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December 7/21, 1998

Ethics and Managed Care: Reconstructing a System and Refashioning a Society

Arch Intern Med. 1998;158(22):2419-2422. doi:10.1001/archinte.158.22.2419

IN THIS issue of the ARCHIVES, Kuczewski and DeVita1 present and analyze a case typical of today's managed care environment. It is a complex case that has a number of troubling ethical aspects, as in many ways does their conclusion. In this editorial, I will briefly examine some of the issues that this very troubling case raises. Crafting a method to deal with these issues will inevitably shape how technical medicine is practiced and will also critically affect how ethical problems of medical practice are understood and addressed.