Faith, Fauci, and Medicine

Okay, this is going to be a tricky one, so let’s start with a mandatory fact:  I am NOT a preacher, have no formal theological training, and the only values I ever seek to proselytize here are the primacy of the individual as the basis for good medicine, and the recognition that none of us deserve to take ourselves very seriously.  But this site is “Authentic Medicine,” meaning we should speak to those items and attitudes each of us believes contribute to the practice of the same. 

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Last week a little news blurb popped up about a personal side of The Fauci.  Anyone who has read my stuff already knows that I think this is a world-league corrupt bureaucrat and seriously rotten individual who should be held accountable for mass-negligent homicide – but won’t be.  In short, he is the opposite of what a physician SHOULD be.  And so revealed aspects of Anthony Fauci’s perspective and self-regard might inform how he came to be The Fauci, a self-serving, malevolent narcissist inflicted on broader society through the dictatorial engines he championed and helped design.

“Dr. Anthony Fauci said practicing Catholicism is something he ‘doesn’t really need to” do during an interview earlier this month.  The former National Institute of Allergy and Infectious Diseases director told BBC he feels engaging with Catholicism is a formality.

‘I think my own personal ethics on life are, I think, enough to keep me going on the right path,’ Fauci said.”

My purpose here is not to advocate or discourage any particular faith.  What interests me is Anthony Fauci’s assertion that his “own personal ethics” guide him.  A lot of us took ethics in medical school, but I doubt that those classes significantly altered any of our established belief systems.  I had classmates throughout medical training with beliefs similar to mine, and some very divergent, but so far as I recall, all of us agreed on – or at least paid lip service to – the basics of respecting and preserving individual lives, patient choice to the maximum degree, and the proper conduct of physicians regarding others.  I think most of us assumed that most of us had some religious faith to less formal or more observant degrees, but I don’t remember talking about it all that much (I do remember one Jewish classmate who was orthodox to the degree that he transferred after second year to a school where he was able to better adapt his faith requirements to a third-year call schedule).  I had some very devout instructors that would on occasion pray with patients in the exam room, and a couple of times was asked by a patient or family member to pray with them at the bedside, which I gladly did.  Whole libraries have been written on the benefits of payer to healing, and building better relationships with patients and families, and a great deal of research has been done to document these benefits.  

My question here is whether a religious faith, or belief in a higher power is necessary to practice effective, compassionate, authentic medicine?  Does faith make one a better physician?  Does reliance on something bigger steer one away from bad actions?  Is turning inward sufficient to do this job properly, or do we need something more?  What do you think?

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