Take a look at the answer this physician received about breaking his promise of confidentiality to a patient. The New York Times’ Ethicist describes this as a modern problem, but it seems to me this is age-old. And although the confession was not medical, the nature of the doctor-patient relationship and the historical trust it has cultivated can’t be ignored. The Ethicist says he expects vehement disagreement, and that’s one thing he’s right about for sure.