Competition and the Patient-Centered Ethic
- 1 February 1987
- journal article
- research article
- Published by Oxford University Press (OUP) in Journal of Medicine and Philosophy
- Vol. 12 (1) , 85-99
- https://doi.org/10.1093/jmp/12.1.85
Abstract
This essay critically evaluates the claim that competition in medicine destroys the moral integrity of the traditional patient-physician relationship. The author argues that the traditional patient-centered ethic is indefensible on moral grounds, and that it should be jettisoned in favor of a fiduciary ethic. A fiduciary ethic is found to provide the best defensible account of the patient-physician relationship because it takes seriously the roles economic efficiency, competition, and respect for individual self-determination play in fashioning moral health care delivery.Keywords
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