AIDS, surgery, and the Americans With Disabilities Act.
The acquired immunodeficiency syndrome and human immunodeficiency virus have had a major impact on the practice of medicine in the past 2 decades. Medical professionals are once again faced with a lethal contagious disease that has been transmitted in the health care setting to both patients and providers. Because of the stigma and fear associated with the infection, civil rights legislation, such as the Americans With Disabilities Act, has been used to protect infected individuals from inappropriate discrimination based on unwarranted fears and public hysteria. Various courts, with the backing of organized medicine and the public health authorities, have made it clear that it is illegal for a physician to refuse to treat a patient based on the patient's seropositivity. Unfortunately, various courts, with the backing of the American Medical Association and the Centers for Disease Control and Prevention, have made it clear that infected physicians are not necessarily afforded equal protection under the civil rights statutes.
Halevy
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Department of Medicine and Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, Tex, USA. ahalevy@bcm.tmc.edu
D000163:Acquired Immunodeficiency Syndrome / Q000601:surgery*; D000574:American Medical Association; D002487:Centers for Disease Control and Prevention, U.S.; D002961:Civil Rights / Q000331:legislation & jurisprudence; D006233:Persons with Disabilities / Q000331:legislation & jurisprudence*; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000331:legislation & jurisprudence; D017757:Infectious Disease Transmission, Professional-to-Patient / Q000331:legislation & jurisprudence; D010344:Patient Advocacy / Q000331:legislation & jurisprudence*; D010815:Physician Impairment / Q000331:legislation & jurisprudence; D016079:Refusal to Treat / Q000331:legislation & jurisprudence*; D012306:Risk; D014481:United States