The commodification of medical and health care: The moral consequences of a paradigm shift from a professional to a market ethic

被引：122

作者：

Pellegrino, ED ^{[1
]}

机构：

[1] Georgetown Univ, Med Ctr, Ctr Clin Bioeth, Washington, DC 20007 USA

来源：

JOURNAL OF MEDICINE AND PHILOSOPHY | 1999年 / 24卷 / 03期

关键词：

commodification; economics; ethics; ethos; health care; human good; managed care; marketplace; physician-patient relationship; professional ethics;

D O I：

10.1076/jmep.24.3.243.2523

中图分类号：

B82 [伦理学（道德学）];

学科分类号：

摘要：

Commodification of health care is a central tenet of managed care as it functions in the United States. As a result, price, cost, quality, availability, and distribution of health care are increasingly left to the workings of the competitive marketplace. This essay examines the conceptual, ethical, and practical implications of commodification, particularly as it affects the healing relationship between health professionals and their patients. It concludes that health care is not a commodity, that treating it as such is deleterious to the ethics of patient care, and that health is a human good that a good society has an obligation to protect from the market ethos.

引用

页码：243 / 266

页数：24