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Robert Veatch is one of the founding fathers of contemporary
bioethics. In Patient, Heal Thyself, he sheds light on a
fundamental change sweeping through the American health care
system, a change that puts the patient in charge of treatment to an
unprecedented extent. The change is in how we think about medical
decision-making. Whereas medicine's core idea was that medical
decisions should be based on the hard facts of science--the
province of the doctor--the "new medicine" contends that medical
decisions impose value judgments. Since physicians are not trained
to make value judgments, the pendulum has swung greatly toward the
patient in making decisions about their treatment. Veatch shows how
this is presently true only for value-loaded interventions
(abortion, euthanasia, genetics) but is coming to be true for
almost every routine procedure in medicine--everything from setting
broken arms to choosing drugs for cholesterol. Veatch uses a range
of fascinating examples to reveal how values underlie almost all
medical procedures and to argue that this change is inevitable and
a positive trend for patients.
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