Tuesday, July 23, 2024

Islamic political governance vs Modern Democratic systems - How Fiqh preserved rule of law

What is Sharia? Part 3 of 3: Governance and the Rule of Law

by Dr. Wael Hallaq (Professor at Columbia University and award winning author)


[Transcribed from his speech delivered at the College of Islamic Studies (CIS) https://www.youtube.com/watch?v=xpbsxttTATY&t=1935s ]


(Describes the superiority of the Shariah legal and constitutional framework over Modern Liberal Democratic systems. It also shows how the Fiqh Madhabs preserved rule of law and generally  prevented manipulation of the law by the rulers and ensured the organic separation of the Legislative, Executive and Judiciary)

The 
Islamic political governance had a structure characterized by a robust rule of law 
in fact more robust than anything we see in modern liberal democracies and that the separation of powers was more delineated and more sharply drawn than we nowadays have in Democratic systems. This might shock some people but that's because they do not know enough really about the Islamic side. 


I would like therefore to address three points related to these claims:

- First the robustness of the rule of law.
- Second the quality of the law that rules - these are two different things and 
- Third the nature of the separation of powers in Islam.

1. As for robustness of the rule of law there is a serious serious difference between a law that is substantively and procedurally legislated by the people or rather by men and women and a law that is the result of interpreting statements that are ontologically autonomous.
 Here we ultimately speak of two very different sources of will - the will to rule or the will to law. The First Source is anthropocentric and since the will resides in human beings, the human beings can change them at will. In the Sharia, by contrast, there is a series of principles that are hierarchically organized that make legal interpretation bound by these higher principles


The attention is always geared in the service of the community, as I explained before, the interest of the Believers “being supreme”. but these interests, just because they are Supreme, do not have an autonomous will that decides for themselves what is and is not good for the community of Muslims. 

The fact that a society or culture posit for itself a set of unchangeable higher principles makes it very different from a culture that claims total and unqualified autonomy in determining its own way of life.

 But this is not the only important characteristic of a robust rule of law. One of the most important tests for rule of law is obviously the extent to which the law rules the spectrum of what I call Legal impermanency, ranging from the reasonably unchangeable to total suspension. 

In the Sharia, legal change was piecemeal and particularized reinterpreting very specific cases as they needed more flexibility or new solutions to old problems. This is what I call reasonable unchangeability, because the stability of the law is not to be equated with rigidity or inability to adapt; but with a successful control over arbitrary change, or change due to Will To Power, as we have it in the modern state in the modern period. It is the successful control over the crucial feature of suspending the law when a state declares a state of emergency.

 Radical or fast moving change that is a characteristic of the modern State and modern society is prevented by the notion of consensus (Ijma - which itself guarantees the solidity) and authorization of the madhab.

The Madhab (of Fiqh), that is the legal school in Islam, was not just a substantive legal phenomenon that is substantive law but also a constitutional one. that's why most people don't understand that generally the law everywhere, but in Islam in particular (and that's why it is more robust in itself) if it is formed or conceived of or practiced in a particular way, is itself part of the constitutionalization of the system.

The Madhab was one of the most powerful ways of curbing political decisionism that manipulated the law. The Madhab gave the law a sanctity that has no parallel anywhere in modern systems of governance. This explains why the law in Islam always emerged victorious over all political forces even after Bleak periods of political disarray or crisis. 

As, for instance, happened in the last several decades under Mamluk rule when the Judiciary effectively collapsed or when the early Ottomans instituted the canoon upon their conquest of the new territories in the balkans. Not that it is the same like the Mamluks but it's kind of a unique event in Islamic constitutional history that's when they conquered the balkans, greater Syria, Egypt and the Hijaz. 

In these and all other cases - except of course in the case of the systemically destructive European colonization in the 19th century - in all these cases the rule of the Sharia as the supreme law was eventually restored and really the Mamluk case is the most notorious because in the last 80 to 90 years of Mamluk rule things really collapsed badly but then when the Ottomans came, it's as if nothing happened. It's like everything is back to business. As if this period of 80 years did not almost destroy the material life of Egypt.


 2. Second, the quality of the law that rules. 
People shout ‘the rule of law’ at every turn, but the rule of law is not everything or rather it is not a sufficient condition for justice. there can be a rule of law without Justice being done. In fact many dictatorships insist on the rule of law, Nazi Germany being a spectacular example. 

In order for justice to be achieved the law must not only satisfy the condition of rule of law but also of being itself substantively good, Humane, compassionate, tolerant and primarily attentive to the human subject as the final goal. As the subject of the last lecture and if I were to sum up the findings of my almost five decades of scholarship on this point, I can confidently say that the Sharia scored high on all of these accounts, in fact higher than any modern system of law I know.

This was the gist of my second lecture as I said there is a massive difference between a law that rules for the final goal of creating a regulated ethical life and a law whose final aim is the imposition of order for the sake of increasing 'National' or class power. And that's what we have today. The first attends to the individual and the community. The second to politics and political power.

  1. Third, the nature of the separation of powers in Islam. 

On the surface, it looks as if the powers in both Islam and liberal modernity are the same in terms of division - legislative, judicial and executive. There is legislative power that is separate from the executive and both of these fulfill functions separate from the Judiciary. 

My argument however is that: 
First, the separation of powers in the modern state is a challenge that continues to plague liberal democracies. 

Second, Islam, without an artificial attempt at creating a separation, managed to establish a system of separation because it did not have a unitary state. And because of particular deeply theological beliefs which have a direct impact on constitutional organization. (so when somebody tells you theology, never think it's a bunch of abstract concepts that are not related to it. In Islam the connections are less obvious, but if you understand it correctly, it's quite politically potent.) 

This last consideration that the modern state is unitary gives rise to the starkest fact about Islam which is my third argument, namely, that the legislative power in Islam was more authoritative than its modern counterpart by Leaps and Bounds. 


Before I begin addressing these points and explain what I mean by authoritative, because it can have many meanings, let me say by way of introduction a few things about our modern constitutional predicaments. one of the most fundamental problems in modern constitutionalism is the blurring of lines and overlaps between and among the three powers this often results in conflicts between these powers and gives rise to challenges in interpreting and enforcing the separation.

 On the other hand it is widely acknowledged that a strict separation may lead to rigidity and efficiency, since cooperation between the powers is often needed, if not crucial, for addressing urgent matters. Excessive checks and balances can result in slow decision-making creating difficulty for a government to respond promptly to crisis or enact necessary reforms which are really the constant challenge of modern states. There are always crises and always reforms. there is always something to do for the modern state, if you notice.


 There is also the problem of an overactive Judiciary that's yet another problem where the judicial branch concentrates too much power in its hands. A fundamental concern is the question of democratic legitimacy of such hyper activism of the Judiciary in a liberal democracy where presumably popular will is the Supreme value and the Cornerstone of governance. unelected judges strike down laws that have been enacted by elected elected representatives but this is perceived by many influential voices as highly undemocratic. this effectively constitutes a major tension between a an unelected Judiciary and elected branches, not to mention the problem of imbalance between the branches. 

