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CBHD: Custom Medicine - Jay Hollman CBHD: Custom Medicine - Jay Hollman Home > Articles > Health Care and Clinical Ethics Email Services | News Media | Search About CBHD Articles Conferences Speaker/Consultant Bureau Shop@CBHD Join/Support CBHD Bioethics Biotechnology Cloning Death and Dying Genetics Health Care and Clinical Ethics Reproductive Ethics Stem Cell ResearchBook ReviewsCase StudiesMovie Reviews News Archive Links to Additional Bioethical Material Custom Medicine: Analysis of an Emerging Trend by Jay Hollman Printer-Friendly Version Jay Hollman, MD, is an interventional cardiologist with Ochsner Clinic of Baton Rouge, an adjunct Clinical Professor of Medicine at Louisiana State University Medical School, and fellow of The Center for Bioethics and Human Dignity. Post Date: September 19, 2002 The ethical questions regarding "custom" or "boutique" medicine are diverse; some are readily apparent and others are more subtle. Custom medicine involves the provision of medical services that extend beyond typical office visits. For example, persons with this type of health care arrangement may be provided with their physician's cell phone number and given the freedom to contact him or her day or night. They also may host their physician in their home to discuss child-rearing or other matters and/or may request that their physician attend various conferences at their children's schools. Such extended privileges are granted for an annual fee--ranging from just over a thousand dollars per year to $20,000 per year or more. Higher fees are typically associated with greater access to physicians and increased physician involvement in patients' lives. In custom medicine arrangements, the physician still bills patients' insurance carriers for traditional services rendered (such as office visits), but such services constitute a smaller percentage of the physician's income. In August 2002, the Boston Globe ran a story on the emerging trend of custom medicine. It appears that the main impetus for this shift in the nature and provision of health care lies primarily with physicians, rather than patients. Full Article: http://www.cbhd.org/resources/healthcare/hollman_2002-09-19.htm |
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