Trusting medicine : the moral cost of managed care /
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| Author / Creator: | Illingworth, Patricia M. L., 1954- |
|---|---|
| Imprint: | London ; New York : Routledge, 2005. |
| Description: | x, 184 p. ; 25 cm. |
| Language: | English |
| Subject: | |
| Format: | Print Book |
| URL for this record: | http://pi.lib.uchicago.edu/1001/cat/bib/6098426 |
Table of Contents:
- Acknowledgements
- Introduction
- An overview of this book
- Defining managed care
- 1. Conflicting values in a troubled health-care system
- The cost of care
- Ethical assumptions, principles and theories
- Stewardship, social justice and contributive justice
- 2. Bluffing, puffing, and spinning
- Bluffing and the warranty theory of truth
- Deception within health plans
- Physician deception
- Deception through silence: debating disclosure
- Warranting the truth
- Patient deception: damned if they do, damned if they don't
- Assumption of the risk
- 3. Trust: the scarcest of medical resources
- Trust
- The doctor-patient relationship: a vessel of trust
- Medical trust at risk
- Coping with the problem of declining trust between doctor and patient
- Trust as procedural justice
- Fragility of trust
- Costs of conserving trust
- 4. The doctor-patient relationship in a social context
- Social relations are important for health promotion
- The impact of income inequality on health
- Managed care and the erosion of the professional practice standard
- The myth of choice
- 5. Conserving medical trust for the sake of social capital
- Trust and social capital
- The consequences of diminishing social capital for individuals
- Harms to the community from our depleted fund of social capital
- Implications for the consent argument
- Protecting our reservoir of medical trust
- Trading trust
- 6. Law, its meaning, and its effect on social capital
- Expressive theories of law
- ERISA: a window of opportunity
- Pegram v. Herdrich
- Expressive content and social capital
- The professional practice standard
- Thinking about policy implications
- 7. Employer leadership in the era of workplace rationing
- Starting with clinical ethics
- Employers cum proxy decision-makers
- Implementing substituted judgment
- Best-interest-of-the-employee test
- Employer cost shifting and the failure to meet proxy criteria
- Employer leadership in exercising discretion
- The argument from social capital
- 8. Protecting medical trust, conserving social capital
- Bibliography
- Index