Finally we cannot overlook what is in my opinion the most devastating critique of modern governmental practices and modes of governance - namely the so-called bloodless constitutional Revolution. So what is this bloodless constitutional Revolution? Bureaucracies are characterized by unelected officials as well as by insulated decision making processes where they themselves legislate adjudicate and execute all at once without resorting to courts or to some organs that are elected. so bureaucracies tend to operate independently of public opinion raising questions about responsiveness to democratic mandates. they are led by professional experts who tend to prioritize technical efficiency and profit over Democratic deliberation; caring little about Democratic processes.

 If we put all these problems together, and there are many more but I don't have time to discuss them, and add to them the flagrant feature of interest groups which we live today very colorfully especially in the United States. I mean the lobbies or the public affairs committees they call them then we understand the problem of democracy in the presumably most democratic state in the world. 

Note that all these problems originate from a distinct European history and all of them except the last that is the bureaucratic domination are the result of reforms and changes that Europe had to implement in order to avoid the brutal life it lived under a merciless and cruel church and feudal and monarchical violence of pathological Dimensions. 


The separation of powers is a political doctrine that was strictly a European medication for a dangerous European disease. Reading Islamic constitutional history makes the reader look at this phenomenon as an anomaly, a painful medicine for a strange pathology. this is part of what I meant in my first lecture when I spoke about comparison and contrast as methods of inquiry.

 It is important to realize that Islam's constitutional division between the powers was not the result of a traumatic experience or a reaction to a violent and oppressive situation. Separation of powers (or what we have come to call separation of powers after Europe made the issue a universal one through colonization) was in its embryonic origins the result of a fairly basic but fundamental theological one, having to do with God's absolute power of ownership which bestows on him the full meaning and capacity of sovereignty. It was an absolutely logical inference to conclude from this robust doctrine that if God owns the world through the Act of Creation then there is no administrator or manager of the world other than him. Any such right to decide in the world must thus be a derivative right authorized by him in form and content. 

From this logical series one must conclude that if man were to act in this capacity - that is as God's delegate or Deputy - then the ultimate authority of rule and decision is not man's and so the punchline ‘no man shall rule man’. But what does it mean that ‘no man shall rule man’? It means that no human being is entitled to decide for others what law governs them by virtue of himself being either a source of law or even as a spokesman for an authority. Instead the law that governs must be communal and deducible from binding higher principles - two absolutely necessary conditions for laws’ validity - these are always there in the Muslim tradition. This is the summation of the madhab - a group of associated jurists who, over time, deduce law through a hermeneutical system on Whose principles they aggregately agree. A field of semiotics that shines a methodological light on God's Will and exemplarity. The collective doctrine of the madhab also meant that the law came from an aggregation of juristic voices representing the community's will. For it is important to note that a law that comes from above, from a higher authority top down is not the same as one that comes ‘from the people, for the people’ as they say. 


The jurists (Fuqaha) of early Islam who articulated the Fiqh, the substantive law, came from the populace. They lived among common people as part of these people and on average they belonged to what we call today middle or middle lower classes. This is the first two or three centuries when the law was formed in substance after that it's too late for the law to become suddenly seriously bourgeois or marxian with marxian kind of analysis. Although many people think that still Marxist analysis, like power analysis of Foucault, are applicable to Islam. A great many of them (the Fuqaha) were Artisans, Craftsmen and Shop owners while some were small merchants or the like.


The jurists were authorized as jurists because the basis of their competence was the very knowledge of the law, which is why the law is known as Fiqh - meaning understanding. Fiqh is to know the law and know it in the most ethical way. That is through a non separation of knowledge and ethics, between law and ethics which constitutes the very authority of the juristic voices. Which means that the law must always issue from an epistemic moral source, not a political one. 

I cannot emphasize for you the fundamental importance of this principle. The implications of this principle are staggering. This means that if a Khalifa or a sultan pronounces on a legal matter then the basis of his pronouncement is not a political but rather legal. For, it is his own personal knowledge of Ijtihad that makes what he says legitimate. That's why the Ottomans, in order to be able to have any real legal power, had to bring the Shaikh al-Islam and put him in the capital.

The Shaikh al-Islam could even depose and execute Sultans which he did. I mean not one, a series of them. So there was always price for the sultan to have a little bit of say in the law he had to depend on the figure of the Shaikh al-Islam. Look at how the circle goes. They couldn't escape it. There was no way of escaping the Sharia - and why - because it was the rule of law. It constituted the ultimate master because it was a culture, it was a habitus. 


But this legislative competence was not located in a narrowly defined body in the way our Parliament and congresses are defined nowadays. Because of their paradigmatic learning and ethical exemplarity, the jurists were the custodians of religion as represented in the Hadith: “The scholars are the Heirs of the

prophets”. One can then say that the so-called legislative has defined Islamic identity, the legislative. 

Notice here, in the three branches of power, the legislative is the most important one in the Muslim tradition. It defined the Islamic identity what is and what is not Islamic, how to go about living in that particular way. It was in other words constitutive of what we might call ‘Islamic culture’ as I emphasized several times. This is why I insist that the Sharia is the culture writ large. 


The cultural and Madhabic basis of the law therefore guaranteed the total autonomy of the legislative making it immune to political intrusions. The Sultans may violate the law but they could not ignore or replace it. They may violate the law but the law stood as their judge and the ultimate Benchmark of Truth. In other words the law stood above anything a king or an emperor did or said, decreed or commanded. The separation between the legislative and the executive the most important part of the doctrine of Separation was therefore not only natural and organic but also provided a robust model that transcends the modern meaning of separation exponentially.


 Suffice it to say that hundreds of Sultans came and went yet none of them even entertained the idea of suspending the Sharia and much less substituted with a law of his own. Now of course, the modern State as you know, suspension of the law is part of what we call the Marshal State. Any state can under pressure resort to this, without any Sultan who said, “oh no let's suspend the Sharia. Now it's my law that applies you cannot do anything in violation of this limited law.” That has never happened and was inconceivable.


To this picture we must add elements that are not structural but historical. So far we spoke about the structure of the legal in Islam. But structures are affected by their environments and the more drastic the force of the environment the more the structure is affected and changed in some way. What I have in mind is the interesting fact that during the third hijri Century Muslim rulers started bringing in mercenary forces to constitute their armies. This process reaching its Pinnacle in the Mamluk Dynasty. 


The introduction of foreigners helped in fortifying the separation and therefore the autonomy of the Legislature. Because these soldiers did not have any cultural or religious claims beyond their executive function. Foreigners who came to rule as the business of rule like dynasties specialized in Rule and so they did their Rule and they didn't bother with the rest of it. ‘Rule’ meaning to provide security, internal and external, and a few other things like taxes. That's the bottom line. And of course they also went to war and gathered booty. But the point is that because they were Foreigners it strengthened the concept of separation and the executive became even more separate from the legislative.


