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Books > Humanities > Philosophy > Topics in philosophy > Ethics & moral philosophy
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The Ethics of Managed Care: Professional Integrity and Patient Rights (Paperback, Softcover reprint of hardcover 1st ed. 2003)
Loot Price: R2,761
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The Ethics of Managed Care: Professional Integrity and Patient Rights (Paperback, Softcover reprint of hardcover 1st ed. 2003)
Series: Philosophy and Medicine, 76
Expected to ship within 10 - 15 working days
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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."
General
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