Comments on the AMA Report "Ethical Issues in Managed Care"
Miles, Steven H.
Journal of Clinical Ethics. 1995 Winter; 6(4): 306-311.
The [American Medical Association] Council's report shows why our society must create a broadly inclusive, publicly accountable, and expert conference table for drafting and legitimizing ethics standards for managed healthcare. The AMA's analysis is constrained by an FTC [Federal Trade Commission] order and informed by self-interest. The various players in this discussion -- associations of health professionals (such as the AMA), managed-care associations (such as Group Health Association of America), academic health centers, consumers, payers, and even bioethicists -- have varying perspectives and, in almost all cases, interests or conflicts of interest pertaining to managed healthcare. Even so, the diversity of views and interests provides important contributions to this discussion. The parochial nature of the interests make a broadly constituted debate essential. The extent to which these interests diverge and conflict make convening the debate about the fundamental moral accountability in managed-care systems difficult: too difficult for any one party.
Accountability; Alternatives; Conflict of Interest; Disclosure; Economics; Ethical Analysis; Ethics; Federal Government; Government; Government Regulation; Health; Health Care; Health Insurance; Health Insurance Reimbursement; Historical Aspects; Incentives; Insurance; Justice; Managed Care Programs; Medical Ethics; Medical Fees; Managed Care; Nature; Organizational Policies; Organizations; Patient Advocacy; Patient Care; Physicians; Professional Organizations; Regulation; Remuneration; Resource Allocation; Standards; Withholding Treatment;
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