Has society in the USA really given informed consent to managed health care?

Revolution (Staten Island, N.Y.) Pub Date : 1998-01-01
A J Gilderson
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Abstract

It is the assertion of this paper that the current environment of applied managed care in the United States amounts in effect to bio-medical experimentation with humans as the subjects. The ethical dilemma of using humans as subjects of experimentation with unsure outcomes has been addressed historically. Perhaps the most famous attempt at delineating permissible behavior is the Nuremberg code of 1947. While stopping short of the logical extreme--accusing the managed care drivers of being war criminals--this text illustrates the unsatisfactory nature of the current health-care status quo, and proposes alternative means by which economic savings may be realized for the benefit of society, without violating the social obligation to provide health-care. Among the strongest proposals is that ethical or moral constraints may need the protection of regulation (legislation and possibly federal regulation) by and for the common good of the United States' society as a whole.

美国社会是否真的给予管理医疗的知情同意?
这是这篇论文的断言,目前在美国应用管理式医疗的环境实际上相当于以人类为对象的生物医学实验。使用人类作为实验对象而不确定结果的伦理困境已经在历史上得到解决。1947年的纽伦堡法典也许是描述允许行为的最著名的尝试。虽然没有达到逻辑上的极端————指责管理式医疗的司机是战犯————,但这篇文章说明了目前医疗保健现状令人不满意的本质,并提出了在不违反提供医疗保健的社会义务的情况下实现节约经济以造福社会的替代办法。最强烈的建议之一是,伦理或道德约束可能需要监管(立法和可能的联邦监管)的保护,这是为了整个美国社会的共同利益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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