Perhaps my essential distrust of my own sneaky nature is responsible for my grave fear of crossing a moral line which I will regret. Even more frightening is not noticing that I have crossed a line. My experience is that my mind is devious enough to only cross “tiny lines,” one at a time, until I have eventually crossed what I used to consider or proclaim a huge line. Daily, I am reminded that it is important for me to be open to learning instead of staying in my nice, safe, little boxes which contain what I have decided is absolute truth. On the other hand, I am acutely aware of the lessons which health care professional throughout the ages, including during World War II, have taught me about good/moral men and women becoming, step-by-step, an integral part of something as horrendous as the Nazi era genocide. I recall the first time I read the book by the author and psychiatrist, Robert Jay Lifton, The Nazi Doctors. In this book, Dr. Lifton examines and analyzes the role of the health care professionals, including physicians, in the Nazi genocide of Jews and others (depending how one counts the insignia there were 24 to 32 classification of camp inmates in the concentration camp of whom Jews were the largest number).
One of the questions which interested Dr. Lifton as a medical doctor who has sworn to the Hippocratic Oath,was how licensed medical doctors who had sworn to the oath justified signing individual death certificates in the concentration camps after individuals were gassed. It is easy of course, to just think of them as bad people just as it is easy to think of all the other health care professionals who were a part of this Nazi system as bad people. In his opinion and in mine that is too simplistic. Without going into detail about Dr. Lifton’s analysis of the behavior of health care professional under the Nazi regime, it interesting to note that they justified their participation in the killing of various people which included groups as diverse as homosexuals, Jews, the mentally retarded, habitual criminals, Jehovah’s Witnesses, and Vagrants by thinking of the state (Country) of Germany as the patient. If the state is the patient then killing off particular people is no different than having to amputate the limb of a person to save their life.
What interest me about this reasoning is the fact that these very good men and women had a need to be seen as having integrity and not forsaking their commitment to healing. All health care professionals commit to healing and not destroying life. Yet, too often throughout history we allow we health care professionals/we healers to end up causing much pain and suffering and then finding a way to justify this behavior. I am not talking about the very human moments when we may be tired and become impatient and say something unkind or unkindly. Normally, we apologize for this behavior and try to insure that we take better care of ourselves so that we do not repeat that behavior. No, I am talking about our role in deliberate, systematic hurting of other human beings. I was thinking of these issues this morning while reading the Tampa Tribune of December 13th. First I read an article by Stephen Braum which states “ From the early stages of the CIA’s coercive interrogations of terror detainees, the agency’s health professionals monitored and advised on abusive tactics. Front-line medics and psychologists monitored and advised on abusive tactics as they sometimes complained about the ethical dilemmas gnawing at them, according to this week’s Senate intelligence committee report.”
Then on the editorial page, there was an editorial by a Mr. Gary Weil of Tampa. In talking about the release of the CIA Interrogation report he says, “All that will be achieved by this blatantly political grandstanding is the weakening of this nation as well as yet another clear message to radical Islamist terrorists that we are not serious in our attempt to thwart them. Political correctness and the ever-dangerous “moral high ground” may well be our undoing.”
As a parent, a teacher, and a health care professional, I cannot imagine saying to a young person or even a college student that taking the moral high ground may be our undoing. I certainly could imagine suggesting that we always want to be careful about becoming self-righteous and forgetting to first “remove the mote from our own eye.” I am not convinced that the end justified the means. If that is the case, then our only argument can be whether the end is a worthwhile or moral goal.
Certainly health care professionals in Nazi Germany convinced themselves that the end justified the means. It is no secret that many leaders of the Christian faith for many years justified racism or the treatment of what we now call African Americans as objects, tools or possessions. We, in this country, we often convince ourselves that it is only or mostly the bad people who commit crimes and go to prison whereas we good people do not commit crimes and go to prison. Moving a company to another country so we can use cheap labor is not a crime (more recently that is being called into question at times). Paying CEOs and other top executives huge salaries while we pay minimum wage or at least non-living wages to many of one’s employee is a moral act.
The truth seems to be that we humans need to first admit that very good people can be very cruel (that is all of us) and the so called very cruel people can be very good people. Thinking in terms of us and them might be something we want to rethink. Also, if we humans convinces ourselves that a goal is so important that we can set aside our most basic moral values then I think that we might begin to ask if we really want a world in which all people in all places behave according to this principle. Is this really what we want to teach our children? Is this the same as “do until others before they do unto you?”
As we approach the holiday season as Jews, Christians, Buddhists, Muslims, Hindus, or non-religious people who want to think of ourselves as moral perhaps we would do well to ask some of the same questions which Dr. Lifton is asking. Perhaps we want to ask if any goal is worth giving up all our moral principles.