Medicine's changing economics have already fundamentally,
permanently altered the relationship between physician and patient,
E. Haavi Morreim argues. Physicians must weigh a patient's
interests against the legitimate, competing claims of other
patients, of payers, of society as a whole, and sometimes even of
the physician himself.
Focusing on actual situations in the clinical setting, Morreim
explores the complex moral problems that current economic realities
pose for the practicing physician. She redefines the moral
obligations of both physicians and patients, traces the specific
effects of these redefined obligations on clinical practice, and
explores the implications for patients as individuals and for
national health policy. Although the book focuses on health care in
the United States, physicians everywhere are likely to face many of
the same basic issues of clinical ethics, because every system of
health care financing and distribution today is constrained by
finite resources.
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