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- W1969078059 abstract "A fundamental contradiction within our health care system is that medical services are defined by vertically distinct, even diagnosisspecific specialties, whereas patients do not generally experience their illnesses or symptoms in terms of such silo-like distinctions. The structure of this system is remarkably rigid, durable, and reinforced in our systems of education, resource allocation, financing, and insurance. This rigidity of structure, which often translates into a rigidity of thinking, can have adverse consequences both on a patient and system level. It is critical for palliative care clinicians, educators, and policy makers to examine the ways in which our discipline has both arisen within this larger system of rigid subspecialization, and may run the risk of contributing to further fragmentation and undesirable outcomes, unless some of these underlying contradictions are challenged and overcome. The article by Krakauer in this issue makes an important statement, which is both simple and profounddit is unethical, unjust, and unacceptable to promote or condone a global system, which in effect offers disease-modifying therapy to the rich and palliative care to the poor. This potential division has been" @default.
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- W1969078059 date "2008-11-01" @default.
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- W1969078059 title "Palliative Care and Social Justice" @default.
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- W1969078059 doi "https://doi.org/10.1016/j.jpainsymman.2008.08.001" @default.
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