The American Medical Ethics Revolution: How the AMA's Code of Ethics Has Transformed Physicians' Relationships to Patients, Professionals, and Society

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JHU Press, 1999 M12 13 - 396 pages

To reflect on medical ethics past as means of illuminating our understanding of medical ethics present and future.

Selected by Choice Magazine as an Outstanding Academic Title

The American Medical Association enacted its Code of Ethics in 1847, the first such national codification. In this volume, a distinguished group of experts from the fields of medicine, bioethics, and history of medicine reflect on the development of medical ethics in the United States, using historical analyses as a springboard for discussions of the problems of the present, including what the editors call "a sense of moral crisis precipitated by the shift from a system of fee-for-service medicine to a system of fee-for-system medicine, better known as 'managed care.'"

The authors begin with a look at how the medical profession began to consider ethical issues in the 1800s and subsequent developments in the 1900s. They then address the sociological, historical, ethical, and legal aspects of the practice of medicine. Later chapters discuss current and future challenges to medical ethics and professional values. Appendixes display various versions of the AMA's Code of Ethics as it has evolved over time.

Contributors: George J. Annas, J.D., M.P.H., Arthur Isak Applbaum, Ph.D., Robert B. Baker, Ph.D., Chester R. Burns, M.D., Ph.D., Arthur L. Caplan, Ph.D., Alexander Morgan Capron, J.D., Christine K. Cassel, M.D., Linda L. Emanuel, M.D., Ph.D., Eliot L. Freidson, Ph.D., Albert R. Jonsen, Ph.D., Stephen R. Latham, J.D., Ph.D., Susan E. Lederer, Ph.D., Florencia Luna, Ph.D., Edmund D. Pellegrino, M.D., Charles E. Rosenberg, Ph.D., Mark Siegler, M.D., Rosemary A. Stevens, Ph.D., Robert M. Tenery, Jr., M.D., Robert M. Veatch, Ph.D., John Harley Warner, Ph.D., Paul Root Wolpe, Ph.D.

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Contents

Moral Philosophy Benjamin Rush
3
The American Medical Ethics Revolution
17
The Challenge of Specialism in the 1900s
70
Oaths Codes
91
The Moral Status
107
Practice Positivism
144
Who Should Control the Scope and Nature
158
Medical Ethics as a Medical Matter
171
Future Challenges to Medical Ethics
263
Can Ethics Help Guide the Future of Biomedicine?
272
National
285
Reflections
297
Appendixes
313
С Code of Ethics 1847
324
Principles of Medical Ethics 1903
335
E Principles of Medical Ethics 1912
346

Who Needs Physicians Professional Ethics?
192
The TwentiethCentury
207
The Challenge of Serving Both Patient and Populace
240
F Principles of Medical Ethics 1957
355
Index
389
Copyright

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About the author (1999)

Robert B. Baker, Ph.D., is a professor in the Department of Philosophy at Union College. Stephen R. Latham J.D., Ph.D., teaches at Northwestern University School of Law. Arthur L. Caplan, Ph.D., is a professor and director, Center for Bioethics at the University of Pennsylvania College of Medicine. Linda L. Emanuel, M.D., Ph.D., is Vice President for Ethics Standards at the American Medical Association.

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