow their consciences and exercise their individual judgment – provided, of course, that physicians possess the character to do so. However, like human decency itself, the 4 Pillars were completely disregarded by those in authority during COVID.
The demolition of these core principles was deliberate. It originated at the highest levels of COVID policymaking, which itself had been effectively converted from a public health initiative to a national security/military operation in the United States in March 2020, producing the concomitant shift in ethical standards one would expect from such a change. As we examine the machinations leading to the demise of each of the 4 Pillars of Medical Ethics during COVID, we will define each of these four fundamental tenets, and then discuss how each was abused.
AutonomyOf the 4 Pillars of Medical Ethics,
autonomy has historically held pride of place, in large part because respect for the individual patient’s autonomy is a necessary component of the other three. Autonomy was the most systemically abused and disregarded of the 4 Pillars during the COVID era.
Autonomy may be defined as the patient’s right to self-determination with regard to any and all medical treatment. This ethical principle was clearly stated by Justice Benjamin Cardozo as far back as 1914:
“Every human being of adult years and sound mind has a right to determine what shall be done with his own body.”Patient autonomy is “My body, my choice” in its purest form. To be applicable and enforceable in medical practice, it contains several key derivative principles which are quite commonsensical in nature. These include
informed consent, confidentiality, truth-telling, and protection against coercion.
Genuine
informed consent is a process, considerably more involved than merely signing a permission form. Informed consent requires a
competent patient, who receives
full disclosure about a proposed treatment,
understands it, and
voluntarily consents to it.
Based on that definition, it becomes immediately obvious to anyone who lived in the United States through the COVID era, that the informed consent process was systematically violated by the COVID response in general, and by the COVID vaccine programs in particular. In fact, every one of the components of genuine informed consent were thrown out when it came to the COVID vaccines:
* Full disclosure about the COVID vaccines – which were extremely new, experimental therapies, using novel technologies, with alarming safety signals from the very start – was systematically denied to the public. Full disclosure was actively suppressed by bogus anti-“misinformation” campaigns, and replaced with simplistic, false mantras (e.g. “safe and effective”) that were in fact just textbook propaganda slogans.
* Blatant coercion (e.g. “Take the shot or you’re fired/can’t attend college/can’t travel”) was ubiquitous and replaced voluntary consent.
* Subtler forms of coercion (ranging from cash payments to free beer) were given in exchange for COVID-19 vaccination. Multiple US states held lotteries for COVID-19 vaccine recipients, with up to $5 million in prize money promised in some states.
* Many physicians were presented with financial incentives to vaccinate, sometimes reaching hundreds of dollars per patient. These were combined with career-threatening penalties for questioning the official policies. This corruption severely undermined the informed consent process in doctor-patient interactions.
* Incompetent patients (e.g. countless institutionalized patients) were injected en masse, often while forcibly isolated from their designated decision-making family members.
It must be emphasized that under the tendentious, punitive, and coercive conditions of the COVID vaccine campaigns, especially during the “pandemic of the unvaccinated” period, it was virtually impossible for patients to obtain genuine informed consent. This was true for all the above reasons, but most importantly because full disclosure was nearly impossible to obtain.
A small minority of individuals did manage, mostly through their own research, to obtain sufficient information about the COVID-19 vaccines to make a truly informed decision. Ironically, these were principally dissenting healthcare personnel and their families, who, by virtue of discovering the truth, knew “too much.” This group overwhelmingly refused the mRNA vaccines.
Confidentiality, another key derivative principle of autonomy, was thoroughly ignored during the COVID era. The widespread yet chaotic use of COVID vaccine status as a de facto social credit system, determining one’s right of entry into public spaces, restaurants and bars, sporting and entertainment events, and other locations, was unprecedented in our civilization.
Gone were the days when HIPAA laws were taken seriously, where one’s health history was one’s own business, and where the cavalier use of such information broke Federal law. Suddenly, by extralegal public decree, the individual’s health history was public knowledge, to the absurd extent that any security guard or saloon bouncer had the right to question individuals about their personal health status, all on the vague, spurious, and ultimately false grounds that such invasions of privacy promoted “public health.”
Truth-telling was completely dispensed with during the COVID era. Official lies were handed down by decree from high-ranking officials such as Anthony Fauci, public health organizations like the CDC, and industry sources, then parroted by regional authorities and local clinical physicians. The lies were legion, and none of them have aged well. Examples include:
* The SARS-CoV-2 virus originated in a wet market, not in a lab
* “Two weeks to flatten the curve”
* Six feet of “social distancing” effectively prevents transmission of the virus
* “A pandemic of the unvaccinated”
* “Safe and effective”
* Masks effectively prevent transmission of the virus
* Children are at serious risk from COVID
* School closures are necessary to prevent spread of the virus
* mRNA vaccines prevent contraction of the virus
* mRNA vaccines prevent transmission of the virus
* mRNA vaccine-induced immunity is superior to natural immunity
* Myocarditis is more common from COVID-19 disease than from mRNA vaccination
It must be emphasized that health authorities pushed deliberate lies, known to be lies at the time by those telling them. Throughout the COVID era, a small but very insistent group of dissenters have constantly presented the authorities with data-driven counterarguments against these lies. The dissenters were consistently met with ruthless treatment of the “quick and devastating takedown” variety now infamously promoted by Fauci and former NIH Director Francis Collins.
