Abstract

In this article, I want to reflect on the patient’s voice and why it is sometimes faint or goes altogether unheard. The patient may be too ill to speak or too incapacitated for her voice to express her autonomous wishes. She may speak a foreign language. She may be deaf and lacking an interpreter qualified to sign medical terminology. Her own views may be outshouted by a patient association that presumes to speak for her. Or she may be the target of prejudice that makes it easy for socially privileged people to discount or ignore or not hear what she says.In this article, I examine a rather different, more subtle kind of voicelessness—one that is pervasive, causes moral...