Skip to main content
Log in

Health care responsibility

  • Published:
Metamedicine Aims and scope Submit manuscript

Abstract

The general and deep dissatisfaction with the present-day status of health care is of such intensity that one speaks of a health care crisis. What is most disturbing to the physicians is that society directs its accusation mainly at the health care professional for being responsible for this crisis. If we want to abolish the crisis we must try to get a renewed look at its source, i.e., to answer the questions “where did health care go wrong primarily?” and “with whom lies the ultimate responsibility for health care?”. In the following discourse these questions are discussed. Based on the assumption that every human being is a free rational agent the ultimate health care responsibility is assigned to the citizen. Of course, whether such an approach will in fact solve the problems inherent in present-day health systems cannot be predicted.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Berlin, I.,Two Concepts of Liberty, Clarendon Press, Oxford, 1958.

    Google Scholar 

  2. Durant, W.,The Life of Greece, Simon and Schuster, New York, 1939, p. 186.

    Google Scholar 

  3. Engelhardt, H. T., Jr., ‘Human Wellbeing and Medicine: Some Basic Value Judgments in the Biomedical Sciences’, in H. T. Engelhardt, Jr. and D. Callahan (eds.)Science, Ethics and Medicine, Vol. I, The Foundation of Ethics and its Relationship to Science, pp. 1–14, Institute of Society, Ethics and the Life Sciences, Hastings-on-Hudson, 1976.

    Google Scholar 

  4. Evans, W. O. and Cole, J. O.,Your Medicine Chest. A Consumer's Guide to Prescription and Non-Prescription Drugs, Little Brown, Boston, 1978.

    Google Scholar 

  5. Feynman, R. P., ‘Structure of the Proton’,Science 18b, (1974) 601–610.

    Google Scholar 

  6. Ginzburg, E., ‘How Much Will U.S. Medicine Change in the Decade Ahead?’,Annals of Internal Medicine 89, (1978) 557–564.

    Google Scholar 

  7. Gorovitz, S., and MacIntyre, A., ‘Toward a Theory of Medical Fallibility’, in H. T. Engelhardt, Jr. and D. Callahan (eds.),Science, Ethics and Medicine, Vol. I, The Foundation of Ethics and its Relationship to Science, pp. 248–274, Institute of Society, Ethics and the Life Sciences, Hastings-on-Hudson, 1976.

    Google Scholar 

  8. Harris, R. I., and Stuart, J., ‘Low-Dose Factor VIII in Adults with Haemophilic Arthropathy’,Lancet, 1979/I, 93.

  9. Illich, I.,Limits to Medicine. Medical Nemesis: The Expropriation of Health, Marion Boyars, London, 1976.

    Google Scholar 

  10. Illich, I., ‘Excerpts from Medical Nemesis’, inEthical Issues in Modern Medicine, pp. 472–482, Mayfield Publ. Comp., Palo Alto, California, 1977.

    Google Scholar 

  11. Jones, P.,Living with Haemophilia, MIP Ltd., Lancaster, England, 1974.

    Google Scholar 

  12. Kass, L. R., ‘Regarding the End of Medicine and the Pursuit of Health’, inEthical Issues in Modern Medicine, pp. 483–515. See [10].

  13. Kennedy, D., ‘Why Our Drug Laws Need to Be Changed’,The Sciences 18, (1978) 11–15.

    Google Scholar 

  14. Levin, L. S., ‘The Layperson as the Primary Health Care Practitioner’,Publ. Health Rep. 91, (1976) 206.

    Google Scholar 

  15. Levin, L. S., Katz, A. H., and Holst, E.,Self Care. Lay Initiatives in Health, Watson Academic Publ., Inc., New York, 1977.

    Google Scholar 

  16. Moore, P., ‘Not by Medicine Alone’,APA Monitor 6, (1975) 24–25.

    Google Scholar 

  17. Pellegrino, E., ‘Value Desiderata in the Logical Structuring of Clinical Diagnosis’, Lecture delivered at the Ninth Symposium on Philosophy and Medicine, Madrid, March 22–24, 1979.

  18. Russell, B., ‘Do We Survive Death?’, from hisWhy I Am Not A Christian, George Allen Unwin Ltd. Publ., London, 1936.

    Google Scholar 

  19. Ryan, A. J., ‘Diabetes and Therapeutic Self-Control’,Postgraduate Medicine 2, (1979) 23.

    Google Scholar 

  20. Silver, G. A., ‘The “Care” in Self Care’, inConsumer Self-Care in Health, Research Proceedings Series, National Center for Health Services Research, U.S. Dept. of Health, Education and Welfare, Public Health Service, August 1977, p. 10.

  21. Solzhenitzin, A.,Cancer Ward, Bantam Books, New York, 1969.

    Google Scholar 

  22. Szasz, T. S.,The Theology of Medicine. The Political-Philosophical Foundation of Medical Ethics, Louisiana State Univ. Press, Baton Rouge, 1977.

    Google Scholar 

  23. Ulene, A.,Feeling Fine, J. P. Tarcher, Los Angeles, 1977.

    Google Scholar 

  24. Vickery, D. M., and Fries, J. F.,Take Care of Yourself: A Consumer's Guide to Medical Care, Addison Wesley Publ., Reading, Mass., 1976.

    Google Scholar 

  25. Wartofsky, M. W., ‘The Social Presuppositions of Medical Knowledge’, Lecture delivered at the Ninth Symposium on Philosophy and Medicine, Madrid, March 22–24, 1979.

  26. Webster's New Word Dictionary of the American Language, The World Publishing Company, 1956.

  27. Weil, G. A.,Reply of Maimonides on the Question of the Predetermined End of Life, Papyrus Publ. House, Tel-Aviv University, 1979.

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

De Vries, A. Health care responsibility. Metamedicine 1, 95–106 (1980). https://doi.org/10.1007/BF00883522

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00883522

Key words

Navigation