Posted by:
PtLoma
(
)
Date: August 15, 2011 10:43AM
Agree. I am an [NeverMo] MD who has completed perhaps half a dozen missionary medical evaluations. I found this board eleven years ago when a patient---desperate to avoid missionary service---asked for my help in getting him turned down for medical reasons. I was sort of stunned, because in my naïvité, I assumed that anyone coming to his doctor's office to have the form filled out must be gung-ho to serve. It was this patient who clued me in to the fact that many prospective missionaries are pressured (parents, would-be future spouses, etc.) to serve, and that financial and/or social pressures await those who do not serve.
Because this particular patient was playing college football (non-LDS school) on scholarship, using physical disability wasn't going to be credible, though he did have serious asthma (that would keep him out of rural or third world areas but not out of serving in a US metropolitan area).
I researched the issue online and found an article about the medical committee at the MTC that reviews the candidates' medical reports. Not surprisingly, the committee is composed of retired LDS physicians. What WAS surprising was the revelation that 50% of the physician reports are completed by non-LDS physicians (because many candidates come from areas where LDS are a small minority), and that the committee concurs with the hometown MD's recommendation 97% of the time. This DesNews article stated that medical evaluations were one of the very few cases where non-LDS persons' input is more or less rubber stamped by TSCC.
The evaluation form had (last time I did one) a release section where the applicant signs to release his medical information to the medical review committee---but not to the church at large. That means specific medical reasons why so and so is not called to serve cannot be released to, say, local leaders. If such info did leak out, it would be a HIPAA (health privacy law) violation (same as hospital employees hacking into records of celebrities, etc.).
I used the mental health section to state frankly that the applicant told me he did NOT want to serve and was being pressured by local leaders to go (with the parents standing by passively, they were not the instigators). I stated that this was a major impediment toward completion of a mission and that it was doomed to failure. The ruse worked, he was not called. Ward speculation was divided between his asthma and suspected unworthiness.
The point here is that a copy of the applicant's health evaluation (eight page form) remains in his/her medical records in his/her physician's office. If a physician were to recommend no service, or modified service, and such advice was not followed, TSCC could be liable, and they can't hide the evidence because the doctor has a copy---and 50% of the doctors who submit reports are not LDS.
The other possibility would be if the doctor IS LDS/TBM and recommends service for an applicant with significant disabilities, because the physician is following church mentality ("every member a missionary") rather than using best medical judgement---or the MD might be subconsciously influenced by knowledge of the social consequences for someone who does not serve (i.e "if I fail him on his evaluation, he won't be able to serve and will have trouble finding anyone to marry him, won't serve as a church leader, etc."). An intellectually honest LDS MD, on the other hand, might have a greater appreciation for the rigors of a mission and might---just might---recommend "no mission" or "restricted service" if he is able to separate medicine and the LDS Church in his brain.
Either way (LDS or non-LDS MD), for an MD to recommend an activity that he/she knows is potentially dangerous for a patient is unprofessional, but a non-LDS MD most likely would be oblivious to much of the social pressure within the church and would prepare a frank evaluation.
Edited 1 time(s). Last edit at 08/15/2011 10:45AM by PtLoma.