The level of compensation doctors receive from Medicare is currently under renewed scrutiny; these standards are mirrored by health insurers. The quantity of reimbursement weighted to specialists is likely to shift towards primary care physicians. Reconfiguration of doctors’ fees is overdue, although they are determined by a secretive American Medical Association committee.
Analysis and debate about the ongoing healthcare crisis emphasize misdirected funding rather than considering how to revitalize the ethics of medicine. The Hippocratic Oath clarifies the priorities essential for the mindset of a physician. Despite its primary warning, first, do no harm, damage done to patients is rampant. Resolution of this tragic dynamic appears insoluble.
When decisions are made by any medical organization with financial interests, the primary impetus of the Oath is lost; the AMA’s control over payment schedules reinforces and exemplifies a corrupt institutional flaw. The harm done by the business of medicine needs to be evaluated and controlled.
The seemingly intractable conflict of interest undermining medical care is directly tied to a profit-oriented model in mitigating human suffering. Dispensing treatments with earnings in mind is a form of profitable planned obsolescence and ultimately a methodology that degrades patient autonomy and vitality.
Although there is often consensus among critics of the healthcare system about its numerous faults, approaching the central issue of profiting from illness is virtually avoided.
In an attempt to broach the topic of money and medicine, the AMA’s Journal of Ethics presents a self-justifying analysis. The following excerpt exposes how this inherently conflicted view of healthcare depends on the illness of the nation.
Hellbound and Down 