Help From Hume Reconciling Professionalism and Managed Care
Kopelman, Loretta M.
Journal of Medicine and Philosophy. 1999 Aug; 24(4): 396-410.
Health care systems are widely criticized for limiting doctors' roles as patient-advocates. Yet unrestricted advocacy can be unfairly partial, costly, and prejudicial. This essay considers three solutions to the problem of how to reconcile the demands of a just health care system for all patients, with the value of advocacy for some. Two views are considered and rejected, one supporting unlimited advocacy and another defending strict impartiality. A third view suggested by Hume's moral theory seeks to square the moral demands of professional advocacy and just health care systems. A moral basis for limited advocacy exists when it can be justified from a general or moral vantage. Consequently, ethical aspects of professionalism are not necessarily on a collision course with health care systems incorporating managed care. This solution is compatible with goals regarding the importance of humanistic education and professionalism to build patients' trust.
Age Factors; Beneficence; Discrimination; Doctors; Education; Ethics; Friends; Goals; Health; Health Care; Health Care Delivery; Humanism; Justice; Managed Care Programs; Medical Ethics; Minority Groups; Moral Policy; Managed Care; Obligations to Society; Patient Advocacy; Patients; Philosophy; Physician Patient Relationship; Physicians; Resource Allocation; Selection for Treatment; Social Discrimination; Socioeconomic Factors; Trust;
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