The impact of the Hippocratic Oath in 2018

Hippocrates wrote the Oath for Physicians about 2,500 years ago, and numerous translations and variations have emerged for medical students to take, usually at graduation time. That era of Western medicine had great changes so that an oath appeared necessary to protect the patients in those ancient times. The thrust of the Hippocratic Oath included not only the physician’s competence and dedication but also the critical needs of each patient. The goal to protect the health of the patients continued. Most recently, on October 13, 2017, the WMA adopted a revised version of the substance to the Hippocratic Oath.

The people who took the Oath in ancient Greece did so to try to serve the best interests of the patients. This goal made medicine a profession rather than a trade. The Hippocratic Oath was given at the beginning of training rather than after the completion of studies and training — the latter timing in most of our medical schools of today. In fact, the concept of the Oath and serving the best interests of the patient define our standards today or, at least, what physicians still try to achieve for their patients. Modern challenges demand that physicians deal more and more with insurance companies and corporate medicine. As financial entities increasingly try to control physicians, the practice of medicine may become less and less of a profession able to achieve ideal goals for the individual patients. Medicine, as a noble profession, faces the conflicting forces of health economics on a daily basis and even with varying forms of “economic credentialing.”

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