Taming the Beloved Beast


Book Description

Technological innovation is deeply woven into the fabric of American culture, and is no less a basic feature of American health care. Medical technology saves lives and relieves suffering, and is enormously popular with the public, profitable for doctors, and a source of great wealth for industry. Yet its costs are rising at a dangerously unsustainable rate. The control of technology costs poses a terrible ethical and policy dilemma. How can we deny people what they may need to live and flourish? Yet is it not also harmful to let rising costs strangle our health care system, eventually harming everyone? In Taming the Beloved Beast, esteemed medical ethicist Daniel Callahan confronts this dilemma head-on. He argues that we can't escape it by organizational changes alone. Nothing less than a fundamental transformation of our thinking about health care is needed to achieve lasting and economically sustainable reform. The technology bubble, he contends, is beginning to burst. Callahan weighs the ethical arguments for and against limiting the use of medical technologies, and he argues that reining in health care costs requires us to change entrenched values about progress and technological innovation. Taming the Beloved Beast shows that the cost crisis is as great as that of the uninsured. Only a government-regulated universal health care system can offer the hope of managing technology and making it affordable for all.




Taming the Beast


Book Description

Summoned like a serving girl to the king, Laura Cambridge was hired as nanny to Richard Blackthorne’s secret child. Rumors about this hulking recluse didn’t daunt Laura—her beauty-queen past had taught her the inner person didn’t always match the facade. But Richard’s heart was as painfully scarred as his chiseled features.... To Richard, lovely Laura was like candy dangled in front of a baby—he was offered the sweet, but denied the taste. Yet sometimes grizzly bears enjoyed a taste of honey...and in fiction the disfigured Mr. Rochester won the love of Jane Eyre. So Richard dared to woo his green-eyed goddess, gambling that—like Jane—Laura would one day declare, “Reader, I married him.”




Ordinary Medicine


Book Description

Most of us want and expect medicine’s miracles to extend our lives. In today’s aging society, however, the line between life-giving therapies and too much treatment is hard to see—it’s being obscured by a perfect storm created by the pharmaceutical and biomedical industries, along with insurance companies. In Ordinary Medicine Sharon R. Kaufman investigates what drives that storm’s “more is better” approach to medicine: a nearly invisible chain of social, economic, and bureaucratic forces that has made once-extraordinary treatments seem ordinary, necessary, and desirable. Since 2002 Kaufman has listened to hundreds of older patients, their physicians and family members express their hopes, fears, and reasoning as they faced the line between enough and too much intervention. Their stories anchor Ordinary Medicine. Today’s medicine, Kaufman contends, shapes nearly every American’s experience of growing older, and ultimately medicine is undermining its own ability to function as a social good. Kaufman’s careful mapping of the sources of our health care dilemmas should make it far easier to rethink and renew medicine’s goals.




Unhealthy Politics


Book Description

How partisanship, polarization, and medical authority stand in the way of evidence-based medicine The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy. This critically important book paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against "doctor's orders." Now with a new preface by the authors, Unhealthy Politics offers vital insights into the limits of science, expertise, and professionalism in American politics.




The Roots of Bioethics


Book Description

Daniel Callahan---whose cofounding of The Hastings Center in 1969 was one of the most important milestones in the history of bioethics--has written on an uncommonly wide range of issues over a long career. They have moved back and forth between clinical care of individual patients and the ethical problems of health care research and delivery. Through his many writings, four core problems have recurred in all of his work, and influence each of the others. What is health and how has its understanding been shaped by medical progress and the culture of medicine and society? What is progress, a deep value in modern health care and how should we judge it? What kinds of technological innovations that come out of the drive for progress are really good for us-and what do we do when there is a clash between individual good and social good in the use of expensive technologies, a problem now evident in the unsustainable high costs of health care? How should our understanding of the place of an inevitable death in all our lives, and its place in medicine, help us to better think of the goals of medicine and the goals of our life in seeking a good death? Those four questions have been with bioethics from its beginning and will remain with it for the indefinite future. They are the roots of bioethics.




Old Man Country


Book Description

"We live in a time of change, an era where old men can maintain health but find dignity in frailty. Old Man Country helps readers see and imagine this change for themselves. The book follows the journey of a writer in search of wisdom, as he narrates encounters with twelve distinguished American men over 80 -- including Paul Volcker, the former head of the Federal Reserve, and Denton Cooley, the world's most famous heart surgeon. In these and other intimate conversations, the book explores and honors the particular way that each man faces the challenges of living a good old age"--




