Agich G J
Department of Medical Humanities, Southern Illinois University School of Medicine, Springfield 62794-9230.
Theor Med. 1990 Dec;11(4):311-24. doi: 10.1007/BF00489821.
This paper analyzes one dimension of the frequently alleged contradiction between treating medicine as a business and as a profession, namely the incompatibility between viewing the physician patient relationship in economic and moral terms. The paper explores the utilitarian foundations of economics and the deontological foundations of professional medical ethics as one source for the business/medicine conflict that influences beliefs about the proper understanding of the therapeutic relationship. It then, focuses on the contrast and distinction between medicine as business and profession by critically analyzing the classic economic view of the moral status of medicine articulated by Kenneth Arrow. The paper concludes with a discussion of some advantages associated with regarding medicine as a business.
本文分析了常被提及的将医学视为一种商业行为与职业行为之间矛盾的一个维度，即从经济和道德角度看待医患关系时的不相容性。本文探讨了经济学的功利主义基础和专业医学伦理的道义论基础，将其作为影响对治疗关系正确理解的商业/医学冲突的一个根源。然后，通过批判性地分析肯尼斯·阿罗阐述的关于医学道德地位的经典经济观点，聚焦于医学作为商业行为和职业行为之间的对比与区别。本文最后讨论了将医学视为一种商业行为所带来的一些好处。
