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 |

Balancing Act: The New Medical Ethics of Medicine's New Economics

Robert M. Veatch, PhD
JAMA. 1993;269(19):2558. doi:10.1001/jama.1993.03500190102046.
Text Size: A A A
Published online

ABSTRACT

The economic pressure on clinical caregivers to be cost-conscious in health care decisions is the greatest new ethical challenge facing physicians today. There have been other volumes written recently on the ethics of health resource allocation (including those by Paul Menzel, Frank Marsh, Daniel Callahan, and Norman Daniels), but none focuses as sharply and effectively on pressures experienced by the practicing clinician at the bedside as Haavi Morreim's Balancing Act. Appearing in Kluwer's unfortunately expensive Clinical Medical Ethics series, Morreim's treatment of the subject carries the analysis to new levels of specificity and sophistication.

For example, she offers the first serious, extended discussion of the ethics of physicians "gaming the system" to get what they believe will benefit their patients. She examines and ultimately provides ethical arguments against physicians stretching the truth or telling outright lies on insurance claim forms to get payments for a patient's needs that could not

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

Figures

Tables

References

Letters

CME
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.
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();