Managed Care and the Deprofessionalization of Medicine

  • H. Tristram EngelhardtJr.
Part of the Philosophy and Medicine book series (PHME, volume 76)


Managed care is only one among a cluster of powerful influences that transformed the American medical profession over the last three-quarters of the 20th century. This study explores managed care’s impact on medicine’s sense of itself as a profession. The study begins by acknowledging the role of a number of other important developments, including anti-trust law, the law of informed consent, and the general socioeconomic transformation of the physician-patient relationship. Managed care is recognized as the culmination of these changes that have reshaped the profession of medicine. In the case of managed care, its intrusion is understood as in great measure the result of a failure honestly to face the tension between finite resources and unlimited concerns to expend funds to avoid suffering and death.


American Medical Association Medical Ethic Professional Identity Cost Containment Federal Trade Commission 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media Dordrecht 2002

Authors and Affiliations

  • H. Tristram EngelhardtJr.
    • 1
  1. 1.Rice UniversityHoustonUSA

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