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The Ethics and Empirics of Trust

  • Mark A. Hall
Chapter
Part of the Philosophy and Medicine book series (PHME, volume 76)

Abstract

I will use the occasion of discussing managed care as an excuse to develop a more general ethic of trust. One hardly needs an excuse to talk about trust, considering its foundational nature, but if justification is required, managed care provides it amply Numerous commentators have observed the many threats that managed care poses to patients’ ability to trust their physician (Anders, 1996; Mechanic, 1996; Buchanan, 2000). Managed care forces patients to leave doctors they know well, it limits their choice of their new physician, it oversees physicians’ decisions with a view to restricting care, and it rewards physicians in a manner that creates a conflict of interest. Can trust survive in such a climate, and should we care? Is managed care an unmitigated ethical disaster, or is it possible to construct an ethic of trust that is consistent with at least some forms of managed care? I hope to provide at least tentative insights into each of these questions.

Keywords

Health Plan Medical Ethic Interpersonal Trust Assisted Suicide Lower Trust 
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

  • Mark A. Hall
    • 1
  1. 1.Wake Forest UniversityWinston-SalemUSA

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