"Ordinary morality is designed to protect people's total package of interests, which, as interests, are considered equally worthy of protection; but professional morality protects only those interests for which the professional relationship exists. Professional morality is thus spared the necessity of assigning weights to various interests in order to balance them in case of conflict. Deception is thus not a violation of professional morality, since professionals are not mandated to protect the client's interest in having true beliefs, in not being manipulated or in being treated with respect."

"A patient's interest in the truth . . . is exactly as relevant to the doctor's professional concern as the patient's interest in friends or enjoyable leisure: That is, all these interests are relevant to the physician's responsibility only as they might affect the patient's health."

"Since the interests which deception harms are not otherwise relevant to the fiduciary medical context, there is no reason within that context to prohibit deception."