0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Enemies of Patients: How Doctors Are Losing Their Power and Patients Are Losing Their Rights

John C. Kruse, MD
JAMA. 1994;271(3):247. doi:10.1001/jama.1994.03510270093052.
Text Size: A A A
Published online

ABSTRACT

Enemies of Patients, by Ruth Macklin, is a well-constructed four-wheel— drive vehicle for a journey through the briar patch of ethics and medicine. Macklin uses the case study method to illustrate each of her main points, and the result is a well-thought-out and very thought-provoking exploration of a difficult subject.

The medical curriculum of my era (class of 1963) had no teaching on the ethics of medicine. Nor did we have the technology or expertise to create Quinlan-type dilemmas, nor the myriad second guesses of bioethicists, plaintiffs attorneys, quality assurance committees, risk managers, and the like. Then, physicians did what they felt was best for the patient. Now, in the words of the late Jimmy Durante, "everybody wants inta da act!" The author calls the prior method "paternalism" in her book, but she also clearly points out the two ancient and honorable obligations of physicians, "to promote their patients' best

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();