Journal of Medicine and Philosophy 25 (1):62 – 76 (2000)

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)
DOI 10.1076/0360-5310(200002)25:1;1-V;FT062
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy

Upload a copy of this paper     Check publisher's policy     Papers currently archived: 70,008
Through your library

References found in this work BETA

No references found.

Add more references

Citations of this work BETA

Add more citations

Similar books and articles

Managed Care and the Ethics of Regulation.Kenneth A. De Ville - 1999 - Journal of Medicine and Philosophy 24 (5):492 – 517.
Trust in Managed Care Organizations.Allen Buchanan - 2000 - Kennedy Institute of Ethics Journal 10 (3):189-212.
Managed Care Under Siege.Richard A. Epstein - 1999 - Journal of Medicine and Philosophy 24 (5):434 – 460.
The Case for Managed Care: Reappraising Medical and Socio-Political Ideals.George Khushf - 1999 - Journal of Medicine and Philosophy 24 (5):415 – 433.
The Ethical Impacts of Managed Care.George W. Rimler & Richard D. Morrison - 1993 - Journal of Business Ethics 12 (6):493 - 501.


Added to PP index

Total views
61 ( #187,004 of 2,505,180 )

Recent downloads (6 months)
1 ( #416,705 of 2,505,180 )

How can I increase my downloads?


My notes