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Author: M. Gregg Bloche Publisher: Macmillan + ORM ISBN: 0230117945 Category : Medical Languages : en Pages : 327
Book Description
When we're ill, we trust in doctors to put our well-being first. But medicine's expanding capability and soaring costs are putting this promise at risk. Increasingly, society is calling upon physicians to limit care and to use their skills on behalf of health plan bureaucrats, public officials, national security, and courts of law. And doctors are answering this call. They're endangering patients, veiling moral choices behind the language of science and, at times, compromising our liberties. In The Hippocratic Myth, Dr. M. Gregg Bloche marshals his expertise in medicine and the law to expose how: *Doctors are pushed into acting both as caregivers and cost-cutters, compromising their fidelity to patients *Politics keeps doctors from giving war veterans the help they need *Insurers and hospital administrators pressure doctors to discontinue life-saving treatment, even when patients and family members object *Medicine has become a weapon in America's battles over abortion, child custody, criminal responsibility, and the rights of gays and lesbians *The war on terror has exploited clinical psychology to inflict harm Challenging, provocative, and insightful, The Hippocratic Myth breaks the code of silence and issues a powerful warning about the need for doctors to forge a new compact with patients and society.
Author: M. Gregg Bloche Publisher: Macmillan + ORM ISBN: 0230117945 Category : Medical Languages : en Pages : 327
Book Description
When we're ill, we trust in doctors to put our well-being first. But medicine's expanding capability and soaring costs are putting this promise at risk. Increasingly, society is calling upon physicians to limit care and to use their skills on behalf of health plan bureaucrats, public officials, national security, and courts of law. And doctors are answering this call. They're endangering patients, veiling moral choices behind the language of science and, at times, compromising our liberties. In The Hippocratic Myth, Dr. M. Gregg Bloche marshals his expertise in medicine and the law to expose how: *Doctors are pushed into acting both as caregivers and cost-cutters, compromising their fidelity to patients *Politics keeps doctors from giving war veterans the help they need *Insurers and hospital administrators pressure doctors to discontinue life-saving treatment, even when patients and family members object *Medicine has become a weapon in America's battles over abortion, child custody, criminal responsibility, and the rights of gays and lesbians *The war on terror has exploited clinical psychology to inflict harm Challenging, provocative, and insightful, The Hippocratic Myth breaks the code of silence and issues a powerful warning about the need for doctors to forge a new compact with patients and society.
Author: Richard P. Menger, MD, MPA Publisher: Lulu.com ISBN: 1483485145 Category : Science Languages : en Pages : 332
Book Description
The concept of this project is based on the premise that neurosurgeons are vital agents in the application of the American health care apparatus. They remain the true advocates for patients undergoing surgery for a neurological condition. Yet, the tenets of health care economics, health care policy, and the business of medicine remain largely debated within the context of politicians, policy experts, and administrators. This textbook will ease that gap. It will bring material generally absent from medical curricula into discussion. It will make potent features of health care economics, policy, and the business of practice digestible to clinical neurosurgeons in order to help them better treat their patients. The information provided in this text will also provide an excellent foundation for understanding the mechanics of running a neurosurgical practice. It simultaneously addresses career progression and opportunity evaluation.
Author: Ezekiel Emanuel Publisher: Oxford University Press ISBN: 0190200774 Category : Medical Languages : en Pages : 569
Book Description
Budgets of governments and private insurances are limited. Not all drugs and services that appear beneficial to patients or physicians can be covered. Is there a core set of benefits that everyone should be entitled to? If so, how should this set be determined? Are fair decisions just impossible, if we know from the outset than not all needs can be met? While early work in bioethics has focused on clinical issues and a narrow set of principles, in recent years there has been a marked shift towards addressing broader population-level issues, requiring consideration of more demanding theories in philosophy, political science, and economics. At the heart of bioethics' new orientation is the goal of clarity on a complex set of questions in rationing and resource allocation. Rationing and Resource Allocation in Healthcare: Essential Readings provides key excerpts from seminal and pertinent texts and case studies about these topics, contextualized by original introductions. The volume is divided into three broad sections: Conceptual Distinctions and Ethical Theory; Rationing; and Resource Allocation. Containing the most important and classic articles surrounding the theoretical and practical issues related to rationing and how to allocate scare medical resources, this collection aims to assist and inform those who wish to be a part of bioethics' 21st century shift including practitioners and policy-makers, and students and scholars in the health sciences, philosophy, law, and medical ethics.
