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(2) Moran took it on his own head to lie to Churchill about his heart attack in Washington because this diagnosis would have crippled Churchill and wrecked American esteem of Britain as an ally.

Did this reason of state justify a physician concealing the truth from his patient and the public?

(3) Moran never used the words dementia or senility. Moran and Brain knew of Churchill's strokes before he fought and won the 1951 election, let alone those in the following four years.

Should they have tried to prevent his return to office?

(4) Moran and Brain's truthful bulletin about Churchill was banned by Salisbury and Butler, who wrote instead an untrue one for them to sign.

Should doctors sign a bulletin that conceals the truth from the public?

(5) Moran's book is a major contribution to the Churchill saga, but it broke confidentiality. In France, François Mitterrand's doctor was struck off for revealing the President's prostate cancer eight days after his death. Currently, the French Justice Minister's obstetrician faces censure for boasting that he got her back to work in record time after her Caesarian section. 

How long should a doctor wait to publish before breaking confidential personal clinical details?

(6) Attlee's doctors ordered him to take five weeks' bed rest in St Mary's that cured his duodenal ulcer, but led to the Labour Party being out of power for 13 years.

Would banning visitors have made any difference? 

(7) Sir Horace Evans combined the clinical acumen of Lord Horder with the great charm of Lord Dawson. He considered that a gall bladder operation should be done by a biliary surgeon, and gave three names to Eden, who insisted on a general surgeon.

Should Evans have frightened Eden by listing all the mishaps that could, and indeed did, happen after a cholecystectomy?

(8) Horace Evans allowed Eden his lifetime ambition by succeeding Churchill in April 1955, and then had to send him off to Jamaica on 19 November 1956.

Could he or should he have intervened earlier, perhaps avoiding the Suez debacle?

The many doctors who have written about the major illnesses of world leaders concur that the public are entitled to full disclosure of candidates' medical data. I agree.

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Anne Elborn
May 24th, 2012
10:05 PM
A very interesting article. Are you te Jeremy Baron I met at Alan Small's house in the early 50's@ I stillhave a book by Heine that you gave me

Dr Roderick Neilson
July 27th, 2011
10:07 PM
I think the post by 'anonymous' says more about him or her than it's content does. I worked for the Medical and Dental Defence Union of Scotland for 5 years. The use of clinical records by MDOs in medical negligence and GMC cases is covered by legal privilege, not patient confidentiality. If a doctor is accused of negligence or serious professional misconduct they have a right in law to access to relevant clinical records to answer the case made against them. As for the allegation that MDOs, lawyers and courts falsify and distort records, that smacks of sour grapes and failed litigation by Anonymous rather than fact.

Anonymous
January 23rd, 2011
4:01 AM
If Dr Neilson above was an advisor to a medical defence oragnisation (MDO), then he would know what a joke patient confidentiality is. MDOs routinely instruct doctors, expert witnesses and lawyers through the MDO medico-legal advisors to collude, with deliberate deception, against medical malpractice patients by falsifying their medical records, tests and radiographs. The Spine helps with this abuse of privacy, as do all electronic computer medical records. This deception and abuse of process goes all the way from the MDOs to the prejudiced rulings of medical boards and court judges.

Dr Roderick Neilson
December 7th, 2009
7:12 PM
I write as a practising consultant and a previous medical adviser to a UK Medical Defence Organisation. If Dr Baron is to believed St Mary's Hospital Medical School teaches and practices lower standards in relation to patient confidentiality than the Scottish University I attended. It is a step too far to suggest that the chequered medical histories of past politicians, all of whom are conveniently dead and thus cannot complain, means the public has a right to know the medical histories of current or would be current ones. I have little sympathy for most politicians but the fact they are politicians does not mean they have a lesser right to medical confidentiality than ordinary people. Neither does it mean that the GMC's position on medical confidentiality does not apply to their doctors. I'm sorry but Dr Baron's view that different standards should apply as regards confidentiality when politicians are patients is unethical and intrusive. Dr Roderick Neilson Consultant Haematologist

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