Ethics and the Business of Biomedicine

Denis G. Arnold is Surtman Distinguished Professor of Business Ethics at Belk College of Business, University of North Carolina, Charlotte and Senior Associate, Center for Applied and Professional Ethics, University of Tennessee, Knoxville. He is author of The Ethics of Global Business (2009) and co-editor of Ethical Theory and Business, 8th Edition (2009) and Rising Above Sweatshops: Innovative Approaches to Global Labor Challenges (2003).

'The core norms of medicine as a profession are increasingly becoming infected with more business-oriented and profit-oriented norms. More and more so only patients are recognized as having rights to health care. One need not be a Marxist to have concerns about this state of affairs; it is sufficient to be a seriously ill and uninsured small business owner. Denis Arnold is to be commended for assembling an admirable collection of thoughtful essays aimed at prompting greater reflection on what the norms of medicine ought to be in a health care system with an undiagnosed obsessive-compulsive profit disorder.' Leonard M. Fleck, Michigan State University

• Introduction, 1. Medicine and the market Daniel Callahan; 2. Broken promises: do business friendly strategies frustrate just health care? Norman Daniels; 3. Are patents an efficient and internationally fair means of funding research and development for new medicines? Paul Menzel; 4. The exploitation of the economically disadvantaged in pharmaceutical research disclosure Tom L. Beauchamp; 5. The dangers of detailing: how pharmaceutical marketing threatens health care Jason Hubbard; 6. The ethics of direct to consumer pharmaceutical advertising Denis G. Arnold; 7. Industry-funded bioethics and the limits of disclosure Carl Elliott; 8. Two cheers for the pharmaceutical industry Richard T. De George; 9. The third face of medicine: ethics and business and challenges to professionalism Mary V. Rorty, Patricia Werhane, and Ann Mills; 10. Theoretical foundations for an organizational ethics: developing norms for a new kind of health care George Khushf; 11. A crisis in medical professionalism: time for Flexner II Daniel Wikler; Bibliography; Index.