Ethics, Medical Research, and Medicine: Commercialism versus Environmentalism and Social Justice / Edition 1

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The authors of this book examine critically, and in a unique way, the poverty of medical ethics. They argue against spending almost unlimited amounts of money on medical treatment, and explore the serious biases in the way that medical research is conducted. In particular, they document how commercialization of research, especially in the pharmaceutical industry, leads to seriously distorted information being disseminated to physicians. The authors illustrate these problems using four examples: statin drugs, screening for breast and prostate cancer, genetic diagnosis and therapy, and the Swan ganz catheter. The book contrasts the greatly exaggerated merits of these medical practices with the clear advantages of a prevention approach. The book makes radical proposals for reforming these problems. It is a must-read for those interested in medical ethics, health policy, health economics, and medicine.

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Editorial Reviews

From The Critics
Arguing that there is a mythology within modern medical circles that "high-tech treatment and the latest drugs are best treatment, they should be used often... and cost of treatment is not a relevant issue," the contributors note that the third leading cause of death in the United States is unintended consequences of medical treatment and argue for a new paradigm that leans on prevention rather than intervention. They argue that in part, this mythology is driven by a quest for profits from the corporate controllers of the medical industry. In support of their criticism, they examine the effects of this mythology on statin drugs, screening for breast and prostate cancer, genetic diagnosis and therapy, and Swan Ganz catheter, arguing that all of these often cause more harm than they can be demonstrated to prevent. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780792370840
  • Publisher: Springer Netherlands
  • Publication date: 8/31/2001
  • Edition description: 2001
  • Edition number: 1
  • Pages: 216
  • Product dimensions: 9.21 (w) x 6.14 (h) x 0.56 (d)

Table of Contents

Contributors. Acknowledgements. Introduction; A. Thompson, N.J. Temple. How Essential is Medical Research? A. Thompson. Cost, Distributive Justice and Noblesse Oblige; A. Thompson. Research Design; A. Thompson, N.J. Temple. Disseminating the Results; A. Thompson, M. Egger. Leaping Over the Species' Gap: The Substitution of Humans by Other Animals in Testing of Procedures and Substances; A. Thompson. The Moral Justification for Substituting Other Animals in Medical Research; A. Thompson. How To Make A Mountain And A Mint Out Of, At Most, A Molehill: Statin Drugs; A. Thompson, N.J. Temple.The Right Heart Catheter: Evidence versus Bias; S. Workman. The Dubious Merits of Screening for Cancer of the Breast and Prostate; A. Thompson, N.J. Temple. The Genomics Revolution in Medicine: A Case of Extreme Information Overload; A. Thompson, N.J. Temple. Disease Prevention: The Low-Tech, Low-Cost Road Less Travelled; N.J. Temple. Postscript; N.J. Temple, A. Thompson. Index.

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