Truth is saying what is so. Not what helps. Not what soothes. What is so.
Telling it costs something. A record that bends to comfort fails the next person who reads it.
To say of what is that it is not, or of what is not that it is, is false, while to say of what is that it is, and of what is not that it is not, is true.
Aristotle, Metaphysics, Book IV, 1011b26, c. 350 BCE. Translated by W. D. Ross, 1908.
It asks
Say what you saw. Write it down as it happened. Correct it when you learn more.
02
Answerability
Every act lands on someone. The person it lands on is owed an answer: what was done, and why.
An answer is not a favour. It is a debt, and no one else can pay it for us.
Art and life are not one, but they must become united in myself—in the unity of my answerability.
Mikhail Bakhtin, Art and Answerability, 1919. Translated by Vadim Liapunov, 1990.
It asks
When someone asks what happened, answer. In full, in writing, in time.
03
Care from the nearest
Help works best from whoever is closest. A neighbour on the stairs reaches a person minutes before any service can.
Being near is a kind of power. Power to help is a reason to help.
If it is in our power to prevent something bad from happening, without thereby sacrificing anything of comparable moral importance, we ought, morally, to do it.
Peter Singer, Famine, Affluence, and Morality, Philosophy & Public Affairs 1(3), 1972.
It asks
If you are close and able, go. Do not wait to be the right person. You are the near one.
04
Another's place
We judge choices from where we stand. Most choices are made from somewhere else: less time, less money, less help, more fear.
Seeing from another's place means living, for a while, inside their limits.
By the imagination we place ourselves in his situation, we conceive ourselves enduring all the same torments, we enter as it were into his body, and become in some measure the same person with him.
Adam Smith, The Theory of Moral Sentiments, Part I, Section I, Chapter 1, 1759.
Will you live my constraints for a day? You can say no. You can't say no forever.
A question to ask, and to be asked
It asks
Before you judge a choice, stand where it was made.
05
Fairness
A fair rule is one you accept before you know where you will sit.
Rawls asks us to choose the rules of a society without knowing our own place in it: rich or poor, strong or sick, believed or doubted.
Justice is the first virtue of social institutions, as truth is of systems of thought.
John Rawls, A Theory of Justice, Chapter 1, Section 1, 1971.
It asks
Make the rule you would accept from the worst seat in the room.
06
Dignity
Some things have a price. A person does not. A person has worth that nothing can stand in for.
Dignity holds when it is least convenient: when a person is tired, poor, angry or wrong.
In the kingdom of ends everything has either a price or a dignity.
Immanuel Kant, Groundwork of the Metaphysics of Morals, 1785, 4:434. Translated by Mary Gregor, 1997.
It asks
Never treat a person as a means. Not a number, not a cost, not a problem to close.
07
One person, one voice
Each person counts once. No title, fortune or office makes one voice count twice.
What people use, people should own, and each owner speaks with the same weight.
Everybody to count for one, nobody for more than one.
Jeremy Bentham, as quoted by John Stuart Mill, Utilitarianism, Chapter 5, 1863.
It asks
Give each person one voice. Then listen to every one.
Before we judge
Seeing straight
Most wrong answers are not lies. They come from the ordinary ways every mind takes shortcuts. Knowing them helps all of us: the person asking, the person answering, and the person deciding.
We miss what we are not looking for
Try it first. Count how many times the players in white pass the ball.
In the original study, about half of the people who watched did not see a person in a gorilla suit walk into the game, stop in the middle, thump its chest and walk off. Watching closely for one thing hides another.
Daniel Simons and Christopher Chabris, “Gorillas in our midst”, Perception 28 (1999), 1059–1074. Video by Daniel Simons.
It asks
Before you decide what happened, ask what you were not looking for.
We keep what fits
Once we believe something, we notice what agrees with it and pass over what does not. Careful, kind people do it too. Psychologists call it confirmation bias.
Francis Bacon, Novum Organum, Aphorism 46, 1620: “The human understanding when it has once adopted an opinion … draws all things else to support and agree with it.” Raymond Nickerson, Review of General Psychology 2 (1998), 175–220.
It asks
Look hardest for the fact that would prove you wrong.
The first story sticks
The first number or story we hear pulls every later judgement toward it, even when we know it was a guess. Later facts get measured against it instead of on their own.
