Journal of Medicine and Philosophy 24 (4):396 – 410 (1999)
Health care systems are widely criticized for limiting doctors' roles as patient-advocates. Yet unrestricted advocacy can be unfairly partial, costly, and prejudicial. This essay considers three solutions to the problem of how to reconcile the demands of a just health care system for all patients, with the value of advocacy for some. Two views are considered and rejected, one supporting unlimited advocacy and another defending strict impartiality. A third view suggested by Hume's moral theory seeks to square the moral demands of professional advocacy and just health care systems. A moral basis for limited advocacy exists when it can be justified from a general or moral vantage. Consequently, ethical aspects of professionalism are not necessarily on a collision course with health care systems incorporating managed care. This solution is compatible with goals regarding the importance of humanistic education and professionalism to build patients' trust.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Managed Care and Informed Consent.Ruth R. Faden - 1997 - Kennedy Institute of Ethics Journal 7 (4):377-379.
The Importance of Management for Understanding Managed Care.George G. J. Agich - 1999 - Journal of Medicine and Philosophy 24 (5):518 – 534.
The Doctor-Patient Relationship in the Post-Managed Care Era.G. Caleb Alexander & John D. Lantos - 2006 - American Journal of Bioethics 6 (1):29 – 32.
Should We Create a Health Care System in the United States?Laurence B. McCullough - 1994 - Journal of Medicine and Philosophy 19 (5):483-490.
The Commodification of Medical and Health Care: The Moral Consequences of a Paradigm Shift From a Professional to a Market Ethic.Edmund D. Pellegrino - 1999 - Journal of Medicine and Philosophy 24 (3):243 – 266.
The Metamorphosis of Managed Care: Implications for Health Reform Internationally.Marc A. Rodwin - 2010 - Journal of Law, Medicine & Ethics 38 (2):352-364.
Responsibility and Health Care, Who Cares.... : An Introduction to the Principle of Genuine Responsibility and How This Principle Applies to the Managed Care Model of Health Care Distribution. Verheijde, Josephus Leonardus - unknown
Managed Care: How Economic Incentive Reforms Went Wrong.Madison Powers - 1997 - Kennedy Institute of Ethics Journal 7 (4):353-360.
The Ethical Impacts of Managed Care.George W. Rimler & Richard D. Morrison - 1993 - Journal of Business Ethics 12 (6):493 - 501.
The United States Health Care System Under Managed Care: How the Commodification of Health Care Distorts Ethics and Threatens Equity. [REVIEW]Larry R. Churchill - 1999 - Health Care Analysis 7 (4):393-411.
Added to index2009-01-28
Total downloads6 ( #563,376 of 2,177,988 )
Recent downloads (6 months)1 ( #317,698 of 2,177,988 )
How can I increase my downloads?