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(More customer reviews)This is the most compelling book exposing conflicts of interest, usurpation of a whole profession by money & a total disregard for the code of honor of medical professionals.The systems of Japan & France are also scrutinized. Medicine & the allied professions in the USA were bought off by industry long ago and what we have now is a mendacious medical industrial complex where whole systems no longer have the integrity they used to. Billions are spent on medical futility or therapeutic obstinacy on those past all cures, all remissions, all reprieves from advanced age or dementia. Sadly, just follow the money. The capitalistic model is only interested in the bottom line- even industry controls the message of the medical student to buy this brand or that brand. No wonder the system is bankrupt: financially, morally, ethically. The medical industrial complex has sown rewards for generations to come, rewards for itself. For this work of major importance I give Dr. Rodwin 5 stars. Damiano de Sano Iocovozzi MSN FNP CNS, CEO of the Thomas Edwin Walls Foundation (scholarship to medical, nursing, social work and respiratory care students who learn biomedical ethics, advocate for sooner hospice placements & learn the signs that a patient has less than 6 months of life)
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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 raise questions 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 to variations 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 measures that 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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