Medicine and the Marketplace : The Moral Dimensions of Managed Care

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  • Format: Hardcover
  • Copyright: 1999-02-01
  • Publisher: Univ of Notre Dame Pr
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Kenman L. Wong's timely book addresses issues raised by the new intersections of business and medicine with an ethical assessment of emerging health care arrangements. By focusing on organizational ethics, he offers an integrative framework that seeks to balance patient, societal, and corporate interests. To avoid overly simplistic solutions, Wong compares managed care, traditional for-service arrangements, and other proposed health care reform options such as rationing programs and medical savings accounts based upon principles of fairness. Though Wong argues that managed care is the best available option, he finds fault with many current practices of managed care organizations. He evaluates the place of the profit motive in the guiding ethos of managed care organizations and addresses the pressing issue of whether or not managed care should remain the exclusive domain of nonprofit organizations. He concludes with an integration of business ethics and medical values that formulates organizational norms and specific practice reforms for managed care organizations.

Author Biography

Kenman L. Wong is Associate Professor of Business Ethics at Seattle Pacific University.

Table of Contents

Introductionp. 1
Business and Medicine at a New Crossroadsp. 11
Reframing the Debate: Perspectives Critical of Managed Carep. 29
Reframing the Debate: Perspectives in Support of Managed Carep. 47
Fee-for-Service Medicinep. 61
Alternative Reform Proposalsp. 81
The Ethical Importance of the Non-Profit Distinctionp. 97
The Moral Viability of For-Profit Organizationsp. 115
Business Ethics for Managed Care Organizationsp. 125
Stakeholder Responsibilities in the New Health Care Environmentp. 143
Notesp. 157
Selected Bibliographyp. 195
Indexp. 213
Table of Contents provided by Blackwell. All Rights Reserved.

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