Thus practitioners do not weigh cost against benefit when recommending treatments. They barely consider cost. The only benefits they usually believe to be important are those to do with size of tumours and length of life.

Like many fathers, doctors are used to being in a position of power and authority. They want their patients (children) to be obedient and submissive. They are used to telling patients what to do and they are used to patients meekly obeying their instructions. To share basic information and explain and justify their own decisions would be to weaken their power and to undermine their authority. Patients who ask questions are often treated like naughty and rebellious children. How do fathers deal with children who threaten their authority? They get angry. Or they act as though they are too busy and/or important to bother with answering such silly questions. Or they simply ignore the questions. Or they answer using words that are beyond the child’s understanding, hoping to embarass them out of asking any more questions. Or they dismiss the questions with a fatherly pat on the shoulder and a patronising statement such as: ‘Just leave it all to me’ or Til take care of you’ or ‘I know what’s best for you’. Do you recognise these tactics? Many doctors use them to establish and maintain a paternalistic type of control over their patients.

Don’t let your doctor treat you like this. You are a responsible adult and you deserve to be treated like one. It is your cancer, your comfort and your life that’s at stake. You can make better decisions for yourself than anybody else can. Don’t let anyone bully or cajole you out of your basic right to be in control of what happens to your own body.

*127/40/1*

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