"The prime goal is to alleviate suffering, and not to prolong life. And if your treatment does not alleviate suffering, but only prolongs life, that treatment should be stopped"
About this Quote
Barnard’s line is a surgeon’s heresy aimed at a profession that too easily worships its own tools. Coming from the man who helped inaugurate the era of heart transplantation, it lands with a deliberate sting: the pioneer of life-extending medicine warning that extension can become its own kind of violence. The intent isn’t anti-science; it’s anti-idolatry. He’s drawing a hard moral boundary around “success” in medicine, insisting that survival divorced from relief is not triumph but drift.
The subtext is a critique of what hospitals often reward: measurable outputs (days lived, procedures completed, ICU metrics) over the lived interior of the patient. “Prolongs life” here isn’t neutral; it hints at technological momentum, the way ventilators, dialysis, and aggressive interventions can keep a body going long after meaning, comfort, or consent have been hollowed out. Barnard’s blunt “should be stopped” is less a policy memo than a permission slip for clinicians and families trapped in a culture of doing everything, where stopping can feel like failure rather than care.
Context matters: Barnard worked at the threshold where death was being redefined by machines and transplant medicine, and where “brain death,” organ donation, and intensive care forced societies to decide what counts as life. His claim takes aim at the myth that medicine’s job is to defeat death. It reframes the mandate as accompaniment: relieve pain, preserve dignity, tell the truth about limits. In a system anxious about liability and hungry for interventions, the quote functions as an ethical brakes pedal.
The subtext is a critique of what hospitals often reward: measurable outputs (days lived, procedures completed, ICU metrics) over the lived interior of the patient. “Prolongs life” here isn’t neutral; it hints at technological momentum, the way ventilators, dialysis, and aggressive interventions can keep a body going long after meaning, comfort, or consent have been hollowed out. Barnard’s blunt “should be stopped” is less a policy memo than a permission slip for clinicians and families trapped in a culture of doing everything, where stopping can feel like failure rather than care.
Context matters: Barnard worked at the threshold where death was being redefined by machines and transplant medicine, and where “brain death,” organ donation, and intensive care forced societies to decide what counts as life. His claim takes aim at the myth that medicine’s job is to defeat death. It reframes the mandate as accompaniment: relieve pain, preserve dignity, tell the truth about limits. In a system anxious about liability and hungry for interventions, the quote functions as an ethical brakes pedal.
Quote Details
| Topic | Ethics & Morality |
|---|---|
| Source | Help us find the source |
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