Over time, many of the official lies about COVID have been so thoroughly discredited that they are now indefensible. In response, the COVID power brokers, backpedaling furiously, now try to recast their deliberate lies as fog-of-war style mistakes. To gaslight the public, they claim they had no way of knowing they were spouting falsehoods, and that the facts have only now come to light. These, of course, are the same people who ruthlessly suppressed the voices of scientific dissent that presented sound interpretations of the situation in real time.
For example, on March 29, 2021, during the initial campaign for universal COVID vaccination, CDC Director Rochelle Walensky proclaimed on MSNBC that “vaccinated people do not carry the virus” or “get sick,” based on both clinical trials and “real-world data.” However, testifying before Congress on April 19, 2023, Walensky conceded that those claims are now known to be false, but that this was due to “an evolution of the science.” Walensky had the effrontery to claim this before Congress 2 years after the fact, when in actuality, the CDC itself had quietly issued a correction of Walensky’s false MSNBC claims back in 2021, a mere 3 days after she had made them.
On May 5, 2023, three weeks after her mendacious testimony to Congress, Walensky announced her resignation.
Truth-telling by physicians is a key component of the informed consent process, and informed consent, in turn, is a key component of patient autonomy. A matrix of deliberate lies, created by authorities at the very top of the COVID medical hierarchy, was projected down the chains of command, and ultimately repeated by individual physicians in their face-to-face interactions with their patients. This process rendered patient autonomy effectively null and void during the COVID era.
Patient autonomy in general, and informed consent in particular, are both impossible where coercion is present. Protection against coercion is a principal feature of the informed consent process, and it is a primary consideration in medical research ethics. This is why so-called vulnerable populations such as children, prisoners, and the institutionalized are often afforded extra protections when proposed medical research studies are subjected to institutional review boards.
Coercion not only ran rampant during the COVID era, it was deliberately perpetrated on an industrial scale by governments, the pharmaceutical industry, and the medical establishment. Thousands of American healthcare workers, many of whom had served on the front lines of care during the early days of the pandemic in 2020 (and had already contracted COVID-19 and developed natural immunity) were fired from their jobs in 2021 and 2022 after refusing mRNA vaccines they knew they didn’t need, would not consent to, and yet for which they were denied exemptions. “Take this shot or you’re fired” is coercion of the highest order.
Hundreds of thousands of American college students were required to get the COVID shots and boosters to attend school during the COVID era. These adolescents, like young children, have statistically near-zero chance of death from COVID-19. However, they (especially males) are at statistically highest risk of COVID-19 mRNA vaccine-related myocarditis.
According to the advocacy group nocollegemendates.com, as of May 2, 2023, approximately 325 private and public colleges and universities in the United States still have active vaccine mandates for students matriculating in the fall of 2023. This is true despite the fact that it is now universally accepted that the mRNA vaccines do not stop contraction or transmission of the virus. They have zero public health utility. “Take this shot or you cannot go to school” is coercion of the highest order.
Countless other examples of coercion abound. The travails of the great tennis champion Novak Djokovic, who has been denied entry into both Australia and the United States for multiple Grand Slam tournaments because he refuses the COVID vaccines, illustrate in broad relief the “man without a country” limbo in which the unvaccinated found (and to some extent still find) themselves, due to the rampant coercion of the COVID era.
BeneficenceIn medical ethics, beneficence means that physicians are obligated to act for the benefit of their patients. This concept distinguishes itself from non-maleficence (see below) in that it is a positive requirement. Put simply, all treatments done to an individual patient should do good to that individual patient. If a procedure cannot help you, then it shouldn’t be done to you. In ethical medical practice, there is no “taking one for the team.”
By mid-2020 at the latest, it was clear from existing data that SARS-CoV-2 posed truly minimal risk to children of serious injury and death – in fact, the pediatric Infection Fatality Rate of COVID-19 was known in 2020 to be less than half the risk of being struck by lightning. This feature of the disease, known even in its initial and most virulent stages, was a tremendous stroke of pathophysiological good luck, and should have been used to the great advantage of society in general and children in particular.
The opposite occurred. The fact that SARS-CoV-2 causes extremely mild illness in children was systematically hidden or scandalously downplayed by authorities, and subsequent policy went unchallenged by nearly all physicians, to the tremendous detriment of children worldwide.
The frenzied push for and unrestrained use of mRNA vaccines in children and pregnant women – which continues at the time of this writing in the United States – outrageously violates the principle of beneficence. And beyond the Anthony Faucis, Albert Bourlas, and Rochelle Walenskys, thousands of ethically compromised pediatricians bear responsibility for this atrocity.
The mRNA COVID vaccines were – and remain – new, experimental vaccines with zero long-term safety data for either the specific antigen they present (the spike protein) or their novel functional platform (mRNA vaccine technology). Very early on, they were known to be ineffective in stopping contraction or transmission of the virus, rendering them useless as a public health measure. Despite this, the public was barraged with bogus “herd immunity” arguments. Furthermore, these injections displayed alarming safety signals, even during their tiny, methodologically challenged initial clinical trials.
The principle of beneficence was entirely and deliberately ignored when these products were administered willy-nilly to children as young as 6 months, a population to whom they could provide zero benefit – and as it turned out, that they would harm. This represented a classic case of “taking one for the team,” an abusive notion that was repeatedly invoked against children during the COVID era, and one that has no place in the ethical practice of medicine.
Children were the population group that was most obviously and egregiously harmed by the abandonment of the principle of beneficence during COVID. However, similar harms occurred due to the senseless push for COVID mRNA vaccination of other groups, such as pregnant women and persons with natural immunity.
Non-Maleficencemuch more at the OP ...
