Ethical Issues in Managed Care
Council on Ethical and Judicial Affairs, American Medical Association
- John Glasson, MD;
- Charles W. Plows, MD;
- Oscar W. Clarke, MD;
- Victoria Ruff, MD;
- Drew Fuller;
- Craig H. Kliger, MD;
- George T. Wilkins, Jr, MD;
- James H. Cosgriff, Jr, MD;
- Robert M. Tenery, Jr, MD;
- Kirk B. Johnson, JD;
- David Orentlicher, MD, JD;
- Karey M. Harwood;
- Jeff Leslie
- Durham, NC, (Chair); Anaheim, Calif,(Vice Chair); Gallipolis, Ohio; Columbus, Ohio; Gainesville, Fla; Los Angeles, Calif; Edwardsville, III; Buffalo, NY; Dallas, Tex; Chicago, III (Senior Vice President and General Counsel and Staff Author); Chicago, Ill (Secretary and Staff Author); Somerville, Mass (Staff Associate); New Haven, Conn (Staff Associate and Staff Author).
- From the Council on Ethical and Judicial Affairs, American Medical Association, Chicago, Ill.
Since this article does not have an abstract, we have provided the first 150 words of the full text.
Excerpt
A PRIMARY concern of medical ethicists for some time has been the absence of any meaningful analysis of the impact of health care delivery marketplace changes and current legislative reforms on the essential tenets of the physician-patient relationship. Although President Clinton's original reform proposal addressed in broad terms the ethical imperatives supporting universal access, it left virtually unexamined the more fundamental question of the role of the physician in a reformed system in which the incentives are dramatically changed and budgets determine the amount of health care spending and services.
See also pp 323 and 338.
In June 1990, the Council issued a report, "Financial Incentives to Limit Care: Financial Implications for HMOs and IPAs,"1 which described the financial incentives that managed care plans offer physicians to limit their provision of care. The report concluded that patient welfare must remain the first concern of physicians working in health maintenance
Footnotes
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This report was adopted by the House of Delegates of the American Medical Association on June 14,1994, and subsequently revised in response to comments received from the peer reviewers.
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Reprint requests to Council on Ethical and Judicial Affairs, American Medical Association, 515 N State St, Chicago, IL 60610 (David Orentlicher, MD, JD).
