{"id":35046,"date":"2015-08-25T15:16:30","date_gmt":"2015-08-25T14:16:30","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=35046"},"modified":"2015-09-22T14:17:05","modified_gmt":"2015-09-22T13:17:05","slug":"william-cayley-comfort-always-and-advocacy-for-the-vulnerable","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/08\/25\/william-cayley-comfort-always-and-advocacy-for-the-vulnerable\/","title":{"rendered":"William Cayley: Comfort always and advocacy for the vulnerable"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/07\/bill_cayley_2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-31912\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/07\/bill_cayley_2-243x300.jpg\" alt=\"bill_cayley_2\" width=\"178\" height=\"220\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/07\/bill_cayley_2-243x300.jpg 243w, https:\/\/blogs.bmj.com\/bmj\/files\/2014\/07\/bill_cayley_2.jpg 551w\" sizes=\"auto, (max-width: 178px) 100vw, 178px\" \/><\/a>Reading the Monday\u00a0morning paper, I was greeted by stories about ongoing fights over whether or how to undo the Affordable Care Act (\u201cObamacare\u201d) and controversies over <a href=\"http:\/\/www.washingtontimes.com\/news\/2015\/aug\/24\/wisconsin-prisons-relax-solitary-confinement-polic\/\">solitary confinement<\/a>. Later,\u00a0while driving to work, I heard more news on the challenges facing those in eastern Europe who are confronted by a\u00a0rising influx of immigrants. One final check of the news before starting clinic reminded me of the unfolding economic uncertainty that seems currently related to China\u2019s stock market volatility.<\/p>\n<p>Phew\u2014what a way to start the week. And while each of these news stories seems to cast a pall of gloom over the start of the week, at the same time, I think they should serve as a reminder to physicians of what a central piece of our vocation (or calling) needs to be.<!--more--><\/p>\n<p>To paraphrase <a href=\"http:\/\/www.federationhq.ca\/mccoy.htm\">the good Dr McCoy<\/a>, \u201cI\u2019m a doctor\u2014not a politician, a judge, a policymaker, or an economist.\u201d But that\u2019s entirely the point:\u00a0as physicians, our primary calling is to be healers and comforters, who are present with our patients. As put in the aphorism that seems <a href=\"http:\/\/trudeauinstitute.org\/dynamicPages\/template.cfm?ID=140&amp;navTable=tier2nav\">to have originated with Dr EL Trudeau<\/a> (and which is often misattributed to Hippocrates), in medicine we are called to \u201cto cure sometimes, to relieve often, and to comfort always.\u201d<\/p>\n<p>Health insurance, imprisonment, immigration, and insecurity in the economy are all important issues\u2014and there are many and varied facets to each that must be considered. However, <a href=\"http:\/\/forums.philosophyforums.com\/threads\/who-said-this-42546.html\">as has been said in a number of different ways over the centuries<\/a> (including by Jimmy Carter, Dietrich Bonhoeffer, Samuel Johnson, and Hubert Humphrey), a society can be measured by how it treats the most vulnerable.<\/p>\n<p>To the extent that we as physicians are called to provide \u201ccomfort always\u201d to those under our care, we are also called to bring that perspective\u00a0to the larger conversation about\u00a0how to deal with issues that put people\u2014whether they are our patients or the general population\u2014at risk. Furthermore, in this day and age of multiple quality measures and patient surveys on satisfaction with care, we need to remember that the true measure of our faithfulness to our calling is how we care for and advocate for the vulnerable.<\/p>\n<p>Yes, there are manifold legal, economic, and political facets to the challenges confronting us today and every day. As physicians, part of our calling is to remind the broader community that these issues are not solely about legality, finances, and politics. Rather, they are\u00a0fundamentally about people, and we need to hold ourselves accountable for how we advocate for the most vulnerable.<\/p>\n<p><em><strong>William E Cayley Jr<\/strong>\u00a0practices\u00a0at the Augusta Family Medicine Clinic; teaches at the Eau Claire Family Medicine Residency; and is a professor at the University of Wisconsin, Department of Family Medicine.<\/em><\/p>\n<p><strong>Competing interests:<\/strong> \u201cI declare that I have read and understood BMJ policy on declaration of interests and I have no relevant interests to declare.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Reading the Monday\u00a0morning paper, I was greeted by stories about ongoing fights over whether or how to undo the Affordable Care Act (\u201cObamacare\u201d) and controversies over solitary confinement. Later,\u00a0while driving [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/08\/25\/william-cayley-comfort-always-and-advocacy-for-the-vulnerable\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1357,14769],"tags":[],"class_list":["post-35046","post","type-post","status-publish","format-standard","hentry","category-us-health-care","category-william-cayley"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>William Cayley: Comfort always and advocacy for the vulnerable - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/08\/25\/william-cayley-comfort-always-and-advocacy-for-the-vulnerable\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"William Cayley: Comfort always and advocacy for the vulnerable - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Reading the Monday\u00a0morning paper, I was greeted by stories about ongoing fights over whether or how to undo the Affordable Care Act (\u201cObamacare\u201d) and controversies over solitary confinement. 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