Giesen views information disclosure to patients in the context of a duty to be truthful. Why would we consider it acceptable to allow physicians alone to decide when principles of honesty should be observed or waived? He notes as a society we value truth.
He notes clear instances when society appears to accept that physicians are justified in not telling the truth. Physicians argue that they do not need to tell the truth or whole truth if they consider the truth may harm the patient.
The do-no-harm principle has been permitted to take precedence over the basic obligation to tell the truth. Once its decided that patients do not want to know rationalisations are created to justify the position and then the notion is patients should not know
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