Medical advice and recommendations should always consider the patient as a person, considering their dignity in particular. Analyzing the decision-making process is important to understand that the patient must make the decision freely, and the doctor must strive to consider their reasons, feelings, and context to create a therapeutic alliance, with respect and compassion, avoiding the dominant and authoritarian paternalism of the past. Thaler and Sunstein’s proposal of “libertarian paternalism”…
Read moreMedical advice and recommendations should always consider the patient as a person, considering their dignity in particular. Analyzing the decision-making process is important to understand that the patient must make the decision freely, and the doctor must strive to consider their reasons, feelings, and context to create a therapeutic alliance, with respect and compassion, avoiding the dominant and authoritarian paternalism of the past. Thaler and Sunstein’s proposal of “libertarian paternalism” to change the environment and facilitate good decisions without coercion may be appropriate, provided that the doctor-patient relationship is capable of achieving that human bond of friendship, so that the patient trusts and accepts what the doctor proposes when they have been informed and educated about what is best for their health, promoting a more humanized, ethical medicine committed to the overall well-being of the human being.