title: Is managed care ethical?
abstract: The author identifies ethical dilemmas inherent in fee-for-service medicine (grounded in patients' autonomous decision making) and managed care (grounded in the principle of efficiency). He argues that the moral legitimacy of the latter system of health care is more in question, and suggests a methodology for assessing its ethical status.
authors.affiliation: Department of Psychiatry, Georgetown University School of Medicine, Washington, D.C. 20007, USA.
authors.forename: S A
authors.initials: SA
authors.lastname: Green
mesh_terms: D004992:Ethics, Medical; D006279:Health Maintenance Organizations; D006801:Humans