Medicalization and Its Discontents
Goodman, Madeleine J.
Goodman, Lenn E.
Social Science and Medicine. 1987; 25(6): 733-740.
This paper raises the question of the ethically proper balance in health care policy between the medical-clinical-high technology model of health service and the grass-roots, community based or traditional models of care. Paradoxical imbalances between the two approaches are traced to political, economic or prestige factors. Case studies examined include the hospitalization of non-contagious leprosy patients while protecting the anonymity of AIDS-infected prostitutes, medical resistance to the adoption of a clinical role by Community Cancer Centers, and the continued preference in some quarters for elaborate (and often delayed) hospital treatment for such problems as infant diarrhea, despite the availability of much simpler solutions, as in the case of the widely successful oral rehydration therapy. A balanced approach to world health problems, we argue, rests not on inflationary lowering of health care standards to achieve nominal victories, nor on....
Adoption; Adults; Aids; Biomedical Technologies; Cancer; Case Studies; Developing Countries; Drug Abuse; Economics; Education; Epidemiology; Health; Health Care; Health Care Delivery; Health Education; Historical Aspects; Homosexuals; Hospitals; Infants; International Aspects; Mandatory Programs; Medicine; Moral Obligations; Mortality; Nutrition; Obligations to Society; Patients; Preventive Medicine; Privacy; Public Health; Public Policy; Quarantine; Resource Allocation; Rights; Sexuality; Socioeconomic Factors; Standards; Technology; Voluntary Programs; World Health;
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Goodman, Madeleine J.; Goodman, Lenn E. (1982-10)Mass screening programs to detect carriers of Tay Sachs disease in the American Jewish population are described and criticized from an ethical standpoint. Educational programs promoting screening often trigger long-lasting ...