The Hidden Tragedy of Invisible Victims

Medical policy makers often prioritizes visible victims—those whose harm is immediate and apparent—at the expense of invisible victims, individuals harmed indirectly by such a system. Using mandatory reporting laws as a case study, this commentary highlights how such policies can discourage diagnosi...

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Main Author: Jacob M. Appel
Format: Article
Language:English
Published: Levy Library Press 2025-07-01
Series:Journal of Scientific Innovation in Medicine
Subjects:
Online Access:https://account.journalofscientificinnovationinmedicine.org/index.php/ll-j-jsim/article/view/249
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author Jacob M. Appel
author_facet Jacob M. Appel
author_sort Jacob M. Appel
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description Medical policy makers often prioritizes visible victims—those whose harm is immediate and apparent—at the expense of invisible victims, individuals harmed indirectly by such a system. Using mandatory reporting laws as a case study, this commentary highlights how such policies can discourage diagnosis and treatment, ultimately increasing harm. Because these victims do not self-identify and their suffering is diffuse, the outcomes for these invisible victims are rarely measured. A cultural shift is needed in medicine and public health in order to both acknowledge and to account for these hidden casualties.
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spelling doaj-art-20d6a9838ddf428e845d8ed0b7657c0d2025-08-21T12:43:55ZengLevy Library PressJournal of Scientific Innovation in Medicine2579-01532025-07-01815510.29024/jsim.249248The Hidden Tragedy of Invisible VictimsJacob M. Appel0https://orcid.org/0000-0003-3523-9145Professor of Psychiatry and Medical Education, Director of Ethics Education in Psychiatry, Medical Director, Mental Health Clinic, East Harlem Health Outreach Partnership; Associate Director, Academy for Medicine & the Humanities, Icahn School of Medicine at Mount Sinai; Attending Physician, Mount Sinai Health SystemMedical policy makers often prioritizes visible victims—those whose harm is immediate and apparent—at the expense of invisible victims, individuals harmed indirectly by such a system. Using mandatory reporting laws as a case study, this commentary highlights how such policies can discourage diagnosis and treatment, ultimately increasing harm. Because these victims do not self-identify and their suffering is diffuse, the outcomes for these invisible victims are rarely measured. A cultural shift is needed in medicine and public health in order to both acknowledge and to account for these hidden casualties.https://account.journalofscientificinnovationinmedicine.org/index.php/ll-j-jsim/article/view/249resouce allocationinvisible victimsbioethicsmedical ethics
spellingShingle Jacob M. Appel
The Hidden Tragedy of Invisible Victims
Journal of Scientific Innovation in Medicine
resouce allocation
invisible victims
bioethics
medical ethics
title The Hidden Tragedy of Invisible Victims
title_full The Hidden Tragedy of Invisible Victims
title_fullStr The Hidden Tragedy of Invisible Victims
title_full_unstemmed The Hidden Tragedy of Invisible Victims
title_short The Hidden Tragedy of Invisible Victims
title_sort hidden tragedy of invisible victims
topic resouce allocation
invisible victims
bioethics
medical ethics
url https://account.journalofscientificinnovationinmedicine.org/index.php/ll-j-jsim/article/view/249
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