Letters / Correspondance

Gay patients: Visibility or blind justice?

Canadian Medical Association Journal 1996; 155: 1664
There is a major contradiction in the article "Medical schools seek to overcome 'invisibility' of gay patients, gay issues in curriculum" (CMAJ 1996;155:765-70 [full text / résumé]), by Nancy Robb. Dr. Gary Gibson of Cambridge, Ont., says he was initially unaware of any gay patients in his practice. As soon as he "came out," 15 of his patients revealed that they were gay, and today one-third of his patients are known to be homosexual.

Gibson feels that, by treating everyone alike before he knew their sexual orientation, he was somehow doing something wrong and that only after he "came out" did he do things correctly.

Our justice system is symbolized by the figure of a woman who is blindfolded. In race relationships we want people to be colour-blind. But Gibson feels that, when it comes to sexual orientation, it is better not to be blind; it is better to treat homosexual people as "special."

Gibson also seems to have identified a new disease, "heterosexism." It is disturbing that the editorial staff of our prestigious medical journal have not sharpened their pencils. Terms that have no meaning except for expressing bias against what most people consider normal sexual orientation should be eliminated.

I certainly agree that "all people need to have the same basic human rights and professional attitudes and treatment skills applied to them." But this article openly advocates that some people are more equal than others and that homosexuals should be treated specially.

William D. Gutowski, MD, BSc, FRCPC
Chilliwack, BC


| CMAJ December 15, 1996 (vol 155, no 12) |