Pharmaceutical freedom: why patients have a right to self-medicate
Jessica Flanigan defends patients' rights of self-medication on the grounds that same moral reasons against medical paternalism in clinical contexts are also reasons against paternalistic pharmaceutical policies, including prohibitive approval processes and prescription requirements
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
New York, NY
Oxford University Press
[2017]
|
| Schlagworte: | |
| Online-Zugang: | EBSCOhost Click here to view book Inhaltsverzeichnis Klappentext |
| Zusammenfassung: | Jessica Flanigan defends patients' rights of self-medication on the grounds that same moral reasons against medical paternalism in clinical contexts are also reasons against paternalistic pharmaceutical policies, including prohibitive approval processes and prescription requirements |
| Beschreibung: | xvii, 263 Seiten |
| ISBN: | 9780190684549 |
Internformat
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| 520 | |a Jessica Flanigan defends patients' rights of self-medication on the grounds that same moral reasons against medical paternalism in clinical contexts are also reasons against paternalistic pharmaceutical policies, including prohibitive approval processes and prescription requirements | ||
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| 650 | 4 | |a Medical laws and legislation | |
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| 650 | 7 | |a Medical laws and legislation |2 fast | |
| 650 | 7 | |a Pharmacy / Law and legislation |2 fast | |
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Datensatz im Suchindex
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CONTENTS
Acknowledgments ix
Introduction xi
1. A Defense of Self-Medication 1
1.1 TWO MOTIVATING CASES 4
1.2 PATIENTS KNOW BEST 5
1.3 PATIENT EXPERTISE AND DRUG CHOICE 10
1.4 INTIMATE CHOICES 14
1.5 ANTI-PATERNALISM AND FREEDOM TO CHOOSE 18
1.6 PATIENT PROTECTION 22
1.7 IGNORANCE AND FRAUD 23
1.8 SELF-MEDICATION AND UNAPPROVED DRUGS 26
1.9 SELF-MEDICATION AND PRESCRIPTION DRUGS 28
1.10 CONCLUSION 30
2. Paternalism and Public Health 32
2.1 PROHIBITION AND PROTECTION 34
2.2 SOFT PATERNALISM AND DRUG REGULATION 37
2.3 CHILDREN AND INCOMPETENT ADULTS 41
2.4 HARD PATERNALISM AND DRUG REGULATION 44
2.5 THE HEALTH EFFECTS OF APPROVAL REQUIREMENTS 49
2.6 THE HEALTH EFFECTS OF PRESCRIPTION POLICIES 57
2.7 THE REGULATORY REVERSAL TEST 59
2.8 CERTIFICATION VERSUS APPROVAL 61
2.9 CONCLUSION 63
64
3. Rethinking Prescription Requirements
3.1 DEADLY DRUGS 68
3.2 RECREATIONAL DRUGS AND ADDICTION 77
3.3 THERAPEUTICS 85
3.4 ANTIBIOTICS 88
3.5 THE CASE FOR OTC ENHANCEMENTS 91
3.6 RETHINKING NON-MEDICAL USE 97
3.7 PUBLIC HEALTH AND PREVENTIVE MEDICATION 101
3.8 CONCLUSION 107
4. Responsibility and Regulation ios
4.1 HOW REGULATION KILLS 109
4.2 NECESSITY AND THE NEED TO TEST 118
4.3 NON-IDEAL AND IDEAL THEORY 125
4.4 THE RISKS OF AN APPROVAL SYSTEM 135
4.5 THE RISKS OF A CERTIFICATION SYSTEM 138
4.6 CONCLUSION 141
5. The Politics of Self-Medication 142
5.1 PATIENT-DRIVEN DEVELOPMENT 144
5.2 DISOBEDIENCE AND DISTRIBUTION 149
5.3 CIVIL DISOBEDIENCE 154
5.4 PROTEST AND ACTIVISM 159
5.5 DEMOCRATIC AUTHORITY AND SELF-MEDICATION 162
5.6 CONCLUSION 165
6. The Business of Medicine 166
6.1 SINGLE STANDARDS FOR INDUSTRY 168
6.2 PRIVATE OPTIONS AND THE GLOBAL MARKETPLACE 177
6.3 DRUG PRICES AND DEREGULATION 184
6.4 LIFESAVING INNOVATION AND PATENTS 190
6.5 PATENTS AND PRIZES 194
6.6 PATENTS AND THE RIGHTS OF PRODUCERS 200
6.7 CONCLUSION 203
7. Medical Autonomy and Modern Healthcare
7.1 MARKETS AND MEDICAL AUTONOMY 206
7.2 PHARMACEUTICAL MARKETING 209
7.3 OFF-LABEL MARKETING 212
7.4 PROFESSIONAL ETHICS 218
7.5 TORTS AND PRODUCT LIABILITY 221
7.6 INSURANCE AND SOCIAL COSTS 223
7.7 CONCLUSION 229
8. Conclusion 230
205
References 233
Index 253
If a competent adult refuses medical
treatment, physicians and public officials
must respect her decision. Coercive
medical paternalism is a clear violation of
the doctrine of informed consent, which
protects patients' rights to make medical
decisions even if a patient’s choice
endangers her health. The same reasons
for rejecting medical paternalism in the
doctor’s office are also reasons to reject
medical paternalism at the pharmacy----yet
coercive medical paternalism persists, in
the form of premarket approval policies
and prescription requirements for
pharmaceuticals.
