Rainbolt George
J Soc Philos. 2002 Spring;33(1):1-8. doi: 10.1111/1467-9833.00119.
In a recent issue of this journal, Francis Beckwith's "The Ethics of Referral Kickbacks and Self-Referral and the HMO Physician as Gatekeeper: An Ethical Analysis" provided an admirably provocative defense of the claim that Health Maintenance Organization (HMO) physician gatekeepers are morally indistinguishable from physician referral kickbacks and self-referrals. Here I will argue that Beckwith's defense is weak. I will also make some tentative suggestions about approaching the issue of physician conflicts of interest.
在本期刊最近的一期中,弗朗西斯·贝克威斯的《转诊回扣与自我转诊的伦理以及作为守门人的健康维护组织(HMO)医生:伦理分析》对健康维护组织(HMO)的医生守门人与医生转诊回扣及自我转诊在道德上并无区别这一观点进行了令人钦佩的、具有启发性的辩护。在此我将论证贝克威斯的辩护是薄弱的。我还将对处理医生利益冲突问题提出一些初步建议。