Medicine and Commerce. 2: The Gift

Editorials1 April 1998Medicine and Commerce. 2: The GiftFrank Davidoff, MD, EditorFrank Davidoff, MD, EditorSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-128-7-199804010-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Science has helped transform medicine from social function into marketable commodity, catalyzing the recent intrusion of commerce into medicine, most visibly through the development of managed care. As noted in part one of this editorial [1], that intrusion has begun to fragment the guardian moral syndrome-the set of moral precepts-that has traditionally governed the medical profession, paving the way for the metamorphosis of the health care system into a moral “monstrous hybrid.” One major source of the angst over managed care now abroad in the profession thus seems to be our increasing perception that the integrity of the guardian moral ...References1. Davidoff F. Medicine and commerce. 1: Is managed care a “monstrous hybrid”? Ann Intern Med. 1998; 128:496-9. Google Scholar2. Jacobs J. Systems of Survival: A Dialogue on the Moral Foundations of Commerce and Politics. New York: Random House; 1992. Google Scholar3. Morris AH. Algorithm-based decision making. In: Tobin MJ, ed. Principles and Practice of Intensive Care Monitoring. New York: McGraw-Hill; 1998: 1355-81. Google Scholar4. Hyde L. The Gift. Imagination and the Erotic Life of Property. New York: Random House; 1983. Google Scholar5. Hyde L. The Gift. Imagination and the Erotic Life of Property. New York: Random House; 1983:37. Google Scholar6. Bailey JE. Asklepios: ancient hero of medical caring. Ann Intern Med. 1996; 124:257-63. Google Scholar7. Swales J. Gift relationships. J R Soc Med. 1978; 90:529-30. Google Scholar8. Adams F. Genuine Works of Hippocrates. v. 2. London: Sydenham Society; 1849; 779-80. Google Scholar9. Thomas L. The Youngest Science. Notes of a Medicine Watcher. New York: Viking Pr; 253. Google Scholar10. Cruess SR, Cruess RL. Professionalism must be taught. BMJ. 1997; 315:1674-7. Google Scholar11. Titmuss R. The Gift Relationship: From Human Blood to Social Policy. London: London School of Economics and Political Science; 1997. Google Scholar12. Hyde L. The Gift. Imagination and the Erotic Life of Property. New York: Random House; 1983:77-82. Google Scholar13. Hyde L. The Gift. imagination and the Erotic Life of Property. New York: Random House; 1983:155. Google Scholar Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByOn the Endangered Species List: Palliative Care Junior FacultyPeer Review: Integral to Science and Indispensable to AnnalsChristine Laine, MD, MPH, Senior Deputy Editor and Cynthia Mulrow, MD, MSc, Deputy Editor, for the EditorsZen and the Art of Physician Autonomy MaintenanceJames L. Reinertsen, MDCaring and Cost: The Challenge for Physician AdvocacySteven D. Pearson, MD, MScReduction of Medical Verbiage: Fewer Words, More MeaningAnthony E. Voytovich, MDThe 28th AmendmentFrank Davidoff, MD and Robert D. Reinecke, MD 1 April 1998Volume 128, Issue 7Page: 572-575KeywordsHabitsHealth careMedical conditionsMedical educationMotivationPatientsPerceptionProblem solvingQuality adjusted life yearsResource based relative value scale Issue Published: 1 April 1998 CopyrightCopyright © 1998 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...