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The Price of Health (Hardcover, 1986 ed.)
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The Price of Health (Hardcover, 1986 ed.)
Series: Philosophy and Medicine, 21
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Medicine, morals and money have, for centuries, lived in uneasy
cohabitation. Dwelling in the social institution of care of the
sick, each needs the other, yet each is embarrassed to admit the
other's presence. Morality, in particular, suffers embarrassment,
for it is often required to explain how money and medicine are not
inimical. Throughout the history of Western medicine, morality's
explanations have been con sistently ambiguous. Pla.o held that the
physician must cultivate the art of getting paid as well as the art
of healing, for even if the goal of medicine is healing and not
making money, the self-interest of the craftsman is satisfied
thereby [4]. Centuries later, a medieval medical moralist, Henri de
Mandeville, said: "The chief object of the patient ... is to get
cured ... the object of the surgeon, on the other hand, is to
obtain his money ... ([5], p. 16). This incompatibility, while
general, is not universal. Throughout history, medical
practitioners have resolved the problem - either in conscience or
to their satisfaction. Some physicians have been so reluctant to
make a profit from the ills of those whom they treated that they
preferred to live in poverty. Samuel Johnson described his friend,
Dr. Robert Levet, a Practiser of Physic: No summons mock'd by chill
delay, No petty gain disdain'd by pride; The modest wants of ev'ry
day The toil of ev'ry day supplied [3].
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