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04239cam a22004934a 4500 001 7B96B53C6BFB11DEA13FF332A8D7520A 003 SILO 005 20150520012456 008 080124s2009 enka b 001 0 eng 010 $a 2008003515 020 $a 0195313720 (pbk. : alk. paper) 020 $a 9780195313727 (pbk. : alk. paper) 035 $a (OCoLC)191751571 040 $a DNLM/DLC $c DLC $d SILO $d BTCTA $d BAKER $d YDXCP $d C#P $d BWX $d CDX $d IXA $d VP@ $d IG# $d BUR $d CQU $d IOJ $d SILO 042 $a pcc 043 $a n-us--- 050 00 $a R723.5 $b .V43 2009 060 00 $a 2008 M-522 060 10 $a W 85 $b V394p 2009 082 00 $a 610 $2 22 100 1 $a Veatch, Robert M. 245 1 $a Patient, heal thyself : $b how the new medicine puts the patient in charge / $c Robert M. Veatch. 260 $a New York : $b Oxford University Press, $c 2009. 300 $a xvi, 287 p. : $b ill. ; $c 25 cm. 504 $a Includes bibliographical references (p. [259]-275) and index. 505 0 $a Why doctor does not know best. The puzzling case of the broken arm -- Hernias, diets, and drugs -- Why physicians cannot know what will benefit patients -- Sacrificing patient benefit to protect patient rights -- Societal interests and duties to others -- The new, limited, twenty first century role for physicians as patient assistants -- Abandoning modern medical concepts : doctor's "orders" and hospital "discharge" -- Medicine can't "indicate" : so why do we talk that way? --"Treatments of choice" and "medical necessity" : who is fooling whom? -- Abandoning informed consent -- Why physicians get it wrong and the alternatives to consent : patient choice and deep value pairing -- The end of prescribing : why prescription writing is irrational -- The alternatives to prescribing -- Are fat people overweight? -- Beyond prettiness : death, disease, and being fat -- Universal but varied health insurance : only separate is equal -- Health insurance : the case for multiple lists -- Why hospice care should not be a part of ideal health care I : the history of the hospice -- Why hospice care should not be a part of ideal health care II : hospice in a postmodern era -- The new medicine and the new medical science. Randomized human experimentation : the modern dilemma -- Randomized human experimentation : a proposal for the new medicine -- Clinical practice guidelines and why they are wrong -- Outcomes research and how values sneak into finding of fact -- The consensus of medical experts and why it is wrong so often. 520 $a Robert Veatch, one of the founding fathers of contemporary bioethics, sheds light on a fundamental change sweeping through the American health care system, a change that puts the patient in charge of treatment to an unprecedented extent. The change is in how we think about medical decision making. Whereas medicine's core idea was that medical decisions should be based on the hard facts of science, the province of the doctor, the "new medicine" contends that medical decisions impose value judgments. Since physicians are not trained to make value judgments, the pendulum has swung greatly toward the patient in making decisions about their treatment. Veatch shows how this has been true only for value loaded interventions (abortion, euthanasia, genetics) but is coming to be true for almost every routine procedure in medicine, and uses a range of examples to argue that this change is inevitable and a positive trend for patients.--From publisher description. 650 0 $a Medicine $x Decision making. 650 0 $a Medical ethics. 650 0 $a Medical care $z United States. 650 12 $a Patient Participation $x trends. 650 22 $a Delivery of Health Care $x trends. 650 22 $a Personal Autonomy. 650 22 $a Philosophy, Medical. 650 22 $a Physician-Patient Relations. 856 41 $3 Table of contents only $u http://www.loc.gov/catdir/toc/ecip089/2008003515.html 941 $a 5 952 $l PLAX964 $d 20240724064507.0 952 $l USUX851 $d 20171003034404.0 952 $l JHPC815 $d 20150213072533.0 952 $l UQAX771 $d 20100120073657.0 952 $l GAAX314 $d 20090806113132.0 956 $a http://locator.silo.lib.ia.us/search.cgi?index_0=id&term_0=7B96B53C6BFB11DEA13FF332A8D7520A 994 $a 02 $b IOJInitiate Another SILO Locator Search