Philosophy and Medicine

The Ethics of Managed Care: Professional Integrity and Patient Rights

Editors: Bondeson, W.B., Jones, J.W. (Eds.)

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About this book

in the culture of medicine, and they saw their mission as a generation of profit for stockholders, not necessarily medical care for clients. Cost-effective medicine was the goal in the context of a profit-making enterprise. Although preventive health care programs were promised, very few were realized and they were not nearly comprehensive. The definition of unnecessary testing slowly expanded to mean virtually any high-cost test requiring the service of a medical specialist, and low­ priced generalist physicians with limited diagnostic and therapeutic skills were made available to patients with the instruction they should limit their access to high-cost specialists. Managed care organizations tended to re ward primary care physicians who avoided specialty referrals, and severed contracts with those who persisted in sending their patients to outside consultants. Most notoriously, managed care organizations maintained veto authority over the provision of complex and expensive care, and that veto was often wielded in defiance of a physician's recommendation by managed care employees without medical training or experience. Managed care did indeed slow the rate in increase of medical costs, but not without limitations on the care provided to patients and the professional integrity of physicians. Managed care organizations were so successful that they could provide extremely high salaries to their executives even in the context of limiting cost and care. It is these developments that the papers of this symposium addressed. The most fundamental ethical issue is posed in the first paper by Dr.

Table of contents (11 chapters)

Table of contents (11 chapters)

Buy this book

eBook $119.00
price for USA (gross)
  • ISBN 978-94-017-0413-7
  • Digitally watermarked, DRM-free
  • Included format: PDF
  • ebooks can be used on all reading devices
  • Immediate eBook download after purchase
Hardcover $159.99
price for USA
  • ISBN 978-1-4020-1045-3
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
Softcover $159.99
price for USA
  • ISBN 978-90-481-6185-0
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
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Bibliographic Information

Bibliographic Information
Book Title
The Ethics of Managed Care: Professional Integrity and Patient Rights
Editors
  • W.B. Bondeson
  • J.W. Jones
Series Title
Philosophy and Medicine
Series Volume
76
Copyright
2002
Publisher
Springer Netherlands
Copyright Holder
Springer Science+Business Media B.V.
eBook ISBN
978-94-017-0413-7
DOI
10.1007/978-94-017-0413-7
Hardcover ISBN
978-1-4020-1045-3
Softcover ISBN
978-90-481-6185-0
Series ISSN
0376-7418
Edition Number
1
Number of Pages
XII, 185
Topics