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But doctors are required to report anything that they identify as an immediate physical threat (e.g., to the patient or because of the patient). I found out recently that this is entirely subjective - different doctors have different ideas about what constitutes a threat. So, in a lot of ways, no, medical secrecy may not protect you if you tell the wrong doctor.
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You underestimate how sheltered, bureaucratic and extraordinarily hard it is for a medical practitioner to lose their license. I’ve seen literal convicted murderers who didn’t lose their license and were still licensed doctors (for a while) while in prison. I’ve seen rapists retain the medical license that allowed them access to their victims.
While that is true it would be enough for a therapist to say they see someone as a threat. As hate for pedophiles is on a rather high level i understand the fear however unwarranted it might be. Luckely at least in germany there is some kind of help group named somewhat like “Kein Täter werden” if i remember correctly. I think we could use more of that in more countries.