Conflicts of Interest and the Future of Medicine: The United States, France, and Japan

Table of Contents; Forward by Jerome Kassirer; Framing the Issues; Introduction: Patient Stories; 1. The Heart of the Matter; Case Studies; 2. The Evolution of the French Medicine; 3. Coping with Physicians' Conflicts of Interest in France; 4. The Rise of a Protected Medical Market: The United States before 1950; 5. The Commercial Transformation: The United States, 1950-1980; 6. The Logic of Medical Markets: The United States, 1980 to the Present; 7. Coping with Physicians' Conflicts of Interest in the United States; 8. The Evolution of Japanese Medicine; 9. Coping with Physicians' Conflicts of Interest in Japan; Implications; 10. Reforms; 11. Professionalism Reconsidered; Conclusion: The Way Forward; Appendix: Conflicts of Interest Ideas: Origins and Application to Physicians; Acronyms and Glossary; Acknowledgements; About the Author; Bibliography; Index

Marc A. Rodwin is Professor of Law at Suffolk University Law School. He is the author of Medicine, Money amd Morals: Physicians' Conflicts of Interest (OUP 1993) and numerous articles on health law, ethics, politics and policy. Rodwin has been a research scholar at Tokyo University Law School and the Centre National de Recherche Scientifique in France. He has testified before Congress, advised consumer groups, and lectured in severalcountries.

"Rodwin writes clearly, and he is soft-spoken but stinging in his account of organized medicine's resistance to limits on self-referral, enticements from Big Pharma, and other flows of lucre...an important book on an urgent topic, neglected by both political parties in the ongoing battle over health care reform."--Health Affairs"Will be helpful to scholars as well as intriguing to readers new to the subject."--Journal of the American Medical Association"Rodwin provides broad, well-documented coverage of financing mechanisms and the competing goals of state and markets...Recommended."--CHOICE"Superb, comparative, fascinating...A valuable historical study which is also a major contribution to conflict of interest debates in US and international health care policy, suggesting practical alternatives for the future."--Rosemary A. Stevens, Distinguished Scholar, Weill Cornell Medical College-New York City"Rodwin turns a critical eye to the current proposals...suggests new directions for reform...[and] offers important advice that policy makers must heed if we are to restore trust in our profession."--Jerome P. Kassirer, MD, Distinguished Professor, Tufts University School of Medicine, and Editor-in-Chief Emeritus of New England Journal of Medicine"A wise, powerful, broad-ranging guide to saving the relationship between doctors and patients. Conflicts of Interest is meticulously researched and beautifully written. It explores the past, illuminates the present, and points us toward a promising future. We ignore Marc Rodwin at our peril."--James Morone, Professor of Political Science and Urban Studies, Brown University, co-author of The Heart of Power and author of Hellfire Nation"Rodwin, whose earlier classic on medical conflicts of interest contributed importantly to the public debate, has deepened his analysis in a comparative perspective...He again enlarges and enlightens the debate and offers useful policy alternatives."