Patient, heal thyself: how the new medicine puts the patient in charge

Abstract

Table of Contents Detailed Table of Contents List of Cases Preface The New Medicine: An Introduction PART I: WHY DOCTOR DOES NOT KNOW BEST 1. The Puzzling Case of the Broken Arm 2. The Hernias, Diets, and Drugs 3. Doctor Doesn't Know Best: Why Physicians Cannot Know What Will Benefit Patients 4. Sacrificing Patient Benefit to Protect Patient Rights 5. Sacrificing a Patient: Societal Interests and Duties to Others 6. The New, Limited Twenty-first-century Role for Physicians as Patient Assistants 7. Abandoning Modern Medical Concepts: Doctors Orders and Hospital Discharge 8. Medicine Can't Indicate: So Why Do We Talk That Way? 9. Medical Necessity and Treatments of Choice: Who is Fooling Whom? PART II: NEW CONCEPTS FOR THE NEW MEDICINE 10. Abandoning Informed Consent 11. Why Physicians Get It Wrong and the Alternatives to Consent: Patient Choice and Deep Value Pairing 12. The End of Prescribing: Why Prescription Writing is Irrational 13. The Alternatives to Prescribing 14. Are Fat People Overweight 15. Beyond Prettiness: Death, Disease, and Being Fat 16. Universal but Varied Health Insurance: Only Separate is Equal 17. Health Insurance: The Case for Multiple Lists 18. Why Hospice Care Should Not be a Part of Ideal Health Care: The History of the Hospice 19. Why Hospice Care Should Not be a Part of Ideal Health Care: Hospice in a Postmodern Era PART III: THE NEW MEDICINE AND THE NEW MEDICAL SCIENCE 20. Randomized Human Experimentation: The Modern Dilemma 21. Randomized Human Experimentation: A Proposal for the New Medicine 22. Clinical Practice Guidelines and Why They Are Wrong 23. Outcomes Research and How Values Sneak into Finding of Fact 24. The Consensus of Medical Experts and Why it is Wrong So Often Epilogue: A Patient Manifesto