Changes in healthcare financing increasingly rely upon patient cost-sharing to control escalating healthcare expenditures. These changes raise new challenges for physicians that are different from those that arose either under managed care or traditional indemnity insurance. Historically, there have been two distinct bases for arguing that physicians should not consider costs in their clinical decisions?an ?aspirational ethic? that exhorts physicians to treat all patients the same regardless of their ability to pay, and an ?agency ethic? that calls on physicians to (...) be trustworthy advisors to their patients. In the setting of greater patient cost-sharing, physicians' aspiration and agency roles increasingly conflict. Satisfactorily navigating the new terrain of consumer-driven healthcare requires physicians to consider these two roles and how they can best be reconciled so as to maximize quality of care while respecting the heterogeneity of patients' financial resources and willingness to pay. (shrink)
Howard Callaway's new edition of Ralph Waldo Emerson's Society and Solitude is an invaluable contribution to both the primary and secondary literature on Emerson. Its contribution to the primary sources is its use of the original 1870 edition of Emerson's text, though with modernized spellings to facilitate the reader's understanding. Its contribution to the secondary literature consists in the scholarly apparatus of page-by-page annotations, an introduction, a chronology, a bibliography, and an index. Callaway's Society and Solitude is a worthy companion (...) to his earlier edition of Emerson's The Conduct of Life. (shrink)
Here, some of the most influential thinkers in theological and philosophical ethics develop new directions for research in contemporary moral thought. Taking as their starting point Ricoeur's recent work on moral anthropology, the contributors set a vital agenda for future conversations about ethics and just community.