The Dax case and autonomy vs beneficence

I sit down with Dr. Nathan Carlin, professor of medical humanities and author of The Secularization of Medicine, to explore his fascinating thesis that doctors have become the new priests of secular society.

We trace how this shift began—from medieval cathedrals as the highest points in European cities to modern hospital skylines dominating places like Houston's Texas Medical Center, where people now make pilgrimages seeking salvation of the body rather than the soul. Nathan walks me through the historical intertwining of religion and medicine, from the original Hippocratic Oath invoking Apollo to the 1850s when the American Medical Association's code explicitly grounded medical ethics in religion, and how the 1960s-70s brought radical secularization alongside movements for patient rights and autonomy.

We explore the moral complexities of medical decision-making through the haunting case of Dax, a burn victim who consistently demanded to die but was kept alive by doctors who believed they knew best, and examine Canada's controversial Medical Assistance in Dying (MAID) program, which now accounts for one in twenty deaths. Our conversation explores the tension between patient autonomy and other moral values, the vulnerability inherent in the doctor-patient relationship that mirrors the confessional booth, and why psychedelic research needs the institutional prestige of places like Johns Hopkins to gain legitimacy—a perfect example of medicine functioning as the new church.

In the Patron-only second half, we discuss cases of medical fraud, vaccine skepticism and institutional trust, and why medicine needs practices of confession and forgiveness to repair the mistrust that plagues healthcare today.

Dr. Carlin's Book | The Secularization of Medicine: Ritual, Salvation, and Prophecy

Dr. Carlin's Faculty Page | Med.uth.edu/oep/nathan-carlin-ph-d

___________________________________________

Follow Dan on IG: www.instagram.com/dancoke/

Or Twitter: twitter.com/DanKoch

Faith deconstruction resources: www.soyouredeconstructing.com/

Join the Patreon for exclusive episodes (and more) every month: patreon.com/dankoch

Email about the "sliding scale" for the Patreon: youhavepermissionpodcast@gmail.com

YHP Patron-only FB group: tinyurl.com/ycvbbf98

Website: www.dankochwords.com/yhp.html

Join Dan's email list: www.dankochwords.com/

Artwork by sprungle.co/

Learn more about your ad choices. Visit megaphone.fm/adchoices