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Overview"Robert Veatch is one of the founding fathers of contemporary bioethics. In Patient, Heal Thyself, he sheds light on a fundamental change sweeping through the American health care system, a change that puts the patient in charge of treatment to an unprecedented extent. The change is in how we think about medical decision-making. Whereas medicine's core idea was that medical decisions should be based on the hard facts of science--the province of the doctor--the ""new medicine"" contends that medical decisions impose value judgments. Since physicians are not trained to make value judgments, the pendulum has swung greatly toward the patient in making decisions about their treatment. Veatch shows how this is presently true only for value-loaded interventions (abortion, euthanasia, genetics) but is coming to be true for almost every routine procedure in medicine--everything from setting broken arms to choosing drugs for cholesterol. Veatch uses a range of fascinating examples to reveal how values underlie almost all medical procedures and to argue that this change is inevitable and a positive trend for patients." Full Product DetailsAuthor: Robert Veatch (Professor of Medical Ethics, Professor of Medical Ethics, Georgetown University, USA)Publisher: Oxford University Press Inc Imprint: Oxford University Press Inc Dimensions: Width: 16.10cm , Height: 2.10cm , Length: 24.20cm Weight: 0.563kg ISBN: 9780195313727ISBN 10: 0195313720 Pages: 304 Publication Date: 13 November 2008 Audience: Professional and scholarly , Professional & Vocational Format: Hardback Publisher's Status: Active Availability: To order Stock availability from the supplier is unknown. We will order it for you and ship this item to you once it is received by us. Table of ContentsTable of Contents Detailed Table of Contents List of Cases Preface The New Medicine: An Introduction Part I: Why Doctor Does Not Know Best 1: The Puzzling Case of the Broken Arm 2: The Hernias, Diets, and Drugs 3: Doctor Doesn't Know Best: Why Physicians Cannot Know What Will Benefit Patients 4: Sacrificing Patient Benefit to Protect Patient Rights 5: Sacrificing a Patient: Societal Interests and Duties to Others 6: The New, Limited Twenty-first-century Role for Physicians as Patient Assistants 7: Abandoning Modern Medical Concepts: Doctors Orders and Hospital Discharge 8: Medicine Can't Indicate: So Why Do We Talk That Way? 9: Medical Necessity and Treatments of Choice: Who is Fooling Whom? Part II: New Concepts for the New Medicine 10: Abandoning Informed Consent 11: Why Physicians Get It Wrong and the Alternatives to Consent: Patient Choice and Deep Value Pairing 12: The End of Prescribing: Why Prescription Writing is Irrational 13: The Alternatives to Prescribing 14: Are Fat People Overweight 15: Beyond Prettiness: Death, Disease, and Being Fat 16: Universal but Varied Health Insurance: Only Separate is Equal 17: Health Insurance: The Case for Multiple Lists 18: Why Hospice Care Should Not be a Part of Ideal Health Care: The History of the Hospice 19: Why Hospice Care Should Not be a Part of Ideal Health Care: Hospice in a Postmodern Era Part III: The New Medicine and the New Medical Science 20: Randomized Human Experimentation: The Modern Dilemma 21: Randomized Human Experimentation: A Proposal for the New Medicine 22: Clinical Practice Guidelines and Why They Are Wrong 23: Outcomes Research and How Values Sneak into Finding of Fact 24: The Consensus of Medical Experts and Why it is Wrong So Often Epilogue: A Patient ManifestoReviews...engaging and thoughtful ruminations about the current medical paradigm that include interesting inquiries into historial practices and beliefs...a compelling examination of how to catch medicine up with the times, and is not to be missed. Rebecca L Volpe, BA, St Louis University Center for Health Care Ethics ...engaging and thoughtful ruminations about the current medical paradigm that include interesting inquiries into historial practices and beliefs...a compelling examination of how to catch medicine up with the times, and is not to be missed. * Rebecca L Volpe, BA, St Louis University Center for Health Care Ethics * Author InformationRobert Veatch is Professor of Medical Ethics at the Kennedy Institute of Ethics, Georgetown University. He received the career distinguished achievement award from Georgetown University in 2005 and has received honorary doctorates from Creighton and Union College. He is listed in Who's Who in America. Tab Content 6Author Website:Countries AvailableAll regions |