Patient, Heal Thyself: How the

Patient, Heal Thyself: How the "New Medicine" Puts the Patient in Charge

by Robert Veatch
ISBN-10:
0195313720
ISBN-13:
9780195313727
Pub. Date:
11/04/2008
Publisher:
Oxford University Press
ISBN-10:
0195313720
ISBN-13:
9780195313727
Pub. Date:
11/04/2008
Publisher:
Oxford University Press
Patient, Heal Thyself: How the

Patient, Heal Thyself: How the "New Medicine" Puts the Patient in Charge

by Robert Veatch
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Overview

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.

Product Details

ISBN-13: 9780195313727
Publisher: Oxford University Press
Publication date: 11/04/2008
Edition description: New Edition
Pages: 304
Product dimensions: 6.20(w) x 9.30(h) x 1.00(d)

About the Author

Robert Veatch is Professor of Medical Ethics at the Kennedy Institute of Ethics, Georgetown University. He received the career distinguished achievement award from Georgetown University in 2005 and has received honorary doctorates from Creighton and Union College. He is listed in Who's Who in America.

Table of Contents

Table of ContentsDetailed Table of ContentsList of CasesPrefaceThe New Medicine: An IntroductionPart I: Why Doctor Does Not Know Best1. The Puzzling Case of the Broken Arm2. The Hernias, Diets, and Drugs3. Doctor Doesn't Know Best: Why Physicians Cannot Know What Will Benefit Patients4. Sacrificing Patient Benefit to Protect Patient Rights5. Sacrificing a Patient: Societal Interests and Duties to Others6. The New, Limited Twenty-first-century Role for Physicians as Patient Assistants7. Abandoning Modern Medical Concepts: Doctors "Orders" and Hospital Discharge8. Medicine Can't "Indicate:" So Why Do We Talk That Way? 9. Medical Necessity and Treatments of Choice: Who is Fooling Whom?Part II: New Concepts for the New Medicine10. Abandoning Informed Consent11. Why Physicians Get It Wrong and the Alternatives to Consent: Patient Choice and Deep Value Pairing12. The End of Prescribing: Why Prescription Writing is Irrational13. The Alternatives to Prescribing14. Are Fat People Overweight15. Beyond Prettiness: Death, Disease, and Being Fat16. Universal but Varied Health Insurance: Only Separate is Equal17. Health Insurance: The Case for Multiple Lists18. Why Hospice Care Should Not be a Part of Ideal Health Care: The History of the Hospice19. Why Hospice Care Should Not be a Part of Ideal Health Care: Hospice in a Postmodern EraPart III: The New Medicine and the New Medical Science20. Randomized Human Experimentation: The Modern Dilemma21. Randomized Human Experimentation: A Proposal for the New Medicine22. Clinical Practice Guidelines and Why They Are Wrong23. Outcomes Research and How Values Sneak into Finding of Fact24. The Consensus of Medical Experts and Why it is Wrong So OftenEpilogue: A Patient Manifesto
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