 This brings me finally to Executive competence. Let me Begin by nuancing the sultanic power to legislate. As I said a sultan, a khalifa or for that matter anyone else, including simple farmers and blacksmiths may exercise Ijtihad if they have the necessary juristic training meaning the knowledge, the Ilm. But if they do so they would not be acting in their capacity as Sultans, Caliphs, Farmers or peasants but rather as Mujtahids of one level or another. Sultans and Caliphs did have the right to exercise their own discretion, something that was also called Ijtihad, within a restricted sphere of responsibility. I cannot emphasize enough to you that this sphere was always defined by the Sharia and it is this sphere that was the most significant arena to debate constitutional boundaries. 


The sphere that was defined by the Sharia, that is the realm of executive governance, consisted of general categories that remained unchanged ever since they were conditionally identified in Mawardi's seminal works which he articulated as a schematic summary of Islamic juristic doctrine and practice. This is what I call administrative and Military practice. What interests me here is the comparative thinness of this administrative or bureaucratic practice compared to today’s bureaucratic administrative intrusion which is set to dominate over popular will as I spoke before. The Islamic parallel is a drop in the bucket.

 But let's look at the sultanic duties and functions, namely the executive functions. 


The first is ‘Hifz ud Deen’ that according to one of the most influential exposes of the sultanic functions and which were adopted by many many jurists for centuries and it is by Mawardi himself, the great

Mawardi. That is Preservation of religion. 

Significantly, this preservation must proceed according to the way the religion has been established and sanctioned by the predecessors, the way the tradition has been established. Politically, this is intended to reassert the supremacy of the Sharia over the interpretive and legislative impulses of the ruler, a constitutional act of first order and one that Mawardi as well as every other political Muslim writer insisted on. The implication here is that the ruler is not to initiate any divergent interpretation of the Sharia and must not let any other person or group engage in it either. 
Preservation of religion presumes another requirement to the effect that the Sultan's function includes the diligent application of Deen with a view to making it a praxis. Not just practice but a praxis - something that you do regularly as a ‘technique of the self’.

The second requirement relates to domestic and (third) external security including protection from heretical groups that are seditious and destructive.

The fourth is levying taxes according to the dictates of the law while maintaining proper conduct in the process of collecting and redistributing them. Of course, quite often this was violated but then there was always a friction and a sort of legal militancy to bring them down. 

The fifth is to administer Sharia and Mazalim in a just and fair manner.

The sixth is carrying out the complementary ordinances of the Quranic Hudood.

Finally the sultan must elect trustworthy and competent officials who will act as his deputies in running the affairs of the domains. This requirement implies that the duty of responsibility as well as the accountability in administering the polity, so he cannot just let things run loose.
 

These seven requirements sound like just general theoretical prescriptions but interestingly if you decipher the literature well you realize that each one of them constitutes the exposition of books or fields of knowledge. For example the protection of the Borders translates into what really is the

entire extent of the discourse on Jihad - meaning international law - how you fight, the laws of warfare, etc., etc., which seem to me - now it's interesting - that it seems to me that they are much more honorable than anything we see today.

Notice that this if you look at the seven carefully that none of them, none of these functions, intrude on the legislative. They don't involve legislative functions. You know, the executive executes. 

Finally, it is easy now to understand the Constitutional place of the Judiciary in Islam. Because of the nature of knowledge and ethics the executive can never make law. It can only give administrative pronouncements on the seven executive fields I just enumerated. Which means that it cannot dictate to the Judiciary the substance of the law that the latter applies in their courts. 


The only exception to this are the Ottomans who kind of pushed the jurist in the hierarchy of the Empire, not every everywhere, but the judicial hierarchy of the Empire to apply certain rules within the Madhab. That's the most radical interference in the Sharia. But that still is not the Sultan's law. It is just simply the Sultan's preference for one of the opinions or options available within the Madhab, within the Sharia. Only the legislative culture as a sociology of knowledge can supply the personnel to serve in the Judiciary. The substantive loyalty of the Judiciary was therefore to the legislative. The Judiciary was only appointed and dismissed by the executive. And so, in so far as the technicalities of appointments and dismisses were concerned, it was the executive that held sway.

These were the fundamentals of the system and because they were fundamentals they endured until the beginning of the 19th century. With colonialism, everything changed. The legislative was destroyed and the executive held almost total power. This is the key problem of modernity, that this balance, this ecology I've been describing disappeared in the 19th century because the executive took over the legislative. So the legislative collapsed totally. Where people wonder what happened to the crisis in modern Islam and the crisis of this and the crisis of that. This is fundamental to what happened to Muslims in the 19th century. The ecological balance developed in Islam since the Quran saw light in Mecca now underwent systematic and systemic destruction. But this is only half of the story, half of the destruction. The other half occurred when Muslims were converted to the colonialist orientalist narrative, to this new doctrine. Accepting to read their own history through the prism of colonial officers and Colonial Scholars who spoke about Islam and Muslims as human animals and effectively treated them as such. 


Wednesday, July 10, 2024

Is “hate the sin not the sinner” idea correct?


Revisiting the idea of “hate the sin not the sinner”


I used to say this phrase a lot during my speeches, like some other well- known and respected preachers. But recently, I’ve felt that this might not be a valid principle for Muslim speakers, activists, or scholars, for a number of reasons. So please see the following.

If “hate the sin not the sinner” is true, then we would ask a father to hate the act of rape, but not the rapist who raped his daughter. Think about it, is this even possible?

Furthermore, for Muslims, there is no definite evidence from our scriptures that reflects this distinction between the act and the actor (i.e., the sin and the sinner). In fact, it’s the other way around.
The Prophet  said: “A fornicator who fornicates is not a believer while he commits fornication...” (Bukhari).

There are numerous aḥādīth that say Allāh hates the sinner. Some examples are mentioned below:

A) Whoever does not call upon Allāh, He will hate him (Sunan Tirmidhi, Hasan)

B) The Khawārij (religious extremist) are among the most hated creations of Allāh (Sahih Muslim)

C) The most hated amongst people in the sight of Allāh are the ruthless argumentative (people) (Sunan Tirmidhi, Sahih)

D) Allāh hates the profligate and the obscene (Al-Jami’ As-Saghir, Sahih)


From a legal standpoint, the criminal gets punished for his crime by the court, and the sinner gets punished for his sin by Allāh. So how do we differentiate between the two?

From an Islāmic standpoint, we can consider the following ḥadīth:

“Whoever loves for the sake of Allāh, hates for the sake of Allāh, gives for the sake of Allāh, and withholds for the sake of Allāh has perfected the faith” (Al-Jami’ As-Saghir, Sahih)

The ḥadīth is clear about hating someone for the sake of Allāh. How can we reconcile this ḥadīth with the principle of “hate the sin not the sinner”?

