Bluffing, puffing and spinning in managed-care organizations

Journal of Medicine and Philosophy 25 (1):62 – 76 (2000)
Abstract
I argue that because bluffing, puffing, and spinning are features of corporate life, they are likely to characterize the doctor-patient relationship in managed care medicine. I show that managed-care organizations (MCOs) and the physicians who contract with them make liberal use of puffing and spinning. In this way, they create a context in which it is likely that patients will also use deceptive mechanisms. Unfortunately, patients risk their health when they deceive their doctors. Using the warranty theory of truth I argue that although bluffing may be ethical in business because all participants agree to it and business has not warranted truth-telling, it is not ethical in a medical context because physicians and MCOs have warranted truth-telling and the quality of medical care depends on it.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
Options
 Save to my reading list
Follow the author(s)
My bibliography
Export citation
Find it on Scholar
Edit this record
Mark as duplicate
Revision history Request removal from index
 
Download options
PhilPapers Archive


Upload a copy of this paper     Check publisher's policy on self-archival     Papers currently archived: 10,561
External links
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library
References found in this work BETA

No references found.

Citations of this work BETA

No citations found.

Similar books and articles
Richard A. Epstein (1999). Managed Care Under Siege. Journal of Medicine and Philosophy 24 (5):434 – 460.
Allen Buchanan (2000). Trust in Managed Care Organizations. Kennedy Institute of Ethics Journal 10 (3):189-212.
Kenneth A. De Ville (1999). Managed Care and the Ethics of Regulation. Journal of Medicine and Philosophy 24 (5):492 – 517.
Analytics

Monthly downloads

Added to index

2009-01-28

Total downloads

7 ( #182,838 of 1,098,129 )

Recent downloads (6 months)

1 ( #283,807 of 1,098,129 )

How can I increase my downloads?

My notes
Sign in to use this feature


Discussion
Start a new thread
Order:
There  are no threads in this forum
Nothing in this forum yet.