TY - BOOK AU - Kaufman,Sharon R. TI - Ordinary medicine: extraordinary treatments, longer lives, and where to draw the line T2 - Critical global health SN - 9780822359029 AV - RA395.A3 K385 2015 U1 - 362.10973 23 PY - 2015/// CY - Durham, London PB - Duke University Press KW - University of South Alabama KW - gnd KW - Medical care KW - United States KW - Medical ethics KW - Medical care, Cost of KW - Longevity KW - Health Services KW - Ethics, Medical KW - Attitude to Health KW - Standard of Care KW - Age Factors KW - MEDICAL KW - Ethics KW - bisacsh KW - Health and Fitness KW - eflch KW - fast KW - Medizinische Versorgung KW - Sterben KW - sao KW - Medicinsk etik KW - Health and Wellbeing KW - ukslc N1 - Includes bibliographical references (pages 285-305) and index; Diagnosing Twenty-First-Century health care -- The quandary and unexamined ordinariness of Twenty-First-Century medicine -- Ordinary medicine in our aging society: the dilemma of longevity -- The chain of health care drivers -- The medical-industrial complex I: evidence-based medicine, the biomedical -- Economy, and the ascendance of clinical trials -- The medical-industrial complex II: access, industry, and the clinical trials -- Phenomenon -- "Reimbursement is critical for everything": medicare and the ethics of managing life -- Medicine's changing means and ends -- Standard and necessary treatments: the changing means and ends of technology -- Family matters: kidneys and new forms of care -- Influencing the character of the future: prognosis, risk, and time left -- For whose benefit? Our shared quandary -- Toward a new social contract? N2 - Most of us want and expect medicine's miracles to extend our lives. In today's aging society, however, the line between life-giving therapies and too much treatment is hard to see -- it's being obscured by a perfect storm created by the pharmaceutical and biomedical industries, along with insurance companies. In Ordinary Medicine, Sharon R. Kaufman investigates what drives that storm's "more is better" approach to medicine: a nearly invisible chain of social, economic, and bureaucratic forces that has made once-extraordinary treatments seem ordinary, necessary, and desirable. Since 2002, Kaufman has listened to hundreds of older patients, their physicians, and family members express their hopes, fears, and reasoning as they faced the line between enough and too much intervention. Their stories anchor Ordinary Medicine. Today's medicine, Kaufman contends, shapes nearly every American's experience of growing older, and ultimately medicine is undermining its own ability to function as a social good ER -