The commodification of medical and health care: The moral consequences of a paradigm shift from a professional to a market ethic
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
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Journal of Medicine and Philosophy 24 (3):243 – 266 (1999)
Commodification of health care is a central tenet of managed care as it functions in the United States. As a result, price, cost, quality, availability, and distribution of health care are increasingly left to the workings of the competitive marketplace. This essay examines the conceptual, ethical, and practical implications of commodification, particularly as it affects the healing relationship between health professionals and their patients. It concludes that health care is not a commodity, that treating it as such is deleterious to the ethics of patient care, and that health is a human good that a good society has an obligation to protect from the market ethos.
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Citations of this work BETA
Jody Lyneé Madeira (2015). Conceiving of Products and the Products of Conception: Reflections on Commodification, Consumption, ART, and Abortion. Journal of Law, Medicine and Ethics 43 (2):293-306.
Kirsten Rowe & Keymanthri Moodley (2013). Patients as Consumers of Health Care in South Africa: The Ethical and Legal Implications. [REVIEW] BMC Medical Ethics 14 (1):15.
Rutger Claassen (2011). The Commodification of Care. Hypatia 26 (1):43-64.
A. Bergmark (2008). Market Reforms in Swedish Health Care: Normative Reorientation and Welfare State Sustainability. Journal of Medicine and Philosophy 33 (3):241-261.
Samuli I. Saarni, Piitu Parmanne & Ritva Halila (2008). Ethically Problematic Treatment Decisions: A Physician Survey. Bioethics 22 (2):121–129.
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