Ahmad Khan

Clinicians have an obligation to ensure that patients with adequate capacity can make autonomous decisions. Thus, patients who choose to forego treatment and leave hospitals “against medical advice” are typically allowed to do so. But what happens when they require clinicians’ assistance to physically leave? Is it incumbent upon clinicians to not only respect and fulfill patients’ requests with which they disagree, but to physically assist in their fulfillment? We attempt to develop an ethical framework wherein clinicians can honor patients’ wishes without necessarily sacrificing their own moral position.

This article documents the existence of a vibrant republic of letters stretching from Cairo to Karachi in the middle of the twentieth century. On the basis of private letters, memoirs, and modern editions of classical texts, this article recreates the scholarly and personal commitments of a new class of professional editors. These editors were responsible for the emergence of some of the most influential publishing houses in the Islamic world, and their contribution to the production and circulation of pre-modern texts has had a profound impact on the intellectual development of Islam in the twentieth and twenty-first centuries. They believed that cultivating a republic of letters was necessary because it served the world of learning and scholarship. In this way was fashioned a virtual community, separated by national and political borders, but united by visions of history and a shared sense of moral and intellectual duty.