Physician Complicity in the Transformation of Pain Medicine from a “Profession” to a “Business”: Strategies for Reversing a Growing Trend

摘要: Since the inception of special series on Transformation “Profession” Pain Medicine to “Business” in this journal last year, emphasis vast majority its content [1–6] has been role external stakeholders compromising quality care received by pain sufferers. Implicated these authors crisis have various industries that profiteer from misfortune patients, as well professional organizations strive seek delicate balance between promoting improvement patients receive with needs whose financial support is so important their existences. Indeed, it strongly argued even most virtuous physicians may not be able provide high-quality treatment an environment dominated concerns are purely profit-motivated and deny any fiduciary obligation persons [7]. Nevertheless, cannot held solely responsible for unfortunate state medicine United States, what hopefully only a small minority providers practice unethical manner—thereby adversely influencing individual but field whole. Dobken recently opined that, “In sum, we portrayed greedy, barren moral purpose, inherently shiftless”[8] (p. 82). Similarly, Relman suggested JAMA “… current focus moneymaking seductions rewards changed climate US medical at expense altruism commitment patients”[9] 2669). Managed …