Author: B. Guy Peters Publisher: CQ Press ISBN: 1452218714 Category : Political Science Languages : en Pages : 609
Book Description
Voting and elections may often be cited as the most entertaining aspect of political theatre, however, it is the arena of public policy that has the most direct impact on the lives of the citizenry. And as we have seen played out in recent debates over healthcare reform, policy changes can be dramatic, sweeping, and often hotly contested. Known for providing a trusted and comprehensive overview of the policy process, B. Guy Peters returns with the ninth edition of American Public Policy: Promise and Performance. Beyond walking students through the governmental structures and policy-making procedures, Peters efficiently covers a wide swath of policy areas, and then concludes with a look at both cost-benefit analysis and ethical analysis. Framed in context of the aftermath of the financial crisis and Great Recession, the ninth edition considers how policy has been impacted by persistent unemployment and growing income inequality. In addition, Peters discusses the strain on education budgets, increased oversight of financial activities, fiscal policies meant to stimulate the economy, and the political challenge of balancing the budget in light of increased public spending.
Author: Nicholas Rosenlicht Publisher: Simon and Schuster ISBN: 1639367314 Category : Psychology Languages : en Pages : 202
Book Description
A leading psychiatrist seeks to transform our understanding of mental health care and how it fits into larger social and economic forces—and proposes an effective and compassionate new framework for healing. Mental health care in America has become nothing short of atrocious. Supposed developments in treatment methods and medication remain inaccessible to those who need them most. Countless people seeking treatment are routinely funneled into prison or end up homeless while an epidemic of mental illness ravages younger generations. It seems obvious that the system is broken, but the tragic truth is that it is actually functioning exactly as intended, providing reliably enormous profits for the corporate entities who now manage mental health care. It is easy to turn a blind eye. Most of us are more comfortable ducking our own fears about mental health and placing our faith in the rugged American individual and the free market, rather than confronting our own prejudices and misguided beliefs. Why did we choose to build such a disastrous system when every other industrialized nation has developed far better models? After decades of work in psychiatry, Dr. Nicholas Rosenlicht reveals how and why we arrived at this abysmal reality—and more importantly, how we can find our way out of it. Timely and unflinching, and written with commanding prose and the deep knowledge of a mental health care veteran who categorically rejects corporate interests, Dr. Rosenlicht makes plain the disastrous outcomes of the for-profit mental health care model. Patients are “clients” and doctors are “providers,” stripping away the human element and emboldening shifty ethical and legal practices. Perhaps most insidious, the business model paints the mentally ill as the “other,” as people who just don’t want help, rather than as people who can’t afford care or even realize they need help as a consequence of their illness. But a path forward does exist. Mental illness is something that will touch all of us all of us in some way, if not directly through those we know and love. Those who have already helped care for a loved one know that those who suffer by it have hopes, desires, and aspirations. A healthy solution means a healthier society. In the tradition of Andrew Solomon or Bessel van der Kolk's The Body Keeps the Score, My Brother's Keeper is a paradigm shifting book that can help us find our way to real and lasting solutions.
