Commentary
Vol. 19 No. 1 (2021)
The Commodification of Humanism: Methods, Marketing, and Morals of a Postmodern Shift in the Philosophy of Medicine
Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Abstract
Consideration of the history of medicine reveals a postmodern shift in the philosophy of medicine, one that arguably strays from its humanist foundations. Though often attributed to Sir William Osler’s contributions, the modernization of medicine extends beyond his influence, as well as beyond his time. Peaking in the mid-1900s, the paradigm shift in the philosophy of medicine continues to compel a certain dichotomy between humanism and medicine today. Despite being historically intertwined, medicine distances itself from humanism amidst the institutionalization, depersonalization, and monetization of the medical field. Notably, the commodification of medicine entails three central themes: methods, marketing, and morals.
References
- Geyman JP. The Oslerian tradition and changing medical education: a reappraisal. West J Med [Internet]. 1983 [cited 2020 Sep 14];138(6):884-8. Available from NCBI: https://pubmed.ncbi.nlm.nih.gov/6351442/
- Craxì L, Giardina S, Spagnolo AG. A return to humane medicine: Osler's legacy. Infez Med [Internet]. 2017 [cited 2020 Sep 14];25(3):292-7. Available from NCBI: https://pubmed.ncbi.nlm.nih.gov/28956551/
- Osler W. Aequanimitas and other addresses. San Francisco (CA): Internet Archive; 2008 (Original work published 1904). Available from: https://archive.org/stream/aequanimitas00osle?ref=ol
- Gottschalk S. Uncomfortably numb: countercultural impulses in the Postmodern era. Symbolic Interaction [Internet]. 1993 [cited 2020 Jul 3];16(4):351-78. doi:10.1525/si.1993.16.4.351
- Weatherall D, Greenwood B, Chee HL, et al. Jamison DT, Breman JG, Measham AR, et al., editors. Science and technology for disease control: past, present, and future. Disease Control Priorities in Developing Countries, 2nd edition. Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2006. Available from: https://www.ncbi.nlm.nih.gov/books/NBK11740/
- Smith-Bindman R, Miglioretti DL, Larson EB. Rising use of diagnostic medical imaging in a large integrated health system. Health Aff (Millwood) [Internet]. 2008 [cited 2020 Aug 22];27(6):1491-502. doi:10.1377/hlthaff.27.6.1491
- Goodman RL. Health care technology and medical education: putting physical diagnosis in its proper place. Acad Med [Internet]. 2010 [cited 2020 Aug 30];85(6):945-6. doi:10.1097/ACM.0b013e3181dbb55b
- NEJM Knowledge+ Team [Internet]. Massachusetts: Massachusetts Medical Society; c2020. ABIM pass rates: behind the declines; 2014 Oct 16 [cited 2020 Aug 31]. Available from: https://knowledgeplus.nejm.org/blog/abim-pass-rates-behind-declines/
- Cummings CL. Communication in the era of COWs: technology and the physician-patient-parent relationship. Pediatrics [Internet]. 2013 [cited 2020 Aug 31];131(3):401-3. doi:10.1542/peds.2012-3200
- Hoff T. Deskilling and adaptation among primary care physicians using two work innovations. Health Care Manage Rev [Internet]. 2011 [cited 2020 Aug 31];36(4):338-48. doi:10.1097/HMR.0b013e31821826a1
- Guyatt G, Cairns J, Churchill D, et al. Evidence-based medicine: a new approach to teaching the practice of medicine. JAMA [Internet]. 1992 [cited 2020 Sep 1];268(17):2420-5. doi:10.1001/jama.1992.03490170092032
- Masic I, Miokovic M, Muhamedagic B. Evidence based medicine - new approaches and challenges. Acta Inform Med [Internet]. 2008 [cited 2020 Sep 1];16(4):219-25. doi:10.5455/aim.2008.16.219-225
- Zimerman AL. Evidence-based medicine: a short history of a modern medical movement. Virtual Mentor [Internet]. 2013 [cited 2020 Aug 31];15(1):71-6. doi:10.1001/virtualmentor.2013.15.1.mhst1-1301
- Fernandez A, Sturmberg J, Lukersmith S, Madden R, Torkfar G, Colagiuri R, et al. Evidence-based medicine: is it a bridge too far? Health Res Policy Syst [Internet]. 2015 [cited 2020 Sep 4];13:66. doi:10.1186/s12961-015-0057-0
- Thoma A, Eaves FF, 3rd. A brief history of evidence-based medicine (EBM) and the contributions of Dr David Sackett. Aesthet Surg J [Internet]. 2015 [cited 2020 Sep 4];35(8):NP261-3. doi:10.1093/asj/sjv130
