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The pilot only has a month to go before he is eligible for retirement. The doctor know this and wonders whether, under these unusual circumstances, she is justified in withholding the information about the pilot's condition.
Withholding the information would be dependent on the severity of the pilot's heart tumor. Considering the pilot will be flying an aircraft that carries over 200 human beings, the doctor would not be justified in withholding the patient's condition. The doctor should instead report the condition and make recommendations to the airline regarding the best course of treatment. Since the pilot has only a month to retire, withholding the information might be detrimental to the doctor's and pilot's career.
The good decision would be to report the pilot's condition to the airline, this would ensure that the airline is aware of the pilot's condition and though they might allow him to continue flying, the airline would have taken the necessary measures to ensure the pilot is medically fit. If the doctor withholds this information, the pilot might get a heart attack while flying, and this might cause death to him and the passengers on board the aircraft. This would result...
The airline would not understand the doctor's ethical dilemma, as the doctor's decision would have led to many losses.
Though the doctor has the free will to withhold this information, the doctor is required by their oath to inform the airline in order to prevent any loss of lives caused by the pilot's health. Tollefsen (2012)
states Augustine would have informed the airline of the pilot's condition, but Aquinas would not have. Aquinas reason for not informing the airline would be because, this condition would lead to the pilot been fired, and since he only has a month there is likelihood he will lose his retirement benefits.
References
Stepinova, M. (2011). Aquinas' Solution of Aristotle's Incontinent Man and Augustine's Two Wills. [Article]. New Blackfriars, 92(1039), 322-340. doi: 10.1111/j.1741-2005.2009.01328.x
Tollefsen, C. (2012). Augustine, Aquinas, and the Absolute Norm Against Lying. [Article]. American Catholic Philosophical Quarterly: Journal of the American Catholic Philosophical Association, 86(1), 111-134.
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