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Just Doctoring: Medical Ethics In The Liberal State

by Troyen A. Brennan


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Book Description
Just Doctoring draws the doctor-patient relationship out of the consulting room and into the middle of the legal and political arenas where it more and more frequently appears. Traditionally, medical ethics has focused on the isolated relationship of physician to patient in a setting that has left the physician virtually untouched by market constraints or government regulation. Arguing that changes in health care institutions and legal attention to patient rights have made conventional approaches obsolete, Troyen Brennan points the way to a new, more aware and engaged medical ethics.
The medical profession is no longer isolated, even theoretically, from the liberal, market-dominated state. Old ideas of physician beneficence and altruism must make way for a justice-based medical ethics, assuming a relationship between equals more compatible with liberal political philosophy. Brennan offers clinical examples of many of today's most challenging medical problems--from informed consent to care rationing and the repercussions of the HIV epidemic--and gives his recommendation for a new ethical perspective. This lively and controversial plea for a rethinking of medical ethics goes right to the heart of medical care at the end of the twentieth century.

From the Inside Flap
"A marvelously engaging book, one that . . . [could make] a large difference in how medical-legal issues are understood by physicians and many others in this huge industry."--Theodore R. Marmor, Yale University

"One of the most important and exciting I have read in biomedical ethics in the last few years. The author's firm grounding in medicine and law and his understanding of moral and political philosophy have enabled him to write an exceptionally valuable book that exposes the possibilities and limitations of different models of ethics in a liberal state. . . . I strongly recommend this clear and illuminating book."--James F. Childress, University of Virginia

About the Author
Troyen A. Brennan is Assistant Professor at the Harvard Medical School. He also has a law degree and has taught at the Harvard Law School.

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