Ordinary medicine
Subtitle: extraordinary treatments, longer lives, and where to draw the line
By: Sharon R. Kaufman
Series: Critical global health : evidence, efficacy, ethnography; Critical global health
Publisher: Duke University Press Books; Duke University Press
Published: 2015
Language: eng
Number of pages: 314
ISBN-13: 9780822359029; 9780822358886
Subjects: Medical care; Medical ethics; Longevity; Cost of Medical care
Description: Most of us want and expect medicine's miracles to extend our lives. In today's aging society, however, the line between life-giving therapies and too much treatment is hard to see -- it's being obscured by a perfect storm created by the pharmaceutical and biomedical industries, along with insurance companies. In Ordinary Medicine, Sharon R. Kaufman investigates what drives that storm's "more is better" approach to medicine: a nearly invisible chain of social, economic, and bureaucratic forces that has made once-extraordinary treatments seem ordinary, necessary, and desirable. Since 2002, Kaufman has listened to hundreds of older patients, their physicians, and family members express their hopes, fears, and reasoning as they faced the line between enough and too much intervention. Their stories anchor Ordinary Medicine. Today's medicine, Kaufman contends, shapes nearly every American's experience of growing older, and ultimately medicine is undermining its own ability to function as a social good.
Notes: Includes bibliographical references (pages 285-305) and index.
Table of contents: title: Diagnosing twenty-first-century health care; title: The quandary and unexamined ordinariness of twenty-first-century medicine. Ordinary medicine in our aging society : the dilemma of longevity; title: The chain of health care drivers. The medical-industrial complex I : evidence-based medicine, the biomedical economy, and the ascendance of clinical trials ; The medical-industrial complex II : access, industry, and the clinical trials phenomenon ; "Reimbursement is critical for everything" : Medicare and the ethics of managing life; title: Medicine's changing means and ends. Standard and necessary treatments : the changing means and ends of technology ; Family matters : kidneys and new forms of care ; Influencing the character of the future : prognosis, risk, and time left ; For whose benefit? : our shared quandary; title: Toward a new social contract?