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[Medicine at the crossroads]

G Gyarmati1

  • 1Instituto de Sociología, Pontificia Universidad Católica de Chile, Santiago de Chile.

Revista Medica De Chile
|June 1, 1997
PubMed
Summary

This article examines the medical profession's challenges, including dehumanization and market economy impacts. It explores strategies to address these issues and restore the profession's societal trust.

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Area of Science:

  • Social Sciences
  • Medical Ethics
  • Public Health Policy

Context:

  • The article analyzes the medical profession through the lens of Dr. M. Konner's book, 'Medicine at the Crossroads.' It examines medicine on societal, institutional, and professional levels.
  • Focuses on the medical profession's role and challenges within the broader societal structure and its impact on population health.
  • Highlights the Chilean experience of integrating the medical profession into a market economy and its consequences.

Purpose:

  • To critically analyze the multifaceted problems within the medical profession and its societal function.
  • To investigate the detrimental effects of hierarchical, technological, and market-driven influences on the physician-patient relationship and medical practice.
  • To identify and depict strategies for confronting the contradictions arising from the commercialization of medicine.

Summary:

  • Critiques the hierarchical, technological, and dehumanized nature of physician-patient interactions.
  • Addresses the overreliance on surgical procedures and pharmaceutical interventions, alongside neglect of mental health and artificial life extension.
  • Examines how market economic principles erode the medical profession's core virtue of trusteeship, impacting its social and political standing.

Impact:

  • Underscores the erosion of public trust and the social/political status of the medical profession due to commercialization.
  • Provides insights into the contradictions emerging from the integration of market economies into healthcare.
  • Suggests potential strategies to counteract negative trends and reaffirm the ethical foundations of medical practice.

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