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Strangers at the Bedside - A History of How Law and Bioethics Transformed Medical Decision Making (Hardcover)
Loot Price: R4,321
Discovery Miles 43 210
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Strangers at the Bedside - A History of How Law and Bioethics Transformed Medical Decision Making (Hardcover)
Series: Social Institutions and Social Change Series
Expected to ship within 12 - 17 working days
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David Rothman gives us a brilliant, finely etched study of medical
practice today. Beginning in the mid-1960s, the practice of
medicine in the United States underwent a most remarkable--and
thoroughly controversial--transformation. The discretion that the
profession once enjoyed has been increasingly circumscribed, and
now an almost bewildering number of parties and procedures
participate in medical decision making. Well into the post-World
War II period, decisions at the bedside were the almost exclusive
concern of the individual physician, even when they raised
fundamental ethical and social issues. It was mainly doctors who
wrote and read about the morality of withholding a course of
antibiotics and letting pneumonia serve as the old man's best
friend, of considering a newborn with grave birth defects a
"stillbirth" thus sparing the parents the agony of choice and the
burden of care, of experimenting on the institutionalized the
retarded to learn more about hepatitis, or of giving one patient
and not another access to the iron lung when the machine was in
short supply. Moreover, it was usually the individual physician who
decided these matters without formal discussions with patients,
their families, or even with colleagues, and certainly without
drawing the attention of journalists, judges, or professional
philosophers. The impact of the invasion of outsiders into medical
decision-making, most generally framed, was to make the invisible
visible. Outsiders to medicine--that is, lawyers, judges,
legislators, and academics--have penetrated its every nook and
cranny, in the process giving medicine exceptional prominence on
the public agenda and making it the subject of popular discourse.
The glare of the spotlight transformed medical decision making,
shaping not merely the external conditions under which medicine
would be practiced (something that the state, through the
regulation of licensure, had always done), but the very substance
of medical practice--the decisions that physicians made at the
bedside.
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