Full Description
This volume is the result of a conference sponsored by the Medical Alumni Association of the University of California, Davis and held in Sacramento, California, in January, 2000, The purpose of this conference was to examine the impact ofvarious health care structures on the ability of health care professionals to practice in an ethically acceptable manner. One of the ground assumptions made is that ethical practice in medicine and its related fields is difficult in a setting that pays only lip service to ethical principles. The limits of ethical possibility are created by the system within which health care professionals must practice. When, for example, ethical practice necessitates—as it generally does—that health care professionals spend sufficient time to come to know and understand their patients' goals and values but the system mandates that only a short time be spent with each patient, ethical practice is made virtually impossible. One of our chief frustrations in teaching health care ethics at medical colleges is that we essentially teach students to do something they are most likely to find impossible to do: that is, get to know and appreciate their patients' goals and values. There are other ways in which systems alter ethical possibilities. In a system in which patients have a different physician outside the hospital than they will inside, ethical problems have a different shape than if the treating physician is the same person.
Contents
Health Care Systems and Ethics.- Facing Finitude in Health.- Health Care as a Right.- The Oregon Health Plan Ten Years Later.- A Mortgage on the House of God.- Values in Medicine.- Generational Conflicts and their Impact on Thinking about the Healthcare System.- The Uninsured and the Rationing of Health Care.- Application and Implications of Deontology, Utilitarianism, and Pragmatism for Medical Practice.- The Old Ethics and the New Economics of Health Care.- Playing the HMO Language Game.- Rationing Health Care in the United States and Canada.- Altering Capitation to Reduce the Incentive to Undertreat Patients Inappropriately.- Cross Cultural Issues in Medicine.- Competing Interests in Pediatric Managed Care Settings.
