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Markets and Medicine: Adam Smith and John Gregory

Published online by Cambridge University Press:  23 November 2016

Robin Downie
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Abstract

It is generally assumed that transactions in a free market are based on self-interest. It is equally assumed that transactions between doctor and patients are aimed at the interests of the patient and in that sense are benevolent, fiduciary or based on trust. Influential statements of these positions derive from Adam Smith and from Smith's neighbour and contemporary John Gregory. Examining the views of Smith and Gregory but moving the issues into a contemporary context this paper will argue that the opposition of self-interest and benevolence is misleading and that in the modern world medicine and the market have a similar ethical framework.

Type
Research Article
Information
Philosophy , Volume 92 , Issue 4 , October 2017 , pp. 503 - 517
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Copyright
Copyright © The Royal Institute of Philosophy 2016 

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References

1 Smith, Adam (1776), The Wealth of Nations, ed. Sutherland, Kathryn (Oxford: Oxford World’s Classics, 2008), 22Google Scholar.

2 Gregory, John (1772), Lectures on the Duties and Qualifications of a Physician. In McCullough, L.B. John Gregory’s Writings on Medical Ethics and the Philosophy of Medicine (Dordrecht, London, Boston: Kluwer, 1998), 170Google Scholar.

3 McCullough op. cit., 1.

4 Richard & Susskind, Daniel, The Future of the Professions (Oxford: Oxford University Press, 2015)Google ScholarPubMed.

5 Editors, ‘Looking Back on the Millennium’, New England Journal of Medicine, 42 (2000), 42–4Google Scholar.

6 American Board of Internal Medicine, Project Professionalism (Philadelphia: American Board of Internal Medicine), 5Google ScholarPubMed.

7 Smith WN, op. cit., 292.

8 Smith, Adam (1778) Lectures on Jurisprudence ed. Meek, R.L. & Raphael, D.D. (Oxford: Oxford University Press, 1978), 1Google Scholar.

9 Wicksteed, Philip, The Common Sense of Political Economy (London: Routledge, 1933), 174Google Scholar.

10 Wicksteed, op. cit., 179.

11 Wicksteed, op. cit., 180.

12 Aristotle, Nicomachean Ethics, trans. Ross, D. (Oxford: Oxford University Press, 1971), 1.Google Scholar

13 Smith WN op. cit., 53–95.

14 Gregory, op.cit., 166.

15 Smith WN, op.cit.,101.

16 Smith WN, op.cit., 21.

17 Plato, Republic, ed. Lee, Desmond, (Harmondsworth: Penguin Books, 1974), 558–562 Google Scholar.

18 Smith, Adam, The Theory of Moral Sentiments, ed. Raphael, D.D. & Macfie, A.L. (Oxford: Oxford University Press, 1976), 180–83Google Scholar.

19 Adam Smith (1778) (LJ), 503.

20 Elliott, Carl, Better than Well: American Medicine Meets the American Dream (New York & London: Norton, 2003)Google ScholarPubMed.

21 Smith WN, 292.

22 Smith WN, 413–415.

23 Smith WN, 433.

24 Hunting, P., History of the Society of Apothecaries (London: Society of Apothecaries, 1998)Google Scholar.

25 Gregory, op.cit., 158.