The Hippocratic Myth: Why Doctors Are Under Pressure to Ration Care, Practice Politics, and Compromise Their Promise to Heal

The Hippocratic Myth: Why Doctors Are Under Pressure to Ration Care, Practice Politics, and Compromise Their Promise to Heal

by M. Gregg Bloche
     
 

When we're ill, we trust in doctors to put our well-being first. But medicine's expanding capability and soaring costs are putting this promise at risk. Increasingly, society is calling upon physicians to limit care and to use their skills on behalf of health plan bureaucrats, public officials, national security, and courts of law. And doctors are answering this

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Overview

When we're ill, we trust in doctors to put our well-being first. But medicine's expanding capability and soaring costs are putting this promise at risk. Increasingly, society is calling upon physicians to limit care and to use their skills on behalf of health plan bureaucrats, public officials, national security, and courts of law. And doctors are answering this call. They're endangering patients, veiling moral choices behind the language of science and, at times, compromising our liberties. In The Hippocratic Myth, Dr. M. Gregg Bloche marshals his expertise in medicine and the law to expose how:

*Doctors are pushed into acting both as caregivers and cost-cutters, compromising their fidelity to patients

*Politics keeps doctors from giving war veterans the help they need

*Insurers and hospital administrators pressure doctors to discontinue life-saving treatment, even when patients and family members object

*Medicine has become a weapon in America's battles over abortion, child custody, criminal responsibility, and the rights of gays and lesbians

*The war on terror has exploited clinical psychology to inflict harm

Challenging, provocative, and insightful, The Hippocratic Myth breaks the code of silence and issues a powerful warning about the need for doctors to forge a new compact with patients and society.

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Product Details

ISBN-13:
9780230603738
Publisher:
St. Martin's Press
Publication date:
03/15/2011
Pages:
272
Product dimensions:
6.20(w) x 9.10(h) x 1.00(d)

Table of Contents

Acknowledgments v

1 Introduction: Hippocrates' Myth 1

2 Cutting Costs and Keeping Faith 17

3 Stakeholders, Wonks, and the Setting of Limits 49

4 Politics, Morals, and Medical Need I: PTSD 61

5 Politics, Morals, and Medical Need II: Mobilizing Shared Resources 81

6 Setting Limits by Consent 97

7 Doctors as Warriors I: America's Frisson with Torture 119

8 Doctors as Warriors II: Ethics and Politics 159

9 Doing Justice? 181

10 Conclusion: Moving beyond the Myth 219

Notes 234

Index 261

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