Also, to put things in perspective, in recent years, “hate the sin not the sinner” is often revived by Christian denominations in debates about homosexuality and gay marriage. (https://www.usatoday.com/story/news/2017/01/04/kim-burrell-hate-the-sin-love-the-sinner/96158416/)

I also understand that there could be a problem with using the word “hate” in the English language as a translation of بغض, because hate sometimes entails potentially doing harm, like in the phrase “hate crime”, and can have negative connotations. But when we are talking about hating a sinner with a “religious hate”, it is different from the English connotations. So, we can consider the following points:

● Religious hate does not allow any harm to be done, as clarified by scholars ( Awn-ul-Mabood fi Sharh Abi Dawood no. 4681) 

● Religious hate also doesn’t mean absolute hate, rather it’s connected to that sin only; you might love the same person for some other positive aspect.
● Religious hate also means that this kind of hate should come out of love and goodwill, and that we should constantly wish and make du’ā` for the guidance of those people, just like the Prophet made du’ā` for Abu Jahl, the people of Ṭā`if, etc. 


Moreover, why would we teach people to hate? Why not teach absolute love?

A. We are not teaching people to harm others with this “religious hate” (as could be misconstrued via the English connotations). Rather, we are asking them to dislike the sinner because that dislike is something uncomfortable. By forcing ourselves to engage in this discomfort, we can avoid sinning ourselves, knowing that others may dislike us as well. The feeling of dislike that we are calling religious hate, is necessary to give us the motivation to avoid sin. (Carmen Marrick, Hating Evil: Understanding the Role of Evil in Interpersonal Hate)

With that in mind, arguments like “hate the sin not the sinner” serve to desensitize us, and actually push us towards sin by way of omitting hate of the sinner. 

B. Each culture has its own values and standards that predispose its denizens to love or hate certain things. If you go against the social and ethical norms of that society, they will invariably dislike you. For example, if I, as a Muslim father, teach my kids that homosexuality is prohibited in Islām, or that gender is biological and binary, then someone from this society might hate me and label me as homophobic or transphobic. Given my Islāmic values and standards, I will hate them for teaching my kid about these things, and I might call them Islāmophobic.

C. In Islām, we are not egocentric but God-centric. We don’t hate something because of our own personal disliking, rather whatever God dislikes, we dislike as well.

D. We can’t have an absolute love for criminals, rapists, murderers, oppressors, etc. Therefore, we would use the term conditional love rather than absolute love to be realistic/pragmatic.

Finally, I don’t know what the replacement for “hate the sin not the sinner” could be; it would have to be something that more closely aligns with Islām. Maybe we can say this, as suggested by Shaykh Hatem Al- Haj: “Hate of a sin is the hate of a hater, and hate of a sinner is the hate of a lover.” (Love and Hate in Islām, Page 62).


  • Taken from Islamic Vs Post-Modern Paradigm of Sexuality, by Dr. Asif Hirani




Monday, July 1, 2024

When Can A Doctor Refuse Treating A Patient

When is Abstaining from Treating a Patient Not Allowed for a Doctor:

a. It is not allowed for a doctor, who is working in a hospital, to not treat the patients coming to that hospital. For, by working there, he has accepted the responsibility of treating the patients of that hospital.

b. If a doctor runs a private clinic in a locality that is far away from other clinics and hospitals, it is necessary for him to take care of the needs of the patients of that area. He cannot ignore them without a proper Sharae'e excuse.

c. Similarly, in exceptional conditions such as wars, epidemic diseases, etc, it is not allowed for any doctor to abstain from treatment. In such cases, it is obligatory for all the doctors to continue their duties.

d. It will be compulsory for a doctor to extend first aid to a person lying on the road in an emergency condition.

It is not allowed for a doctor to abstain from treating patients in the conditions mentioned above; otherwise he will be accountable before God.


When is It Allowed for a Doctor to Refuse or Stop Treating a Patient:

1) If the patient does not follow the instructions of the doctor.

2) The patient consulted another doctor without recommendation of the previous one.

3) The doctor works under another person or he is busy in an emergency case.

4) It will bring harm or difficulty to the doctor if he treats the patient. If this harm or loss is negligible in comparison with the suffering of the patient, it will be necessary for him to treat the patient.

5) The doctor is busy treating another patient and he cannot leave that patient because of his critical condition.

6) The doctor himself is ill or he cannot reach the place where the patient is.

7) The patient can arrange another doctor who can provide him with medical treatment.


Saving a Person in a Life-Threatening Condition is Obligatory:

If a patient is about to die, it is necessary to provide him with the necessary initial medical treatment and save him. If a person protects a life, he earns the reward of this verse: “And whoever saves one life - it is as if he had saved the entire mankind.” (Surah Ma’idah: 32) This is also an act of cooperating in virtue. Such deeds have been encouraged in the Quran and Hadith.

The jurists of Islam are in agreement that protecting a person who is on the verge of death is obligatory (Wajib). For instance, if a person has food, and another person is dying of hunger, it will be compulsory to provide the hungry man with food. Similarly, if a person sees a blind man going towards a well and about to fall in it, it will be incumbent upon him to protect the blind man if he is able to do so. If there are other people too, and any of them protects him, it will be sufficient on behalf of all. If none of them protects him, all of them will be considered sinful. 

The Messenger of Allahصلى الله عليه وسلم said, “There are three persons whom Allah will neither talk to nor look at, nor purify from (the sins), and they will have a painful punishment. One of them is a man with extra water on a journey but he didn't share it with the other needy travellers.” (Bukhari: 2672)

In the light of these reports and the texts of the jurists, if a person requires immediate treatment, it is compulsory for those who know the treatment to treat him. If any of them provided the treatment, it would be sufficient from all; otherwise all of them would be sinners.

Will the Doctor be Penalised for Abstaining from Treating the Patient

Will the doctor be penalised for refusing to treat the patient despite the ability to do so?
There are two opinions in this regard:

  1. The majority of the jurists from the Hanafi, Shafi’i, and according to one narration, the Hanbali schools are of the opinion that there is no penalty on him, the doctor did not directly or indirectly contribute to the patient’s death. However, he will be sinful.

  2. The second opinion is that the doctor will be penalised. This is the view of the Maliki and Hanbali School. Imam Al-Nawawi and some others are of this opinion. 

 The ruling of International Islamic Fiqh Academy, Jeddah is that the physician becomes liable for the harm that the patient encounters if he refrained from performing his medical duty in emergency cases. (Resolution No. 142 (8/15)


(Adapted from Mufti Abu Bakar Jaber Qasmi’s book ‘Islamic Guidance on Contemporary Medical Issues’)

Islamic Rulings on Abortion, Foetal Reduction and the Issue of Excess Fertilized Eggs


Summary of Rulings on Abortion, Foetal Reduction and the Issue of Excess Fertilized Eggs

[compiled by Dr. Md. Habeeb Haris]


First of all it should be clear that Abortion of any pregnancy is not allowed without a valid Shara’i reason.

