"Damaged Humanity": The Call for a Patient-Centered Medical Ethic in the Managed Care Era
Churchill, Larry R.
Theoretical Medicine. 1997 Mar-Jun; 18(1-2): 113-126.
Edmund Pellegrino claims that medical ethics must be derived from a perception of the patient's "damaged humanity," rather than from the self-imposed duties of professionals. This essay explores the meaning and examines the challenges to this patient-centered ethic. Social scientific and bioethical interpretations of medicine constitute one kind of challenge. A more pervasive challenge is the ascendancy of managed care, and especially investor-owned, for-profit managed care. A list of questions addressed to patients, physicians and organizations is offered as one means of assessing this threat and moving toward morally trustworthy relationships.
Autonomy; Bioethics; Codes of Ethics; Competence; Comprehension; Conflict of Interest; Decision Making; Disclosure; Economics; Ethical Theory; Ethicists; Ethics; Health; Health Care; Health Facilities; Incentives; Institutional Policies; Managed Care Programs; Medical Ethics; Medicine; Managed Care; Organizations; Paternalism; Patient Advocacy; Patients; Physician Patient Relationship; Physician's Role; Physicians; Professional Competence; Proprietary Health Facilities; Remuneration; Resource Allocation; Standards;
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