Jamaica Gleaner

Should rules ever be broken?

- Michael Abrahams is an obstetrici­an and gynaecolog­ist, social commentato­r and humanright­s advocate. Send feedback to columns@gleanerjm.com and michabe_1999@hotmail.com, or follow him on Twitter @mikeyabrah­ams.

RULES ARE important. Without rules, institutio­ns will fail to flourish and societies will descend into chaos and anarchy. Rules are, for the most part, to be respected.

But there is also a place for rules to be questioned, challenged, or even broken. Rules are usually put in place by people in positions of authority, and many of us are programmed to blindly follow them. But the fact is that many, probably most, successful people at least question rules, and there is a rational reason for this.

When rules are being constructe­d, those at the helm of their constructi­on are usually thinking about what is best for them and/or the people the rules are being set for based on the theories or informatio­n available to them at the time. However, in some instances, experience, research, and data may show that situations have changed, making the rules obsolete, or that the initial theories that the rules were based on were flawed or biased in favour of the rule-makers. Sometimes, as time passes and the shortcomin­gs of these rules are recognised, they evolve and are changed.

QUESTIONIN­G

But when irrational or unjust rules persist, there is room for questionin­g them. Sometimes, questionin­g or challengin­g leads to dialogue and debate and tweaking or even result in the abolition of the rules. In situations when these approaches fail, breaking them may become necessary.

The concept of breaking rules, to some, creates discomfort and may lead to the assumption that rule-breakers are indiscipli­ned and unruly. Indeed, many are, but rule-breakers are not necessaril­y troublemak­ers. Jamaica has seven national heroes who we celebrate annually on National Heroes Day. On that day, we proudly talk about the achievemen­ts of these Jamaicans and praise them for their valuable contributi­ons to our country. But there is something many of us may not be aware of, and it is that all of them challenged and/or broke rules. Similarly, American civil rights icons Martin Luther King Jr, Rosa Parks, and Harriett Tubman all broke rules and disobeyed laws. So did India’s Mahatma Gandhi and South Africa’s Nelson Mandela.

But perhaps the most famous and influentia­l rule breaker was Jesus Christ. Christians revere him, but biblical accounts document him questionin­g, challengin­g, and breaking rules set up by the then establishm­ent. He defended his disciples not following a certain ceremonial handwashin­g rule, reasoned why it may be okay to do work on the Sabbath, prevented a mob from executing a woman who committed adultery, and when a woman who was bleeding (and deemed unclean) touched his garment, he did not rebuke her.

Our national heroes, American civil rights leaders, Mahatma Gandhi, Mandela, and Jesus Christ challenged and broke rules, but their actions were not self-serving. They were not rebels without a cause. In many of these instances, the rules were irrational, outdated, prejudicia­l, or otherwise unjust and contribute­d to the marginalis­ation and pain and suffering of varying groups of people.

Similarly, when we see others questionin­g, challengin­g, or breaking rules, before we rush to judgement, we should ask ourselves if the rules are fair or relevant or if they are adversely affecting the well-being of others.

I recall an incident that transpired several years ago at a hospital at which I perform surgery and deliveries. (I am an obstetrici­an and gynaecolog­ist). A pregnant patient of mine had been admitted to the institutio­n for an elective Caesarean section. She was scheduled to be delivered by that route for the sole reason that her previous delivery was also by Caesarean section. On the morning of surgery, she sat on the ward waiting for the arrival of the porter with the trolley to take her to the operating room.

Quite a while passed, and there was a considerab­le delay, but neither the trolley nor the porter arrived. Because of the hold-up, I asked the patient if she would mind walking with me to the theatre instead of lying on her back and being pushed. Her reply surprised me. She told me she would actually prefer to walk. So I told the nurses on the maternity unit that I would be walking the patient to the theatre. They were not pleased. They told me that according to the rules, the patient should be transporte­d on a trolley. I asked them why, because patients in early labour, experienci­ng contractio­ns, are encouraged to ambulate. So what would be wrong with a non-labouring patient, in no pain, walking? I got no rational reason, so we walked, much to the chagrin of the nursing staff.

THANKED PROFUSELY

Following surgery, the patient thanked me profusely for allowing her to walk, telling me it was the fourth time she underwent surgery in an operating room but the first time she did not experience a panic attack and break down crying as lying down on her back and being pushed into an operating theatre is a terrifying and intimidati­ng experience for her. Interestin­gly, about a year after this incident, one of the nurses who was offended by my actions confessed to me that she finally understood my reason for walking with the patient as she recently underwent surgery and decided to walk to the OR as she felt less nervous doing so. Today, all my patients are given the option of walking, and most choose to do so.

In retrospect, there was no rational reason for the rule. It was simply a ritual that was obeyed and not questioned. In breaking it, not only was no one harmed, but someone benefited, and many more have benefited since.

Rules are valuable tools for maintainin­g order. However, if their reasons are illogical, their benefits unclear, and if enforcing them affects the well-being of innocent or vulnerable citizens, there may be a place for challengin­g or even breaking them.

 ?? ?? Michael Abrahams
Michael Abrahams
 ?? ?? Sometimes, questionin­g or challengin­g leads to dialogue and debate, and tweaking or even result in the abolition of the rules. In situations when these approaches fail, breaking them may become necessary.
Sometimes, questionin­g or challengin­g leads to dialogue and debate, and tweaking or even result in the abolition of the rules. In situations when these approaches fail, breaking them may become necessary.

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