[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.163.129.96. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
August 23, 1995

Managed Care: Ethical Issues-Reply

Author Affiliations

Agency for Health Care Policy and Research Rockville, Md
Michigan State University East Lansing

JAMA. 1995;274(8):611. doi:10.1001/jama.1995.03530080025030

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

In Reply.  —We agree with Dr Rosner that today's managed care environment poses a number of challenges to the ethics of the physician-patient relationship. We disagree with his diagnosis that the problem lies with the very concept of managed care, rather than how it is implemented.The letter captures a sense of "traditional" medical ethics with the statement, "The ethics of medical care should be totally divorced from the costs of rendering that care," a goal the author acknowledges as impractical. We argue that the flaw with that seductive but ultimately untenable view of medical ethics is as much theoretical as practical—it assumes ethical medical care is that provided in a world in which all resources are infinite; and that means in turn that each physician has infinite time and infinite energy for each patient. "Traditional" medicine was never like that; physicians always spent more time and energy (if not

First Page Preview View Large
First page PDF preview
First page PDF preview
×