Susan Hill Susan Hill

Why do patients need to know they’re dying? 

issue 19 November 2022

Old people are being stranded in hospital, diagnosed with terrible diseases but unable to recover enough to go home. Dr Adrian Boyle, the new president of the Royal College of Emergency Medicine, has said that NHS hospitals ‘are like lobster traps… easy to get into but hard to get out of’.

Might it not be better for some if they’d never gone, or at least never been told exactly what was wrong?

In C.P. Snow’s 1951 novel The Masters, the Master of a Cambridge college is ill. People seeing his bedroom light on night and day wonder how long he has left, but the question never occurs to him because he hasn’t been told he has terminal cancer and so believes he is recovering and will soon be back at the helm. Those Fellows who know the truth are appalled at the deceit but his family are adamant that he should remain in happy ignorance until the end.

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