Jessica Flanigan here defends patients’
rights of self-medication. Flanigan
argues that public officials should certify
drugs instead of enforcing prohibitive
pharmaceutical policies that disrespect
people's rights to make intimate medical
decisions and prevent patients from
accessing potentially beneficial new
therapies. This argument has revisionary
implications for important and timely
debates about medical paternalism,
recreational drug legalization, human
enhancement, prescription drug
prices, physician assisted suicide,
and pharmaceutical marketing. The
need for reform is especially urgent as
medical treatment becomes increasingly
personalized and patients advocate for
the right to try. The doctrine of informed
consent revolutionized medicine in the
twentieth century by empowering patients
to make treatment decisions. Rights of
self-medication are the next step. |
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| author | Flanigan, Jessica |
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| illustrated | Not Illustrated |
| indexdate | 2024-12-12T13:02:00Z |
| institution | BVB |
| isbn | 9780190684549 |
| language | English |
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| publishDate | 2017 |
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| spelling | Flanigan, Jessica Verfasser aut Pharmaceutical freedom why patients have a right to self-medicate Jessica Flanigan New York, NY Oxford University Press [2017] xvii, 263 Seiten txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references and index Jessica Flanigan defends patients' rights of self-medication on the grounds that same moral reasons against medical paternalism in clinical contexts are also reasons against paternalistic pharmaceutical policies, including prohibitive approval processes and prescription requirements Pharmacy / Law and legislation Medical laws and legislation POLITICAL SCIENCE / Public Policy / Social Security bisacsh POLITICAL SCIENCE / Public Policy / Social Services & Welfare bisacsh Medical laws and legislation fast Pharmacy / Law and legislation fast Recht Selbstmedikation (DE-588)4054422-9 gnd rswk-swf Arzneiverordnung (DE-588)4120926-6 gnd rswk-swf Medizinische Versorgung (DE-588)4038270-9 gnd rswk-swf Selbstmedikation (DE-588)4054422-9 s Medizinische Versorgung (DE-588)4038270-9 s Arzneiverordnung (DE-588)4120926-6 s DE-604 http://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=1540220 EBSCOhost http://public.eblib.com/choice/PublicFullRecord.aspx?p=4883895 Click here to view book Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029817081&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029817081&sequence=000002&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Flanigan, Jessica Pharmaceutical freedom why patients have a right to self-medicate Includes bibliographical references and index Pharmacy / Law and legislation Medical laws and legislation POLITICAL SCIENCE / Public Policy / Social Security bisacsh POLITICAL SCIENCE / Public Policy / Social Services & Welfare bisacsh Medical laws and legislation fast Pharmacy / Law and legislation fast Recht Selbstmedikation (DE-588)4054422-9 gnd Arzneiverordnung (DE-588)4120926-6 gnd Medizinische Versorgung (DE-588)4038270-9 gnd |
| subject_GND | (DE-588)4054422-9 (DE-588)4120926-6 (DE-588)4038270-9 |
| title | Pharmaceutical freedom why patients have a right to self-medicate |
| title_auth | Pharmaceutical freedom why patients have a right to self-medicate |
| title_exact_search | Pharmaceutical freedom why patients have a right to self-medicate |
| title_full | Pharmaceutical freedom why patients have a right to self-medicate Jessica Flanigan |
| title_fullStr | Pharmaceutical freedom why patients have a right to self-medicate Jessica Flanigan |
| title_full_unstemmed | Pharmaceutical freedom why patients have a right to self-medicate Jessica Flanigan |
| title_short | Pharmaceutical freedom |
| title_sort | pharmaceutical freedom why patients have a right to self medicate |
| title_sub | why patients have a right to self-medicate |
| topic | Pharmacy / Law and legislation Medical laws and legislation POLITICAL SCIENCE / Public Policy / Social Security bisacsh POLITICAL SCIENCE / Public Policy / Social Services & Welfare bisacsh Medical laws and legislation fast Pharmacy / Law and legislation fast Recht Selbstmedikation (DE-588)4054422-9 gnd Arzneiverordnung (DE-588)4120926-6 gnd Medizinische Versorgung (DE-588)4038270-9 gnd |
| topic_facet | Pharmacy / Law and legislation Medical laws and legislation POLITICAL SCIENCE / Public Policy / Social Security POLITICAL SCIENCE / Public Policy / Social Services & Welfare Recht Selbstmedikation Arzneiverordnung Medizinische Versorgung |
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