The Hippocratic Myth

Thursday, April 07, 2011

M. Gregg Bloche, a health policy expert with a background in medicine, law and journalism, looks at the ways society is pushing physicians to ration care and to use their skills on behalf of insurance companies, hospital bureaucrats, government officials, and the courts―putting patient trust at risk. In The Hippocratic Myth: Why Doctors Are Under Pressure to Ration Care, Practice Politics, and Compromise Their Promise to Heal, he looks at the tensions between doctors and patients and examines how doctors have double agendas as caregivers and arbiters of cost, which compromises their ability to prioritize patient needs, and why there’s a need for doctors to forge a new compact with patients and society.


M. Gregg Bloche

Comments [8]

Ed from Larchmont

I guess I wasn't suggesting that we have lots of children to try to solve the problem - funny. I was suggesting a thought experiment- what if abortion had never been made legal, and we had lots more young people in society today. I suggest we wouldn't have this health care problem, to this degree, if at all. And that since the problem is demograhic, threer is only adjustments that can't solve the problem at all.

Apr. 09 2011 02:21 PM
williamgarcia from ca,us

Let us take an example of Texas. The "Wise Medical Insurance" is quite popular in Arizona. It provides so many offers for the low income people.

Apr. 08 2011 01:21 AM

How about self-responsibility? A lot of disease can be prevented in so many ways that the effete old guard just dismisses out of hand - Yes we are good at acute care and I'm glad there's an ER if I need stitches but that is not the sum total of health! Otherwise I am happy to learn my options.

Apr. 07 2011 12:36 PM
mc from Brooklyn

Ed: The costs are rising too fast for the demographic solution you suggest. The way care is delivered and paid for has to be changed.

Paul: The Ryan plan shifts risk from the government to the senior. A dollar amount is granted to the senior and good luck buying your insurance with it.

David: Good point. TR Reid, when he spent time in Japan discovered that Toshiba had figured out to make a cheaper MRI machine. The scans in Tokyo cost $98 apiece instead of the $1200 they cost here.

Great guest. Hope to see more like him.

Apr. 07 2011 12:35 PM
David Stoler from NJ

I find that, almost without exception, these types of problems are discussed without dealing with issue of finding ways to reduce the cost of the new technology. This takes place in most areas that are technology driven. When I bought my first computer I paid $2,000 for it. Today I can get the current equivalent for 3-4
hundred dollars. Why?

Apr. 07 2011 12:21 PM
HM from HM

How may non-FDA approved remedies figure in with a new compact with patients and society?

Apr. 07 2011 12:16 PM
Paul from Jersey City

Is the current proposal by Paul Ryan a way to implement health care rationing for Medicare and Medicaid using private insurers as the gate keepers?

Apr. 07 2011 08:19 AM
Ed from Larchmont

What would be the effect on the economics of health care if we had lots more young people in the society - working and having health care insurance and paying into the system? Would that have relieved the cost problem?

Apr. 07 2011 08:11 AM

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