Please Don’t Tell: A Case about HIV and Confidentiality

The case features a 21-year-old male, Carlos, who is about to end his hospital

stay for gunshot wounds and receive nursing care at home from his sister, Consuela.

Secretly homosexual and concerned about disgrace within his family, Carlo

pleads with the attending physician not to inform his sister that he (Carlos) is HIV positive.

Yet not informing Consuela would seem to increase her risk of contracting

HIV while attending to his wounds.

Questions:

Would Carlos’s physician be morally justified in breaching patient confidentiality on the grounds

that he had a “duty to warn”?

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