Patient, Heal Thyself: How New Medicine Puts the Patient in Charge

Hardcover | November 15, 2008

byRobert Veatch

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Robert Veatch is one of the most distinguished American bioethicists, having in many ways helped to create that field. His new book is on a theme he has developed for thirty years: his view that a fundamental and radical change is sweeping through the American health care system but has so farreceived relatively little attention. This change is so fundamental and far-reaching that Veatch claims we are in the early stages of a 'new medicine' that will replace what we think of as modern medical practice. The change is in how we think about medical decision-making. Whereas modern medicine's core idea was that medical decisions should be based on the cold, hard facts of science -- the province of the doctor -- the 'new medicine' reflects the notion that medical decisions impose value judgments.Since physicians can claim no expertise on making those value judgments, the pendulum has swung greatly toward the patient in evaluating alternatives and making decisions about their treatment. While the doctor's expertise is consulted, the patient is in control. In short, doctor no longer knowsbest. Veatch shows how this is only true for value-loaded interventions (abortion, euthanasia, genetics) but coming to be true for almost every routine procedure in medicine -- everything from setting broken arms, to choosing drugs for cholesterol or osteoporosis. Veatch uses a range offascinating contemporary and historical examples to reveal how values underly almost all medical procedures, and illustrate his case that this change is inevitable and a positive trend for patients.

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Robert Veatch is one of the most distinguished American bioethicists, having in many ways helped to create that field. His new book is on a theme he has developed for thirty years: his view that a fundamental and radical change is sweeping through the American health care system but has so farreceived relatively little attention. This ...

Robert Veatch is a Professor of Medical Ethics at Georgetown University.

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Format:HardcoverDimensions:320 pages, 9.3 × 6.3 × 1.1 inPublished:November 15, 2008Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195313720

ISBN - 13:9780195313727

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Table of Contents

Table of ContentsDetailed Table of ContentsList of CasesPrefaceThe New Medicine: An IntroductionPart I: Why Doctor Does Not Know Best1. The Puzzling Case of the Broken Arm2. The Hernias, Diets, and Drugs3. Doctor Doesn't Know Best: Why Physicians Cannot Know What Will Benefit Patients4. Sacrificing Patient Benefit to Protect Patient Rights5. Sacrificing a Patient: Societal Interests and Duties to Others6. The New, Limited Twenty-first-century Role for Physicians as Patient Assistants7. Abandoning Modern Medical Concepts: Doctors "Orders" and Hospital Discharge8. Medicine Can't "Indicate:" So Why Do We Talk That Way?9. Medical Necessity and Treatments of Choice: Who is Fooling Whom?Part II: New Concepts for the New Medicine10. Abandoning Informed Consent11. Why Physicians Get It Wrong and the Alternatives to Consent: Patient Choice and Deep Value Pairing12. The End of Prescribing: Why Prescription Writing is Irrational13. The Alternatives to Prescribing14. Are Fat People Overweight15. Beyond Prettiness: Death, Disease, and Being Fat16. Universal but Varied Health Insurance: Only Separate is Equal17. Health Insurance: The Case for Multiple Lists18. Why Hospice Care Should Not be a Part of Ideal Health Care: The History of the Hospice19. Why Hospice Care Should Not be a Part of Ideal Health Care: Hospice in a Postmodern EraPart III: The New Medicine and the New Medical Science20. Randomized Human Experimentation: The Modern Dilemma21. Randomized Human Experimentation: A Proposal for the New Medicine22. Clinical Practice Guidelines and Why They Are Wrong23. Outcomes Research and How Values Sneak into Finding of Fact24. The Consensus of Medical Experts and Why it is Wrong So OftenEpilogue: A Patient Manifesto