Abstract
Much has changed in American health care. For many years, the medical profession has exercised a virtual monopoly over the training, tools, and concepts of health and disease, primarily through laws of licensure and prescription, and a nearly singular economic control over volume, kind, and price of services. This situation has changed in the last few decades, due in part to the emergence of managed care.’ As those who pay the costs of care reconsider what they will buy and how much they will pay, the medical profession’s influence over consumers’ options for treatment of their disease is weakening rapidly. Physicians are becoming one of the many (including patients, interest groups, employers, government, insurance companies, health care institutions, and bioethicists) who have power over how disease is defined, diagnosed, and treated.
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Cutter, M.A.G. (2002). Ethics of Managed Care: In Search of Grounding. In: Bondeson, W.B., Jones, J.W. (eds) The Ethics of Managed Care: Professional Integrity and Patient Rights. Philosophy and Medicine, vol 76. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-0413-7_9
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