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

Paperback | September 15, 2013

byMarc A. Rodwin

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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 raisequestions 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 tovariations 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 measuresthat 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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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 raisequestions about physicians' loyalty to their patie...

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 Scient...

other books by Marc A. Rodwin

Format:PaperbackDimensions:392 pages, 9.21 × 6.14 × 0.68 inPublished:September 15, 2013Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199330433

ISBN - 13:9780199330430

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Table of Contents

Jerome Kassirer: ForwardFraming the IssuesIntroduction: Patient Stories1. The Heart of the MatterCase Studies2. The Evolution of the French Medicine3. Coping with Physicians' Conflicts of Interest in France4. The Rise of a Protected Medical Market: The United States before 19505. The Commercial Transformation: The United States, 1950-19806. The Logic of Medical Markets: The United States, 1980 to the Present7. Coping with Physicians' Conflicts of Interest in the United States8. The Evolution of Japanese Medicine9. Coping with Physicians' Conflicts of Interest in JapanImplications10. Reforms11. Professionalism ReconsideredConclusion: The Way ForwardAppendix: Conflicts of Interest Ideas: Origins and Application to PhysiciansAcronyms and GlossaryAcknowledgementsAbout the AuthorBibliographyIndex