Changing Health Care Systems from Ethical, Economic, and Cross Cultural Perspectives

  • Erich H. Loewy
  • Roberta Springer Loewy

Table of contents

  1. Front Matter
    Pages i-xvii
  2. Erich H. Loewy
    Pages 1-14
  3. Larry R. Churchill
    Pages 15-27
  4. Eike-Henner W. Kluge
    Pages 29-48
  5. Michael J. Garland
    Pages 49-61
  6. Perry A. Pugno
    Pages 63-69
  7. Faith T. Fitzgerald
    Pages 71-76
  8. David Chinitz, Avi Israeli
    Pages 85-99
  9. Roberta Springer Loewy, Erich H. Loewy
    Pages 127-141
  10. Jeanny K. Park
    Pages 163-171
  11. Susan E. Zinner-Kemp
    Pages 173-180
  12. Back Matter
    Pages 181-187

About this book


This volume is the result of a conference sponsored by the Medical Alumni Association of the University of California, Davis and held in Sacramento, California, in January, 2000, The purpose of this conference was to examine the impact ofvarious health care structures on the ability of health care professionals to practice in an ethically acceptable manner. One of the ground assumptions made is that ethical practice in medicine and its related fields is difficult in a setting that pays only lip service to ethical principles. The limits of ethical possibility are created by the system within which health care professionals must practice. When, for example, ethical practice necessitates—as it generally does—that health care professionals spend sufficient time to come to know and understand their patients’ goals and values but the system mandates that only a short time be spent with each patient, ethical practice is made virtually impossible. One of our chief frustrations in teaching health care ethics at medical colleges is that we essentially teach students to do something they are most likely to find impossible to do: that is, get to know and appreciate their patients’ goals and values. There are other ways in which systems alter ethical possibilities. In a system in which patients have a different physician outside the hospital than they will inside, ethical problems have a different shape than if the treating physician is the same person.


Deontology Ethical Issues Management Utilitarianism ethics health organization

Editors and affiliations

  • Erich H. Loewy
    • 1
  • Roberta Springer Loewy
    • 1
  1. 1.University of CaliforniaDavis Sacramento

Bibliographic information