Recently I came across comments from a retiring Critical care doc who said that the 1978 novel by Samual Shem entitled "The House of God" no longer seemed so hilarious to him. The attitudes and behind the scene comments of the young house staff reflected a view of patients and medical care far different from what Maimonides had in mine.
Maimonides: "May I never see in the patients anything but a fellow creature in pain."
Not as someone who deserves his dyspnea because of cigarette use defying years of advice to quit, not as someone whose ascites is his just due from profligate use of alcohol, not as someone who should not be in this country at all, not as someone who would not be having the myocardial infarction at all if he had done what his doctors told him to do and not as someone who is taking "scarce medical resources" from someone who deserves them more or for whom the treatment could be more cost effective but as a fellow human whose is in need of what physicians spent so many years of their lives preparing themselves to be able to offer.(Not as the "gomers" Shem depicted)
The oath ( Maimonides) should remind us that being face to face with a fellow human in need
..makes judgment beyond the biomedical not only unnecessary but inappropriate.