Rationing Is Not a Four-Letter Word


Book Description

A provocative argument that the best way to deliver high-quality healthcare to Americans is to institute a comprehensive and fair system of rationing. Most people would agree that the healthcare system in the United States is a mess. Healthcare accounts for a larger percentage of gross domestic product in the United States than in any other industrialized nation, but health outcomes do not reflect this enormous investment. In this book, Philip Rosoff offers a provocative proposal for providing quality healthcare to all Americans and controlling the out-of-control costs that threaten the economy. He argues that rationing—often associated in the public's mind with such negatives as unplugging ventilators, death panels, and socialized medicine—is not a dirty word. A comprehensive, centralized, and fair system of rationing is the best way to distribute the benefits of modern medicine equitably while achieving significant cost savings. Rosoff points out that certain forms of rationing already exist when resources are scarce and demand high: the organ transplant system, for example, and the distribution of drugs during a shortage. He argues that if we incorporate certain key features from these systems, healthcare rationing would be fair—and acceptable politically. Rosoff considers such topics as fairness, decisions about which benefits should be subject to rationing, and whether to compensate those who are denied scarce resources. Finally, he offers a detailed discussion of what an effective and equitable healthcare rationing system would look like.




Philosophy of Technology


Book Description

Philosophy of Technology: An introduction for technology and business students is an accessible guide to technology’s changes , their ubiquitousness, and the many questions these raise. Designed for those with no philosophical background in mind, it is ideal for technology and engineering students or specialists who want to learn to think critically about how their work influences society and our daily lives. The technological, business environment and daily experiences are the starting point of the book and the authors’ reflect upon these practices from a philosophical point of view. The text goes on to present a critical analysis of the subject including development, manufacturing, sales and marketing and the use of technological products and services. The abstract ideas are made easier to grasp with a story-telling approach: a vivid history of the discipline and colourful portraits of the core thinkers in this domain, as well as four case studies drawing from various engineering disciplines to demonstrate how philosophy can and should influence technology in practice. The first comprehensive introduction to this vibrant young sub-discipline in over 20 years, this is an ideal textbook for students of technology and engineering beginning a course or project in the philosophy of their subject.




Debates on U.S. Health Care


Book Description

This issues-based reference work (available in both print and electronic formats) shines a spotlight on health care policy and practice in the United States. Impassioned debates about the best solutions to health care in America have perennially erupted among politicians, scholars of public policy, medical professionals, and the general public. The fight over the Health Care Reform Act of 2010 brought to light a multitude of fears, challenges, obstacles, and passions that often had the effect of complicating rather than clarifying the debate. The discourse has never been more heated. The complex issues that animate the health care debate have forced the American public to grapple with the exigencies of the present system with regard to economic, fiscal, and monetary policy, especially as they relate to philosophical, often ideologically driven approaches to the problem. Americans have also had to examine their ideas about the relationship of the individual to and interaction with the state and the varied social and cultural beliefs about what an American solution to the problem of health care looks like. In light of the need to keep students, researchers, and other interested readers informed and up-to-date on the issues surrounding health care in the U.S., this volume uses introductory essays followed by point/counterpoint articles to explore prominent and perennially important debates, providing readers with views on multiple sides of this complex issue. Features & Benefits: The volume is divided into three sections, each with its own Section Editor: Quality of Care Debates (Dr. Jennie Kronenfeld), Economic & Fiscal Debates (Dr. Mark Zezza), and Political, Philosophical, & Legal Debates (Prof. Wendy Parmet). Sections open with a Preface by the Section Editor to introduce the broad theme at hand and provide historical underpinnings. Each Section holds 12 chapters addressing varied aspects of the broad theme of the section. Chapters open with an objective, lead-in piece (or "headnote") followed by a point article and a counterpoint article. All pieces (headnote, point article, counterpoint article) are signed. For each chapter, students are referred to further readings, data sources, and other resources as a jumping-off spot for further research and more in-depth exploration. Finally, the volume concludes with a comprehensive index, and the electronic version of the book includes search-and-browse features, as well as the ability to link to further readings cited within chapters should they be available to the library in electronic format.




Is Medicine Still Good for Us? (The Big Idea Series) (The Big Idea Series)


Book Description

This fascinating entry in The Big Idea series lays out the ethical implications and the costs of modern medicine. Over the course of human history, medicine has achieved incredible successes—but at what cost? This latest book in The Big Idea series explores the state of modern medicine, examining the ethics of medical and healthcare practices and the impact they have on modern life. This fascinating analysis engages with the debate surrounding the escalating costs, both financial and ethical, of medicine today. Intelligent and provocative, Is Medicine Still Good for Us? dissects common assumptions about medicine, helping the reader create their own informed opinion about its extraordinary achievements, limitations, injustices, and inevitable failures. Dr. Julian Sheather, an ethics adviser to Doctors Without Borders, contextualizes medicine as a science, art, institution, and ideology, outlining the pros and cons of what medicine has become in the signature Big Idea textual approach. Accompanying Sheather’s text are numerous informative illustrations that deepen the reader’s understanding of the material. A timely addition to the series, this book will engage those who love to debate, who are interested in ethics and philosophy, and those working in the medical field.