Author(s)Rainbolt, George W.
Conflict of Interest
Health Care Delivery
Physician Patient Relationship
Professional Patient Relationship
Selection for Treatment
Full recordShow full item record
AbstractThis essay critically evaluates the claim that competition in medicine destroys the moral integrity of the traditional patient-physician relationship. The author argues that the traditional patient-centered ethic is indefensible on moral grounds, and that it should be jettisoned in favor of a fiduciary ethic. A fiduciary ethic is found to provide the best defensible account of the patient-physician relationship because it takes seriously the roles economic efficiency, competition, and respect for individual self-determination play in fashioning moral health care delivery.
Journal of Medicine and Philosophy. 1987 Feb; 12(1): 85-99.