Author: Daniel Skinner Publisher: U of Minnesota Press ISBN: 145295996X Category : Medical Languages : en Pages : 277
Book Description
How the politics of “medical necessity” complicates American health care The definition of medical necessity has morphed over the years, from a singular physician’s determination to a complex and dynamic political contest involving patients, medical companies, insurance companies, and government agencies. In this book, Daniel Skinner constructs a comprehensive understanding of the politics of defining this concept, arguing that sustained political engagement with medical necessity is essential to developing a health care system that meets basic public health objectives. From medical marijuana to mental health to reproductive politics, the concept of medical necessity underscores many of the most divisive and contentious debates in American health care. Skinner’s close reading of medical necessity’s production illuminates the divides between perceptions of medical need as well as how the gatekeeper concept of medical necessity tends to frame medical objectives. He questions the wisdom of continuing to use medical necessity when thinking critically about vexing health care challenges, exploring the possibility that contracts, rights, and technology may resolve the contentious politics of medical necessity. Skinner ultimately contends that a major shift is needed, one in which health care administrators, doctors, and patients admit that medical necessity is, at its base, a contestable political concept.
Author: Steven J. Barela Publisher: ISBN: 0190097523 Category : Law Languages : en Pages : 625
Book Description
This book develops, for the first time, a comprehensive discussion regarding the legality of torture and the efficacy of interrogation. Scientific research has concluded that torture is not effective. So, what interrogational methods are effective and how does one deploy those methods in such a way that is consistent with law and morality?
Author: Michael L. Gross Publisher: Oxford University Press ISBN: 0190694947 Category : Medical Languages : en Pages : 353
Book Description
"The goal of military medicine is to conserve the fighting force necessary to prosecute just wars. Just wars are defensive or humanitarian. A defensive war protects one's people or nation. A humanitarian war rescues a foreign, persecuted people or nation from grave human rights abuse. To provide medical care during armed conflict, military medical ethics supplements civilian medical ethics with two principles: military-medical necessity and broad beneficence. Military-medical necessity designates the medical means required to pursue national self-defense or humanitarian intervention. While clinical-medical necessity directs care to satisfy urgent medical needs, military-medical necessity utilizes medical care to satisfy the just aims of war. Military medicine may therefore attend the lightly wounded before the critically wounded or use medical care to win hearts and minds. The underlying principle is broad, not narrow, beneficence. The latter addresses private interests, while broad beneficence responds to the collective welfare of the political community"--
Author: Roi Livne Publisher: Harvard University Press ISBN: 0674239873 Category : Social Science Languages : en Pages : 361
Book Description
This insightful study examines the deeply personal and heart-wrenching tensions among financial considerations, emotional attachments, and moral arguments that motivate end-of-life decisions. America’s health care system was built on the principle that life should be prolonged whenever possible, regardless of the costs. This commitment has often meant that patients spend their last days suffering from heroic interventions that extend their life by only weeks or months. Increasingly, this approach to end-of-life care is coming under scrutiny, from a moral as well as a financial perspective. Sociologist Roi Livne documents the rise and effectiveness of hospice and palliative care, and growing acceptance of the idea that a life consumed by suffering may not be worth living. Values at the End of Life combines an in-depth historical analysis with an extensive study conducted in three hospitals, where Livne observed terminally ill patients, their families, and caregivers negotiating treatment. Livne describes the ambivalent, conflicted moments when people articulate and act on their moral intuitions about dying. Interviews with medical staff allowed him to isolate the strategies clinicians use to help families understand their options. As Livne discovered, clinicians are advancing the idea that invasive, expensive hospital procedures often compound a patient’s suffering. Affluent, educated families were more readily persuaded by this moral calculus than those of less means. Once defiant of death—or even in denial—many American families and professionals in the health care system are beginning to embrace the notion that less treatment in the end may be better treatment.
Author: M. Gregg Bloche
Author: M. Gregg Bloche
Author: Maxwell Gregg Bloche
Author: Richard P. Menger, MD, MPA
Author: Ezekiel Emanuel
Author: B. Guy Peters
Author: Nicholas Rosenlicht
Author: Daniel Skinner
Author: Steven J. Barela
Author: Michael L. Gross
Author: Roi Livne