Abortion Before Ensoulment (120 Days of Conception)

It is permissible only if there is a valid shara’i reason- which may be of two types: 


First is related to the foetus itself. For example, significant foetal anomalies, hereditary diseases, etc., are the reasons on account of which abortion is permissible.

However, this same ruling cannot be applied to the situation after ensoulment (120 days of conception).

Second type are those which pertain to the mother. For example, there is a risk to her life due to the pregnancy or delivery, or she cannot look after the child because of her mental or physical disability/ disease and there is no other person in the family who can take care of the child, or she has got pregnant by rape. In all these cases abortion is permitted before ensoulment.

Abortion After Ensoulment (120 Days of Conception)


If the health of the woman deteriorates badly or the expert doctors say that the mother would die if abortion is not done, then it would be allowed to get it aborted even after 120 days of pregnancy, to save the life of the woman. There is a rule that major harm should be avoided in comparison with lesser harm. Here, loss of the life of the woman is a major harm and abortion of the foetus is a minor harm. Following this rule, abortion would be allowed to save the health and life of the mother. (from ‘Jadeed Tibbi Masail’ of Mufti Abu Bakar Qasmi)

Foetal Reduction in Multiple Pregnancy


Reduction of excess foetuses in multiple pregnancy also comes under abortion. But continuation of these multiple foetuses may lead to miscarriage, resulting in the death of all the foetuses or permanent disabilities for them. So, the scholars have said that this constitutes a legitimate Shara’i excuse that allows her to abort the foetuses that exceed the expected number, such as two, or as decided by specialist doctors. So it will be allowed because of the medical need. However, the doctors should make all efforts to avoid fertilising multiple eggs more than the necessary number to prevent/minimise the need of foetal reduction later.
(see https://www.islamweb.net/ar/fatwa/123806/حكم-إسقاط-الأجنة-الزائدة-في-عملية-التلقيح-الصناعي )

Excess Fertilized Eggs - The Fatwa of International Islamic Fiqh Academy under the OIC [Resolution No. 55 (6/6)]


First: In the light of the scientifically established possibility of preserving non-fertilized eggs for future use, only the number of eggs required each time for insemination must be fertilized to avoid the existence of surplus fertilized eggs.

Second: If a surplus of fertilized eggs exists in any way, it shall be left with- out medical care until the life of this surplus ends naturally.

Third: It is prohibited to inseminate fertilized eggs into another woman. Precautionary measures must be taken to prevent the use such fertilized eggs in this unlawful pregnancy.

Indeed, Allāh is All-Knowing.

Sunday, June 30, 2024

Spectator sports -- purpose and addictive effects

Western intellectuals' views on Spectator sports -- it's purpose and addictive effects

Noam Chomsky on the purpose of "Sports":
"The purpose of sports is to divert people, it's to create a community of people who by some overwhelming sense of irrational loyalty, are focused on insignificant things. Hence, you don't have to worry about them asking questions about serious things that matter to their lives and to their society."

"Sports are designed to occupy the population, and particularly the males of the population. And it's not an accident that you have the big sports, and you have the big entertainment industry, which are mostly male-oriented. This is a way of building up irrational attitudes of submission to authority, and group cohesion behind leadership elements — in fact, it's training in irrational jingoism."

George Orwell: "Serious sport has nothing to do with fair play. It is bound up with hatred,  jealousy, boastfulness, disregard of all rules, and sadistic pleasure in witnessing violence: in other words, it is war minus the shooting."
From Orwell's essay "The Sporting Spirit," published in 1945.

Aldous Huxley: "In regard to propaganda, the early advocates of universal literacy and a free press envisaged only two possibilities: the propaganda might be true, or it might be false. They did not foresee what in fact has happened, above all in our Western capitalist democracies — the development of a vast mass communications industry, concerned in the main neither with the true nor the false, but with the unreal, the more or less totally irrelevant."
From Huxley's book "Brave New World Revisited," published in 1958.

Chris Hedges: "The culture of professional sports is another mechanism to distract us from the realities around us. It does not enhance our lives but instead offers temporary relief from the anxieties and discontent bred by a decaying society."
From Hedges' book "Empire of Illusion: The End of Literacy and the Triumph of Spectacle," published in 2009.

On the similarity between sports fans and other addicts:

Being a sports fan is a complex process that can resemble addiction. The highs and lows of your team's performance can create a cycle of emotional dependency. Expert quotes:

1. "For some, being a sports fan is like a drug. The thrill of victory, the agony of defeat, it all creates a high that keeps them coming back for more."
— George Vecsey, sports columnist for The New York Times

2. "Sports fans experience the same dopamine rush that drug addicts do when they watch their team win. It's a powerful emotional experience that can be highly addictive."
— Dr. Daniel Wann, sports psychology expert, in his research on sports fan behavior

3. "The passion and devotion of sports fans often border on the obsessive, resembling the behaviors seen in addiction."
— Dr. John F. Murray, sports psychologist, in his work on sports psychology and fan behavior

Wednesday, June 26, 2024

Towards a Shariah Compliant and Ibadah Friendly Hospital

 Shariah Compliant and Ibadah Friendly Hospital

(Adapted from Journal of the British Islamic Medical Association - Vol. 7 - May 2021)

What is involved in establishing a Shariah Compliant and Ibadah Friendly Hospital? Is it important for us to know what it is all about? Do we need to establish this program in our hospitals?

It may not sound important to many of us, especially if we think we are successful in our career. The majority of Muslim Doctors do not pay much attention to this issue of Islamisation of their medical practice and hospital/clinic.

Points to ponder:
1. How many of our Muslim patients perform their salat while they are under our care?
2. Who is responsible for helping Muslim patients perform their salat in our hospitals?
3. ⁠Do our hospital staff guide the patients regarding how to modify Ghusl, Wudhu, Salah, Fasting, etc., due to their illness according to Fiqh?
4. Have we ever discussed Islam or spirituality with our patients?
5. Have we or our staff ever assisted terminally ill patients under our care in the final seconds of their life to die with Husn al Khatima by reciting the Shahada?
6. ⁠Do we follow Gender and Satr / Haya rules in our hospitals?
7. ⁠Do we follow the Shariah limits and guidelines in doing the various procedures like IVF, Abortion, Plastic Surgery, etc.?

To answer the first question, it is known that most of the patients in the hospitals do not perform their salat. Can we imagine if it happened to ourselves or to our families?

Below are some of the reasons why they do not perform their prayers:
1. Patients assume they can replace their prayers later(qadha)
2. They assume they are being excused from praying because of their illness and being in the hospital
3. Patients are ignorant about the Fiqh issues
4. No assistance and guidance from medical staff
5. Hospital management do not provide support and facilitate patients to perform their ibadah
6. The assumption that the Muslim patients should understand and know their responsibility.

