Witter D J, Brands W G, Kole J J, Creugers N H J
Ned Tijdschr Tandheelkd. 2018 Nov;125(11):579-584. doi: 10.5177/ntvt.2018.11.17224.
Wish fulfilling medicine refers to medical procedures applied without a direct medical need. In wish fulfilling medicine, the wish of the patient is dominant, but wish fulfilling medicine is also promoted indirectly by healthcare providers, (pharmaceutical) companies and healthcare insurers. Wish fulfilling medicine often concerns the enhancement of appearance or performance; therefore, wish fulfilling medicine is also referred to as (human) enhancement (therapy). The line between traditional and wish fulfilling medicine is vague: the border between illness and health, normal and abnormal functioning is not sharply defined and is relative to time and place. In the Netherlands, wish fulfilling medicine is not covered in the basic package provided by healthcare insurers and is paid for by the patients themselves. However, 'pay yourself' is not a decisive criterion for wish fulfilling medicine. With new biotechnological developments the domain of wish fulfilling medicine is expanding. Some dental treatments can be considered as wish fulfilling dentistry, for example in the context of cosmetic dentistry, orthodontics, or dental implantology. Although wish fulfilling medical treatments do not cure disease, they can promote health.
愿望实现医学是指在没有直接医疗需求的情况下应用的医疗程序。在愿望实现医学中，患者的愿望占主导地位，但医疗服务提供者、（制药）公司和医疗保险公司也在间接推动愿望实现医学。愿望实现医学通常涉及外貌或性能的提升；因此，愿望实现医学也被称为（人类）增强（疗法）。传统医学与愿望实现医学之间的界限很模糊：疾病与健康、正常与异常功能之间的界限并不明确，且因时间和地点而异。在荷兰，愿望实现医学不在医疗保险公司提供的基本套餐范围内，需由患者自行付费。然而，“自行付费”并非愿望实现医学的决定性标准。随着生物技术的新发展，愿望实现医学的领域正在扩大。一些牙科治疗可被视为愿望实现牙科，例如在美容牙科、正畸或牙种植学领域。虽然愿望实现医学治疗不能治愈疾病，但它们可以促进健康。
