Thoughts: Any time I watch this episode, I just don't know how to feel about it. It raises several questions about ethics, but then complicates those questions by suggesting that maybe it would be unethical for a human, but it might be okay
for a Klingon. As far as his ritual suicide goes, that is clearly a cultural issue. We are talking about two different
species here, after all. Even if humans have deemed the practice to be inappropriate, things could be very different for an alien culture. Fine, we can debate that one. But the medical experimentation – that's an entirely different beast. There are
rules in place that define medical ethics, so that we do not find ourselves supporting medical research by another Tuskegee or Mengele. Now, maybe those rules aren't important to a Klingon, but that doesn't mean that we can allow a human doctor to violate medical ethics just because the
patient is a different species. I'm not sure I understand how Picard can just casually suggest that Crusher “authorize” the treatment when I don't think either of them really have that authority. This episode really muddies the subjects and concludes on a “Do the ends justify the means?” sort of feeling, but, I don't know, it just doesn't seem to invite a lot more debate because, again, we're talking about a fictitious universe where many sentient species coexist, where we haven't even quite nailed down our own ethics here on Earth yet. I just can't get on board with this episode, which is why I'm only giving it 2 stars.
As a side note, there's a
Voyager episode that does a better job, in my opinion, at addressing these sorts of medical ethics issues. It's
VOY 5x08: Nothing Human.