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Medicine, Money, and Morals: Physicians' Conflicts of Interest

Medicine, Money, and Morals: Physicians' Conflicts of Interest

Paperback

PhilosophyMedical Reference

ISBN10: 0195096479
ISBN13: 9780195096477
Publisher: Oxford University Press
Published: Apr 20 1995
Pages: 432
Weight: 1.18
Height: 1.13 Width: 5.36 Depth: 8.65
Language: English
Marc A. Rodwin draws on his own experience as a health lawyer--and his research in health ethics, law, and policy--to reveal how financial conflicts of interest can and do negatively affect the quality of patient care. He shows that the problem has become worse over the last century and provides many actual examples of how doctors' decisions are influenced by financial considerations. We learn how two California physicians, for example, resumed referrals to Pasadena General Hospital only after the hospital started paying $70 per patient (their referrals grew from 14 in one month to 82 in the next). As Rodwin writes, incentives such as this can inhibit a doctor from taking action when a hospital fails to provide proper service, and may also lead to the unnecessary hospitalization of patients. We also learn of a Wyeth-Ayerst Labs promotion in which physicians who started patients on INDERAL (a drug for high blood pressure, angina, and migraines) received 1000 mileage points on American Airlines for each patient (studies show that promotions such as this have a direct effect on a doctor's choice of drug).

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