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In Practice
Cynicism, with Consequences What factors influence health care practitioners' treatment decisions?

I gave her my standard sex talk for adolescents, which covers condoms, safe sex, and emergency contraception, also known as Plan B. Before I could finish, the nurse huffed out of the room.

Back at the nursing station, I asked the nurse to gather the supplies I would need to do a pelvic exam and pregnancy test. I also told her that the patient wanted Plan B. The nurse rolled her eyes. “I can’t stand it when girls like this are having sex but can’t accept the consequences,” she said. “And this girl is obviously having sex with multiple partners.” She shook her head. “I refuse to give her Plan B. You can get it yourself.”

I gave her my standard sex talk for adolescents, which covers condoms, safe sex, and emergency contraception, also known as Plan B. Before I could finish, the nurse huffed out of the room.

Back at the nursing station, I asked the nurse to gather the supplies I would need to do a pelvic exam and pregnancy test. I also told her that the patient wanted Plan B. The nurse rolled her eyes. “I can’t stand it when girls like this are having sex but can’t accept the consequences,” she said. “And this girl is obviously having sex with multiple partners.” She shook her head. “I refuse to give her Plan B. You can get it yourself.”

Diane M. Plantz, "Cynicism, with Consequences," Hastings Center Report 40, no. 2 (2011): 12-13.