Robert Veatch

Patient, Heal Thyself (eBook, PDF)

How the "New Medicine" Puts the Patient in Charge

• Format: PDF

Produktbeschreibung

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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Produktdetails

• Verlag: Oxford University Press
• Erscheinungstermin: 4. November 2008
• Englisch
• ISBN-13: 9780199718351
• Artikelnr.: 54556273

Autorenporträt

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.

Inhaltsangabe

* Table of Contents
* Detailed Table of Contents
* List of Cases
* Preface
* The New Medicine: An Introduction
* Part I: Why Doctor Does Not Know Best
* 1: The Puzzling Case of the Broken Arm
* 2: The Hernias, Diets, and Drugs
* 3: Doctor Doesn't Know Best: Why Physicians Cannot Know What Will
Benefit Patients
* 4: Sacrificing Patient Benefit to Protect Patient Rights
* 5: Sacrificing a Patient: Societal Interests and Duties to Others
* 6: The New, Limited Twenty-first-century Role for Physicians as
Patient Assistants
* 7: Abandoning Modern Medical Concepts: Doctors "Orders" and Hospital
Discharge
* 8: 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 Medicine
* 10: Abandoning Informed Consent
* 11: Why Physicians Get It Wrong and the Alternatives to Consent:
Patient Choice and Deep Value Pairing
* 12: The End of Prescribing: Why Prescription Writing is Irrational
* 13: The Alternatives to Prescribing
* 14: Are Fat People Overweight
* 15: Beyond Prettiness: Death, Disease, and Being Fat
* 16: Universal but Varied Health Insurance: Only Separate is Equal
* 17: Health Insurance: The Case for Multiple Lists
* 18: Why Hospice Care Should Not be a Part of Ideal Health Care: The
History of the Hospice
* 19: Why Hospice Care Should Not be a Part of Ideal Health Care:
Hospice in a Postmodern Era
* Part III: The New Medicine and the New Medical Science
* 20: Randomized Human Experimentation: The Modern Dilemma
* 21: Randomized Human Experimentation: A Proposal for the New Medicine
* 22: Clinical Practice Guidelines and Why They Are Wrong
* 23: Outcomes Research and How Values Sneak into Finding of Fact
* 24: The Consensus of Medical Experts and Why it is Wrong So Often
* Epilogue: A Patient Manifesto