Amos Tversky and Daniel Kahneman, “Judgment under uncertainty: heuristics and biases”, Science 185 (1974), 1124–1131.
It asks
Hear the second account as if it were the first.
It looks obvious afterwards
Once we know how something ended, it seems it was always going to end that way. People who knew the outcome rated it far more predictable than people who did not.
Baruch Fischhoff, “Hindsight is not equal to foresight”, Journal of Experimental Psychology: Human Perception and Performance 1 (1975), 288–299.
It asks
Judge a choice by what could be known at the time.
We blame the person, not the situation
When others go wrong, we put it down to who they are. When we go wrong, we put it down to what was happening. The same act reads differently depending on whose it is.
Lee Ross, “The intuitive psychologist and his shortcomings”, Advances in Experimental Social Psychology 10 (1977), 173–220.
It asks
Ask what the situation was before asking what the person is.
Questions shape memory
People who saw the same film of a car crash remembered higher speeds, and even broken glass that was never there, when asked how fast the cars “smashed” rather than “hit”.
Elizabeth Loftus and John Palmer, “Reconstruction of automobile destruction”, Journal of Verbal Learning and Verbal Behavior 13 (1974), 585–589.
It asks
Ask open questions. Write down the answer in the person’s own words.
Groups agree too soon
A close group that wants to get along stops raising doubts. Each person goes quiet, assuming the others know better, and nobody checks.
Irving Janis, Victims of Groupthink, 1972.
It asks
Make room for the person who disagrees, and thank them.
When people disagree
Working it through
One of the oldest rules of fair judgement is audi alteram partem: hear the other side. Disagreement is normal. What matters is how we go through it.
Separate the people from the problem.
Roger Fisher and William Ury, Getting to Yes, 1981.
Slow down. Nothing good is decided in the first hour of anger or fear. Agree on when you will talk.
Each person tells it once, uninterrupted. The other repeats it back until the first says “yes, that is it”.
Separate facts from what they mean. Write down what everyone agrees happened. Keep the disagreements on a separate list.
Talk about needs, not positions. “I need to know my child is safe” opens more doors than “you must do X”.
Look for options together. List more than one way forward before choosing.
Use a fair yardstick. A guideline, a standard, an independent opinion: something neither side controls.
Put it in writing. Who will do what, by when. Agree a time to check back.
Bring in someone neutral if you are stuck. Mediators, advocates and complaints bodies exist for this.
For parents and carers
When your child needs care
You know your child better than anyone. Health workers know medicine. The best care comes when both are heard.
Keep a notebook. Dates, times, names, what was said and what was done. Keep copies of every letter and form.
Ask until you understand. “Can you say that in plain words?” and “What happens next?” are fair questions. Ask for important things in writing.
Bring someone with you. A second person hears what you miss and can take notes while you listen.
Trust your worry. If you think your child is getting worse, say so clearly and ask for a review. Australian hospitals must have a way for families to call for an urgent review: ask staff how it works on your ward.
Know your rights. In Australia you have a right to access, safety, respect, partnership, information, privacy and to give feedback.
You can ask for records. You can usually get copies of your child’s health records. Ask the service how.
Tell your child the truth, in words that fit their age. Children cope better with honest answers than with silence.
Look after yourself. Eat, sleep when you can, and let people help. Your child needs you steady.
Sometimes a treatment you asked for is not offered. There may be good reasons. You are entitled to know them, and to ask again.
Ask why. Ask for the reasons, and ask for them in writing.
Ask about the options. What else can be done? What are the risks of each, and of waiting?
Ask for a second opinion. You can ask for another doctor or specialist to look at your child’s care.
Ask for the patient liaison or advocate. Most hospitals have someone whose job is to help families raise concerns.
Get the records. Ask for copies of the notes and test results that the decision was based on.
Write it down. Who decided, when, and what they said. Keep it calm and factual.
Take it further if you need to. Every Australian state and territory has a free, independent health complaints office. Concerns about a practitioner can also go to Ahpra.
In an emergency, call 000.
This is general information, not medical or legal advice.
Together
Ideals ask. People answer.
These seven shape Omxus, an emergency network owned by the people who use it. Help from the nearest, answers to the affected, one voice each.