- Chung KC, Ram AN. Evidence-based medicine: the fourth revolution in American medicine? Plast Reconstr Surg [Internet]. 2009 [cited 2020 Sep 4];123(1):389-98. doi:10.1097/PRS.0b013e3181934742
- Lown B. The commodification of health care. PNHP [Internet]. 2007 [cited 2020 Sep 8];40-44. Available from: http://pnhp.org/PDF_files/spring2007newsletter_lown.pdf
- Shrank WH, Rogstad TL, Parekh N. Waste in the US health care system: estimated costs and potential for savings. JAMA [Internet]. 2019 [cited 2020 Sep 13];322(15):1501-9. doi:10.1001/jama.2019.13978
- Woolhandler S, Himmelstein DU. Intersecting U.S. epidemics: COVID-19 and lack of health insurance. Ann Intern Med [Internet]. 2020 [cited 2020 Sep 12];173(1):63-4. doi:10.7326/M20-1491
- Ameringer C. The health care revolution: from medical monopoly to market competition [Internet]. California: University of California Press; 2006 [cited 2020 Sep 8]. Available from Project MUSE: https://muse.jhu.edu/book/25444
- Ratna HN. Medical neoliberalism and the decline in U.S. healthcare quality. Journal of Hospital Management and Health Policy [Internet]. 2020 [cited 2020 Sep 6];4:1-8. doi:10.21037/jhmhp.2020.01.01
- Pellegrino, ED. The philosophy of medicine reborn: a Pellegrino reader [Internet]. Notre Dame: University of Notre Dame Press; 2008 [cited 2020 Sep 12]. Available from JSTOR: www.jstor.org/stable/j.ctvpj7fgp
- Tomes, N. Remaking the American patient: how Madison Avenue and modern medicine turned patients into consumers [Internet]. North Carolina: University of North Carolina Press; 2016 [cited 2020 Sep 10]. Available from JSTOR: https://www.jstor.org/stable/10.5149/9781469622781_tomes
- Vento S, Cainelli F, Vallone A. Defensive medicine: it is time to finally slow down an epidemic. World J Clin Cases [Internet]. 2018 [cited 2020 Sep 14];6(11):406-9. doi:10.12998/wjcc.v6.i11.406
- He ZX, Lang JH. Our thoughts on medicine and philosophy. Chin Med J [Internet]. 2017 [cited 2020 Sep 11];130(3):253-5. doi:10.4103/0366-6999.198936
- Hajar R. History of medicine timeline. Heart Views [Internet]. 2015 [cited 2020 Sep 10];16(1):43-5. doi:10.4103/1995-705X.153008
- Kleisiaris CF, Sfakianakis C, Papathanasiou IV. Health care practices in ancient Greece: the Hippocratic ideal. J Med Ethics Hist Med [Internet]. 2014 [cited 2020 Sep 10];7:6. Available from NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263393/
- Zahir II. Hippocrates: philosophy and medicine. ESJ [Internet]. 2016 [cited 2020 Sep 12];12(26):199. doi:10.19044/esj.2016.v12n26p199
- Pigeaud J. The triumph of dualism in ancient psychopathology. Journal of Psychology & Psychotherapy [Internet]. 2015 [cited 2020 Sep 11];5(3):1-7. doi:10.4172/2161-0487.1000184
- Pellegrino ED. Toward a reconstruction of medical morality. Am J Bioeth [Internet]. 2006 [cited 2020 Sep 12];6(2):65-71. doi:10.1080/15265160500508601
- Veatch RM. How philosophy of medicine has changed medical ethics. J Med Philos [Internet]. 2006 [cited 2020 Sep 12];31(6):585-600. doi:10.1080/03605310601009315
- Marcum JA. Humanizing modern medicine: an introductory philosophy of medicine [Internet]. Philosophy and Medicine, vol 99. Dordrecht: Springer Netherlands; 2008 [cited 2020 Sep 11]. Available from Springer (with access): https://link-springer-com.proxy3.library.mcgill.ca/book/10.1007%2F978-1-4020-6797-6
- Telles JL, Schramm FR. Paradigm shift, metamorphosis of medical ethics, and the rise of bioethics. Cadernos de Saúde Pública [Internet]. 1999 Feb [cited 2020 Sep 13];15(1):15-25. doi:10.1590/S0102-311X1999000500003
- Pellegrino ED. Humanism and the physician. Knoxville: University of Tennessee Press; 1979. In: Paradigm shift, metamorphosis of medical ethics, and the rise of bioethics. Cadernos de Saúde Pública [Internet]. 1999 Feb [cited 2020 Sep 26];15(1):15-25. doi:10.1590/S0102-311X1999000500003
- Thibault GE. Humanism in Medicine. Academic Medicine [Internet]. 2019 [cited 2020 Sep 27];94:1074–7. doi:10.1097/ACM.0000000000002796
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