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Stinky The Clown

(67,819 posts)
Fri Mar 27, 2015, 11:28 PM Mar 2015

What to do? Seems the pilot had a doctor's note not to fly the day he crashed the plane.

Here in the US, and quite likely in other countries, privacy laws prevent us from disclosing medical conditions to anyone, and certainly including employers.

How do we square that concept with public safety? I have no idea what the pilot's condition was, but for the sake of this discussion, let's say he was depressed to the point of being suicidal. Should a doctor be bound to tell his employer if his job was pilot, bus driver, or train engineer? What about taxi driver? Cop? Fireman? How about nurses? Doctors? Wait staff?

Do we allow employers of some professionals to know their medical condition? What about a pilot (or whatever) who keeps his profession a secret to his doctor?

I think we will see calls for some sort of disclosure. I find myself opposed to any holes getting punched in the veil of personal privacy. Instead, I favor what we here in the US require, but which other countries, apparently, do not - at least until now. That would be a mandatory rule that there needs to be two people in the cockpit of a commercial airliner.

I am less sure about other jobs. Maybe two engineers in the train cab? But what about a bus? Two drivers?

We gave up a great deal of privacy - and for some, it was done enthusiastically - after 9/11. The notion then was that it would help us stay safe. That same argument is, I suspect, the strongest one to be made to give employers a level of insight into some employees' medical records.

There are no easy answers here. On the surface it seems easy to say that we need to do everything in our power to help us stay safe, including defending us against a suicidal pilot on our next flight to Grandma's house.

I've always been of a mind that life is not without risks.

Thoughts?

15 replies = new reply since forum marked as read
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What to do? Seems the pilot had a doctor's note not to fly the day he crashed the plane. (Original Post) Stinky The Clown Mar 2015 OP
Two people in a train cab is common sense. Railroads are pushing against it, though. Brickbat Mar 2015 #1
Certain diagnoses should automatically trigger sending the employer the info. CaliforniaPeggy Mar 2015 #2
There are exceptions to the medical privacy laws dflprincess Mar 2015 #3
Possibly moondust Mar 2015 #4
Mixed feelings here. Cleita Mar 2015 #5
Punching holes in confidentiality is not going Downwinder Mar 2015 #6
How about the pilot (or whatever) who doesn't disclose his occupation to the doc? Stinky The Clown Mar 2015 #7
two people in the cockpit still may not have prevented this. KMOD Mar 2015 #8
In This Country RobinA Mar 2015 #9
You go to the Dr. to get an excuse not to fly. Downwinder Mar 2015 #10
What about driving a two lane highway? Capt.Rocky300 Mar 2015 #11
Well put jberryhill Mar 2015 #12
Death comes in on a fluke alcibiades_mystery Mar 2015 #13
Nope gwheezie Mar 2015 #14
In my state (AZ) if someone comes to me (I am a lawyer) former9thward Mar 2015 #15

CaliforniaPeggy

(149,719 posts)
2. Certain diagnoses should automatically trigger sending the employer the info.
Fri Mar 27, 2015, 11:40 PM
Mar 2015

When you think that this pilot had something going on that caused two of his doctors to say that he wasn't in any condition to pilot the plane, then I think the employer should have been notified immediately.

All those lives would have been saved.

Certain criteria would need to be set up, to trigger such a disclosure to the employer, and of course it should be done discreetly for the sake of the young man. There's no need to tell everybody or to shout it from the rooftops.

dflprincess

(28,082 posts)
3. There are exceptions to the medical privacy laws
Fri Mar 27, 2015, 11:41 PM
Mar 2015

In most states doctors are required to notify the DMV if they have a patient who has on going seizures, they also have to provide medical information for the patient when they deem it safe for the patient to resume driving.

It isn't much of a stretch from there to require that the employer of someone who has a job involving public safety be notified when a doctor feels the person is not able to preform the job safely.

moondust

(20,006 posts)
4. Possibly
Fri Mar 27, 2015, 11:43 PM
Mar 2015

mandatory psych testing for pilots and mandatory reporting by doctors of pilots felt to be a risk to the public. The idea of pilots self-reporting when it could cost them their jobs is unrealistic, as Lubitz has proved.

Cleita

(75,480 posts)
5. Mixed feelings here.
Fri Mar 27, 2015, 11:44 PM
Mar 2015

Increasingly we are losing our privacy and the doctor/patient one is one of the last ones. What to do?

 

KMOD

(7,906 posts)
8. two people in the cockpit still may not have prevented this.
Fri Mar 27, 2015, 11:49 PM
Mar 2015

cameras in the cockpit, still may not have prevented this.

I still want to wait for more facts. Depression and suicidal thoughts alone, may not be the cause.

Anger, is what most mass murderers have in common, whether they are depressed, or not. Anger, and lack of empathy.

But yes, if a doctor is treating a suicidal patient, it should be his duty to inform people when the public is at risk.

RobinA

(9,894 posts)
9. In This Country
Sat Mar 28, 2015, 12:16 AM
Mar 2015

The doctor has a duty if there is a specific threat, e. g. "I am scheduled to work tomorrow and I feel like I could crash the plane." "I'm feeling depressed lately," is not going to cut it to allow the doctor to warn.

Frankly, at this point it hasn't even been disclosed why he had a note saying he couldn't work. For all we know he could have had an eye problem. This whole story doesn't add up at this point based on what's been disclosed.

Downwinder

(12,869 posts)
10. You go to the Dr. to get an excuse not to fly.
Sat Mar 28, 2015, 12:26 AM
Mar 2015

Was he thinking of not flying and then changed his mind?

Capt.Rocky300

(1,005 posts)
11. What about driving a two lane highway?
Sat Mar 28, 2015, 12:32 AM
Mar 2015

We all "trust" that those strangers coming the opposite direction with a closure speed of up to a 100 miles per hour want to live as much as we do. We all hope so anyway since there may not be enough time to get out of their way if they want to end it all and take you with them.

I agree, life is full of risk. And many steps have been taken to reduce risk but we'll never eliminate all of them. The human factor is just too unpredictable.

 

jberryhill

(62,444 posts)
12. Well put
Sat Mar 28, 2015, 01:18 AM
Mar 2015

Russian dashcam videos notwithstanding, the relative hazard from this incident is minuscule, and likely does not warrant drastic measures.

In fact, it was what is now seen as a rushed response to 9/11 which played a significant role in the events here.
 

alcibiades_mystery

(36,437 posts)
13. Death comes in on a fluke
Sat Mar 28, 2015, 01:21 AM
Mar 2015

You have no assurance of tomorrow. Get used to it. It has been the human condition for millennia.

gwheezie

(3,580 posts)
14. Nope
Sat Mar 28, 2015, 02:09 AM
Mar 2015

We don't know why wasn't supposed to fly. Depressed people rarely commit suicide by mass murder. I'd rather wait for more information before over reacting to a very strange incident but how convenient the airline has someone to blame that absolves them of any responsibility so early in the investigation.

former9thward

(32,082 posts)
15. In my state (AZ) if someone comes to me (I am a lawyer)
Sat Mar 28, 2015, 02:58 AM
Mar 2015

and says they murdered someone a day ago and the body is buried at some specific place, I can not tell the authorities anything. But if someone says they are going to murder their wife tomorrow I may, but I am not required to, tell the authorities. I believe medical professionals should have the same responsibilities.

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