Have we ever thought about who is going to help us to say Shahadah or remind us to remember Allah at the end of our life? How would we feel if our relatives died after resuscitation without being assisted to say the Shahadah? Are those duties expected from the Muslim staff? Are we aware that the ultimate goal of a Muslim is to die with Husn al Khatimah?

Standards In Shariah Compliant and Ibadah Friendly Hospital (IFH):

The following discussion will focus on the proposed Standards In IFH. These standards should be taken into consideration when planning the implementation of this program.

1. HOSPITAL POLICY OF IMPLEMENTING IFH:
 
Adopting the IFH as a hospital policy
Integration and assimilation of good values in hospital administration
Vision and Mission of Hospital taking into consideration the IFH program toward excellent hospital services
Stakeholders should ensure that the IFH becomes an integral part of the hospital policy.

2. ORGANISATION STRUCTURE:

Establishment of an IFH Committee with specific job scope and organizational chart that reflects this aspiration.
Direct involvement of the Hospital Director and senior members of the management in the IFH Committee
Establishment of Spiritual Department or Shariah Department in ensuring the successful implementation of IFH programs
Regular meeting and report by the committee (at least 4x/year)

3. CULTURE IN IFH:

GENERAL CULTURE
-good values – (Itqan/Ikhlas/Ihsan)

SPECIFIC CULTURES
-Culture of smiling &salam
Reciting Bismillah/Alhamdulillah/Insha’Allah at appropriate time pre/during or post procedure
Remembering God
Campaign/poster/banner promoting these cultures and awareness of IFH
Continuous monitoring of the staff practices and assimilation of these practices

4. HUMAN RESOURCE MANAGEMENT:

Basic training – awareness about IFH
Introduction programs and basic trainings for all staff on IFH
Preparation of manual for basic training in IFH
REGULAR ongoing program – sustainability and monitoring

5. FACILITIES FOR IFH:

Orientation for patients about salat facilities and providing assistance to those needed
Salat reminder/assisting patients to perform salat
Audio visual facilities in reminding patients/staff on prayer
Facilities to perform salat (Qibla direction/proper attire/clean area)
Bottle spray/Tayammum powder/Books/Guidelines for prayer/wudhu/Tayammum)
Patients attire – covering Awrah in ward/during delivery/ procedure & surgery
Separate wards/rooms for different gender

6. SOPS IN IFH:

General SOPs – assimilation of good values at all levels-good character (akhlaq)
SOPs in all clinical settings – orientation for new admission
Pre & post procedures
Chaperone
Guiding and helping patients to perform ibadah

7. DIGNITY OF PATIENTS AND STAFF:

ECG, USG and other procedures by same gender
Catheter performed by same gender
Ensuring awrah/Satr of patients in OT/delivery rooms are being taken care of following shariah guidelines

8. HUSNUL KHATIMAH:

Establishing chaplaincy services – (talqin services/spiritual support for patients and relatives)
Assisting family in preparing WASIAT/Family support
Talqin – encouraging family to talqin patients/ensuring staff available to support patient during terminal stage
Assisting family for the funeral arrangement

9. QUALITY MANAGEMENT:

Quality Committee in monitoring the implementation of IFH
Internal and external audit
Patient’s feedback regarding the IFH programs in the hospital
Scheduled monitoring of the programs

These are some of the suggested elements which could become the essentials in the implementation of IFH.There are many additional programs which need to be implemented in IFH. All departments and sections need to prepare SOPs and programs related to the IFH.

Thursday, May 23, 2024

Shariah Conditions for Permissibility of Fertility Procedures

Conditions for Permissibility of Fertility Procedures (like In Vitro Fertilisation and Intra Uterine Insemination)

-Three specialist doctors should have concluded that the wife can conceive only through assisted reproductive technology and it is the only source of procreation for the couple. 

-The procedure should be carried out only during the period when the Nikah of the couple is intact.  And if the marriage has been terminated due to the death of the husband or divorce, etc., then these procedures cannot be carried out.

-It should be done by a trustworthy Muslim lady doctor, and if this is not possible, then a non-Muslim reliable lady doctor can perform this process, in case it is not possible, then a trustworthy Muslim male doctor can perform it, and if it is also not possible, then a non-Muslim trusted male doctor can do it.

-For this process, doctors should get written consent from the husband and wife, and inform them about the situation and all the stages of this process. The lineages should not be mixed with the mixing of sperms. For this, only the sperm of the husband should be used and special care should be taken to ensure it.

-The sex of the foetus should not be selected by the IVF. 

-IVF should only be done for the couples who do not have any children.

-Great care should be taken to ensure that there is no possibility of error or mix-up.

 -And the procedures on the wife should be carried out in the presence of the husband. (Al Mausu'ah al Tibbiyah al Fiqhiyyah, madah hamal: 379, 380)


 [From Jadeed Tibbi Masail of Mufti Abubakar Jaber Qasmi]


Tuesday, May 21, 2024

How the Current Ideological Challenges Differ from the Older Forms of Misguidance

New and Old Misguidance

Taken from the Urdu book 'Jadidiyat' by Prof. Hassan Askari

(Translated by Dr. Md. Habeeb Haris)

This chapter focuses on the challenges posed by the new forms of misguidance that have emerged. 

In the history of Islam, various misleading ideas, heretical beliefs, and doubts have emerged from time to time. Our scholars say that those influenced by Western education cannot raise any objections or doubts that the scholars of the past have not already addressed. This statement is absolutely true. All the new forms that misconceptions can take, or the new ways they can appear, are essentially the same as those that scholars have already dealt with in the past. Therefore, it is quite easy for the scholars to respond to them. However, there are a few new characteristics of these new misconceptions that make it difficult for the scholars’ responses to be completely effective.

Here are some points to consider:

* The Scope of Misconceptions: In the past, misconceptions were limited in scope, both geographically and in terms of the number of people they affected. As soon as scholars clarified the misconceptions, they would disappear or their influence would be significantly reduced. However, the new misconceptions have a global reach, and they are impacting a much larger number of people than before. Muslims all over the world are being affected by these new ideas, and they are spreading rapidly.

* Previously, misconceptions arose from within the Muslim community itself, but new misconceptions have come from the West. Moreover, these Western misconceptions are backed by their financial and military power.

* In addition, these misconceptions come with scientific innovations that gratify worldly desires and amaze ordinary people. Ordinary people do not use their minds and consider any observation to be a logical argument. Therefore, when scholars respond to these objections, their impact is not very effective.

* The Western mind has been gradually deteriorating for the past six hundred years (since the fourteenth century CE) and has been losing the ability to understand truth. In six hundred years, the West has produced all the misconceptions that have attacked us all at once. Because of this, an ordinary Muslim, despite his devotion to Islam, cannot withstand this onslaught. He gets rid of one misconception only to fall into another. In the same way, even among us, the minds of ordinary people, and especially those who have received a modern education, have gradually been deteriorating over the past century and a half.

