In cutting my genitals without my consent, Goldstein violated every ethical standard including:
The American Medical Association Code of Medical Ethics for Consent, Patient Rights and Withholding Information:
“Informed consent to medical treatment is fundamental in both ethics and law. Patients have the right to receive information and ask questions about recommended treatments so that they can make well-considered decisions about care.”
“Truthful and open communication between physician and patient is essential for trust in the relationship and for respect for autonomy. Withholding pertinent medical information from patients…creates a conflict between the physician’s obligations to promote patient welfare and to respect patient autonomy.
Except in emergencies in which a patient is incapable of making an informed decision, withholding information without the patient’s knowledge or consent is ethically unacceptable.” (American Medical Association Code of Medical Ethics Opinion 2.1.3)
“The health and well-being of patients depends on a collaborative effort between patient and physician in a mutually respectful alliance…Physicians can best contribute to a mutually respectful alliance with patients by serving as their patients’ advocates and by respecting patients’ rights. These include the right: To courtesy, respect, dignity, and timely, responsive attention to his or her needs.”
The American College of Surgeons Statements on Principles for Informed Consent and Conflict of Interest:
“Informed consent is more than a legal requirement. It is a standard of ethical surgical practice that enhances the surgeon/patient relationship and that may improve the patient’s care and the treatment outcome. Surgeons must fully inform every patient about his or her illness and the proposed treatment.”
“The physician-patient relationship requires that the patient’s interests supersede all other interests, including the personal and financial interests of the surgeon.”
Also, the ETHICAL ISSUES IN OBSTETRICS AND GYNECOLOGY by the FIGO Committee for the Study of Ethical Aspects of Human Reproduction and Women’s Health, OCTOBER 2012, states, “Only the woman patient can decide if the benefits to her of a procedure are worth the risks and discomfort she may undergo.”
Goldstein’s blatant disregard for this standard of ethical surgical practice shows his contempt for patient safety and autonomy. It also points to the hospital’s neglect to protect patients from predatory operators like him.
However, the state of Delaware, via Deputy Attorney Zoe Plerhoples, gives him a free pass. He can keep on cutting women with impunity.