Conflicts of Interest and the Future of Medicine: The United States, France, and Japan

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Oxford University Press, Feb 16, 2011 - Political Science - 392 pages
As most Americans know, conflicts of interest riddle the US health care system. They result from physicians practicing medicine as entrepreneurs, from physicians' ties to pharma, and from investor-owned firms and insurers' influence over physicians' medial choices. These conflicts raise questions about physicians' loyalty to their patients and their professional and economic independence. The consequences of such conflicts of interest are often devastating for the patients--and society--stuck in the middle. In Conflicts of Interest and the Future of Medicine, Marc Rodwin examines the development of these conflicts in the US, France, and Japan. He shows that national differences in the organization of medical practice and the interplay of organized medicine, the market, and the state give rise to variations in the type and prevalence of such conflicts. He then analyzes the strategies that each nation employs to cope with them. Unfortunately, many proposals to address physicians' conflicts of interest do not offer solutions that stick. But drawing on the experiences of these three nations, Rodwin demonstrates that we can mitigate these problems with carefully planned reform and regulation. He examines a range of measures that can be taken in the private and public sector to preserve medical professionalism--and concludes that there just might be more than one prescription to this seemingly incurable malady.
 

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Rodwin argues that there has always been a tension at the heart of medicine between the self-interest of the physician in making a profit and the professional ethos that calls on the physician to act ... Read full review

Contents

FRANCE
25
UNITED STATES
74
JAPAN
160
IMPLICATIONS
205
The Idea of Conflicts of Interest Its Origins and Application to Physicians
251
Acronyms
257
Glossary of French Terms in English
260
Acknowledgments
261
Notes
265
Bibliography
331
Index
361
About the Author
375
Copyright

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About the author (2011)

Marc A. Rodwin is Professor of Law at Suffolk University Law School. He is the author of Medicine, Money amd Morals: Physicians' Conflicts of Interest (OUP 1993) and numerous articles on health law, ethics, politics and policy. Rodwin has been a research scholar at Tokyo University Law School and the Centre National de Recherche Scientifique in France. He has testified before Congress, advised consumer groups, and lectured in several countries.

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