* Old misconceptions used Islamic terminology and Islamic concepts incorrectly; therefore, they were very easy to dispel. However, new misconceptions come with a new language and new terminology. Thus, even the most disregarded and discarded ideas hide behind a veil of complex and obscure terminology, and a person becomes impressed for no reason. Since our scholars are not fully aware of the nature of this new language and these new terminologies, and their long and complex history, sometimes their responses miss the mark.

These new terms are of three types:

A. Misappropriation and Distortion of Terms

In the realm of Western thought, there has been a widespread and indiscriminate use of terminology. This includes both terms that are uniquely Christian in origin and those that are common to all religions. While these terms are employed extensively, their meanings have been completely altered. This practice can be traced back to the early stages of intellectual deviation in Europe.

B. Shifting Meanings and Lack of Consistency

The meanings associated with these terms have not remained constant over time. Instead, they have undergone continuous change, often at a rapid pace. In the 20th century, the meanings of these terms have been shifting every five years or so. In the West, the situation has become even more extreme, with different authors using the same word in ten different ways within the same era. A prime example of this ambiguity is the term "nature." The word "religion" itself has been used in such a multitude of ways that it has lost all specific meaning.

C. The Fad of Coining New Terminology

 Western writers have a peculiar penchant for inventing new terminology, regardless of whether they have anything new to say. These newly coined terms typically fall into two categories:

- Onerous and Complex Terms: These terms are often cumbersome, intricate, and sometimes devoid of any clear meaning. Their primary purpose seems to be to convey a sense of erudition. The abundance of such terms in the writings of these authors makes it difficult for readers to grasp the intended meaning, leaving them confused and disengaged.

- Emotionally Charged Terms: These terms are designed to appeal directly to the emotions, often at the expense of rational thought. 

Both types of these newly created terms are meant to hinder the reader from using his own mind.

The preaching of our scholars cannot be effective unless they are aware of the structure and methods of the present Western mind. This is why it is important to learn the intellectual history and degradation of Western thought.

Sunday, May 5, 2024

The Concept of Real Success - Between Materialism and Monasticism


-Dr. Md. Habeeb Haris 

The desire for success is the fuel that propels man in the world of struggle and activity. In fact, this basic desire is behind all human actions whether individual or collective. Moreover, the behavioural patterns and path of life-struggle vary according to the variations in the concept of success. 

An individual's perception of the elements that go on to make him a successful person largely determines his lifestyle and the way he would respond to the challenges at every moment of his encounter with life. The concept of success depends on various influences like culture, religion, education, the dominant ideology, social trends, media influence. 

In the previous centuries religion was a predominant factor in the determination of this concept. But in the times that we are living in today, every concept - including the all important concept of success - is fashioned basically by the prevailing materialistic worldview. 

The materialistic ideology has overwhelmed our thinking so much that there seem to be no other criteria which can influence our judgement.

Though the materialistic concept of success is nothing new to human history, the scientific hue that it has acquired to get wider acceptability makes it all the more bewitching to the eyes of the modern man. 

However this not-so-holy embrace of materialistic ideology has left man with a lopsided view of the goal of life and has changed the very direction of his life. Once his concept of success changed, everything else changed. Man's concerns became narrower. He started running only after the mirage of worldly success, looking for things ephemeral and in the bargain lost sight of
everything that stood for permanence and eternity. 

This mad race also changed the  equations of human relations which threw the whole society in to disarray. The family structure was dismantled that left man feeling such insecurity and loneliness as he has never felt before. 

The loss of permanent values has made every thing uncertain. This erroneous concept of success has eaten away the roots of human character and opened the doors to all sorts of corruption. We see today quite helplessly that the humanity is drowning in this sea of corruption. But unfortunately this sea is of man's own making. 

Every individual and society is crying for peace but peace seems to elude all. In pursuit of happiness man is adopting crazy lifestyles, hollow entertainment and bewildering behaviour. Even religion is being exploited for selfish material gains. There is a culture of madness everywhere. The darkness of doom is all set to engulf us. 

So, if the modern materialistic concept of success has left Man at the brink of annihilation, should he now turn to oriental monasticism for the true definition of success? Alas, the Eastern (Buddhist, Hindu etc.) as well as the Western (Christian) monasticism, inspite of its spiritual aura and mystic pretentions, has shown its barrenness in this regard. Can man attain success by running away from the struggle of life? Can this world be left at the mercy of criminals and debauchees; which will be the logical outcome of truly spiritual people shying away from social involvement and taking to forests and caves in search of nirvana?

Moreover, history has seen such monasticism quite often ending up in worst forms of materialism which even ordinary people find disgusting. Many monasteries have been turned into temples of lust and corruption. Perhaps it is a logical consequence of an unnatural concept of success based not on any sound foundations but merely on superstition, ignorance and conjecture. 

So, where does man go from here? What is it that can give man the true concept of success? What are those criteria which can enable man to take the right step in the right direction? And finally how can man know what he really wants from life? This crisis is basically due to the innumerable cobwebs covering certain elementary concepts regarding man and life. 

To attain the true concept of success, man has to first understand  his true nature, his position in the universe and the purpose of his creation, because success is measured by the extent of the achievement of one's purpose. He has to realize that his presence on this planet is not just a matter of chance but rather it is the result of a very wise plan of the Creator of this universe. This fact itself makes it clear that his life and existence cannot be a purposeless wandering but has a definite aim behind it. 

This is in total contrast to the atheistic theory of "existence by chance" which at the very outset degrades man into a purposeless entity and robs human life of all meaning and direction and makes it a rudderless ship caught in a whirlpool of circumstances. 

Moreover, the truth is that man is not just one of the creatures but he is indeed God's representative in this world and he has to act as such. Neither should man rebel against his Master nor should he degrade himself by bowing before other creatures. 

This moderate approach towards his own position empowers and puts man on a firm track and now he can realize that the true concept of success is nothing but to attain God's pleasure by fulfilling the demands of his unique position in this world. 

This can further be elucidated as: a man who serves God's will by maintaining the delicate balance between the demands of his material and spiritual aspects of life and tries to maintain peace and order within his own self and in the society around him, and in the process earns God's pleasure and rewards, both in this world and the hereafter, is really and truly successful. 

On the contrary, a person who fails to acknowledge God's favour of life and indulges in rebellion against his own true nature, and in the process creates disturbance and chaos within himself and the society around him, thus earning God's wrath and punishment, both in this world and hereafter, is really and truly unsuccessful. 

Of course this balanced concept of success cannot be conceived without the clear concept of life  Hereafter. Man is not destroyed after death but is transferred into
another life wherein he has to face the full consequences of his earthly sojourn so that full justice can be done and no criminal escapes the fruits of his misdoings and everyone gets what is his due. 

This is the true concept of success which grants honour and dignity to Man's life, sets a proper direction for each of his actions, makes him a responsible and compassionate being, helps him to lead a more complete and a meaningful life based on firm foundations and permanent values and transforms his journey of life in to a purposeful endeavour. So, now let every soul decide what it wants it's future to be!

