Theoretical Medicine

, Volume 14, Issue 1, pp 27–42 | Cite as

What's so special about medicine?

  • Daniel P. Sulmasy


Health care has increasingly come to be understood as a commodity. The ethical implications of such an understanding are significant. The author argues that health care is not a commodity because health care (1) is non-proprietary, (2) serves the needs of persons who, as patients, are uniquely vulnerable, (3) essentially involves a special human relationship which ought not be bought or sold, (4) helps to define what is meant by ‘necessity’ and cannot be considered a commodity when subjected to rigorous conceptual analysis. The Oslerian conception that medicine is a calling and not a business ought to be reaffirmed by both the profession and the public. Such a conception would have significant ramifications for patient care and health care policy.

Key words

economics efficiency of health care ethics health care as a commodity medicine as a business physician-patient relationship 


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Copyright information

© Kluwer Academic Publishers 1993

Authors and Affiliations

  • Daniel P. Sulmasy
    • 1
  1. 1.Center for Clinical BioethicsGeorgetown University School of MedicineWashington, D.C.USA

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