Medicine as Business and Profession
Agich, George J.
Theoretical Medicine. 1990 Dec; 11(4): 311-324.
This paper analyzes one dimension of the frequently alleged contradiction between treating medicine as a business and as a profession, namely the incompatibility between viewing the physician patient relationship in economic and moral terms. The paper explores the utilitarian foundations of economics and the deontological foundations of professional medical ethics as one source for the business/medicine conflict that influences beliefs about the proper understanding of the therapeutic relationship. It, then, focuses on the contrast and distinction between medicine as business and profession by critically analyzing the classic economic view of the moral status of medicine articulated by Kenneth Arrow. The paper concludes with a discussion of some advantages associated with regarding medicine as a business.
Advertising; Altruism; Autonomy; Beneficence; Conflict of Interest; Decision Making; Deontological Ethics; Economics; Ethics; Government; Government Regulation; Health; Health Care; Health Care Delivery; Health Insurance; Health Maintenance Organizations; Health Personnel; Incentives; Insurance; Justice; Medical Ethics; Medical Fees; Medicine; Moral Obligations; Moral Status; Organizations; Patient Advocacy; Patient Care; Philosophy; Physician Patient Relationship; Physician's Role; Physicians; Professional Ethics; Regulation; Remuneration; Resource Allocation; Self Regulation; Sociology; Sociology of Medicine; Utilitarianism; Values;