Tuesday, April 23, 2024

Medical Ethics in Islamic History

-Dr. Md. Habeeb Haris 

The expression “medical ethics” was not coined until 1803, when Thomas Percival (1740–1804), a physician from Manchester, England, introduced it in his eponymous book Medical Ethics and created one of the first modern codes of medical ethics. 

However, even from the earliest times, the Muslim Physicians gave utmost importance to ethical medical practice. The Muslim health care professionals cannot restrict themselves to just the Western conception of Medical ethics. They need to fulfil the Islamic ethical requirements too to harmonise their professional lives with the wider Islamic worldview. Islamic medical history is full of writings on 'Akhlaq al Tabib' (Etiquettes for Doctors) by many well-known physicians and scholars of Islamic civilisation. Below are mentioned some examples.


1. Abu Bakr Al-Razi: He wrote a special book one thousand years ago under the title Akhlaaq al-tabeeb (Ethics of the physician). It is an epistle addressed to

some of his students. Here are some excerpts:

“A physician should be gentle with people, refrain from talking ill about them in

their absence, and keep their secrets. A person may be afflicted with a

disease which he keeps secret from the closest people to him, such as his

father, mother, and children. He hides it from those close to him and, out of

necessity, reveals it to his doctor. If the physician treats one of a man’s women

folk, girls, or boys, he should cast down his eyes and not look beyond the

afflicted part of the body.” [from WHO document on Islamic code of medical and health ethics https://applications.emro.who.int/docs/em_rc52_7_en.pdf]


"The physician’s duties to the patients: The first of which is to treat the patients kindly, not to be rude or aggressive, but should be soft-spoken, compassionate, and

behave modestly. 
The physician should inspire the 
patients even those who have no hope for recovery. 
To treat patients equally regardless 
of their wealth or social status. 
The aim of the physician should not 
be the money he will get after treatment, but the cure. Doctors should be even keener on treating the poor and needy than the rich and wealthy."


2. Ishaq bin Ali al-Ruhawi: One of the earliest and most thorough books on medical ethics is “Adab al-Tabib” (Practical Ethics of the Physician) by Ishaq ibn Ali al-Ruhawi, a contemporary to Abu Bakr Al-Razi and lived in the second-half of the ninth century C.E. This book was translated to English by Martin Levey in 1967.

A glance at the chapter titles in Adab al-Tabib will reveal how thorough and comprehensive this book is:
1. The loyalty and faith in which a physician 
must believe, and on the ethics he must follow;
2. Care 
of the physician’s body;
3. What the physician must 
avoid and beware of;
4. The directions of the physician 
to the patients;
5. The behavior of the patient’s visitors;

6. The simple and compound drugs, which a physician must consider;

7. What does a physician ask the patients or others;
8. The necessity for ill and healthy people to 
have faith in the physician;

9. The agreement that the patient must follow the instructions of the physician;

10. The behavior of the patient with his servants;
11. 
The behavior of the patient with his visitors;

12. The dignity of the medical profession;

13. The people must respect a physician according to his skills;

14. Peculiar incidents concerning physicians;

15. Medicine must be practiced by those who have a suitable nature and

moral character;
16. Examination of physicians for 
accreditation;

17. The kings may remove corruption of physicians and guide the people to proper medicine;

18. The necessity of warning against quacks who call themselves physicians;

19. Faulty habits of people, which may hurt them;

20. What a physician must observe during periods of health in order to prepare for periods of illness.
['Islamic medical ethics a thousand years ago' - 
Saudi Med J 2013; Vol. 34 (7)]

3. Salah Al-deen bin Yusuf: An ophthalmologist from Hama, Syria, seven

centuries ago wrote in his book Noor al-'uyoon wa jami' al-funoon, (a book

of ophthalmology) giving advice to every student of medicine studying under

him:

“You should know that this industry (profession) is a gift from God, the Most Sublime, given to the person who deserves it, as he becomes the intermediary between the

patient and the Most Glorious and Sublime Lord in seeking recovery. When it is achieved through him, he gains the ample respect of people, is glorified by

them, gains renown within his industry, wins confidence in the decisions he

makes, and receives in the Hereafter a reward from the Lord of Creation.

This 
is because the benefit that is extended to God’s creatures is something great,

particularly when it is a benefit to poor, helpless people. In addition, you acquire a refinement of manners and moral standards, a generous and sympathetic nature.

You should, therefore, put on the gown of purity, virtue, 
innocence, compassion, and mindfulness of God, the Most Sublime, particularly when you deal with female family members.

You should keep their 
secrets, cherish proficiency and religiousness, dedicate yourself to your work in science, renounce physical desires, keep company with scholars and learned people, attend to your patients, feel eager to give them proper treatment, and be resourceful in seeking to cure them.
Moreover, if you can 
assist the weak with your own money, do it.”
[from WHO document on Islamic code of medical and health ethics https://applications.emro.who.int/docs/em_rc52_7_en.pdf]


4. Ali b. Sahl Rabban Al-Tabari: The court physician of Abbasi Caliphs al-Mu'tasim and al-Mutawakkil, described the Islamic code of ethics in his book 'Firdous Al Hikma' ('The paradise of wisdom' - completed in 850 C.E., is the first ever Medical encyclopaedia written, which incorporates all the then available branches of medical science) stressing on good personal characters of the physician, the physician’s obligations towards his patients, community and colleagues.


He stated: 
“The physician should be modest, virtuous and merciful.
He should wear clean clothes, be dignified, and have well-groomed hair and beard. He should select his company to be persons of good reputation.
He should be careful of what he says and should not hesitate to ask forgiveness if he has made an error.
He should be forgiving and never seek revenge.
He should be friendly and a peacemaker.
He should avoid predicting whether a patient will live or die, only Allah knows.
He ought not loose his temper when his patient keeps asking questions, but should answer gently and compassionately.
He should treat alike the rich and the poor, the master and the servant.
God will reward him if he helps the needy.
He should be punctual and reliable.
He should not wrangle about his fees. If the patient is very ill or in an emergency, he should be thankful, no matter how much he is paid.
He should not give drugs to a pregnant woman for an abortion unless necessary for the mother's health.
He should be decent towards women and should not divulge the secrets of his patients.
He should speak no evil of reputable men of the community or be critical of any one's religious belief.
He should speak well of his colleagues.
He should not honor himself by shaming others.” 
(
Al-Tabarī, Firdaws al-hikma fī al-tibb, Frankfurt am Main: Institut für Geschichte der Arabisch-Islamischen Wissenschaften, 1996, “Islamic Medicine”, 29.)

In summary, the Muslim health care professionals need to take inspiration from the Islamic conception of Medical ethics and 
etiquettes formulated by our great predecessors - our Fuqaha and Hukama.  

           
                                                
                    The cover page of al-Tabarī’s book Firdausu’l-Hikmat in Latin letters, published in Berlin in 1928 by M. Z. Siddqi.