Hippocratic Myth Why Doctors Are Under Pressure To Ration Care Practice Politics And Compromise Their Promise To Heal

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The Hippocratic Myth

Author : M. Gregg Bloche
Publisher : Macmillan + ORM
ISBN 13 : 0230117945
Total Pages : 327 pages
Book Rating : 4.2/5 (31 download)

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Book Synopsis The Hippocratic Myth by : M. Gregg Bloche

Download or read book The Hippocratic Myth written by M. Gregg Bloche and published by Macmillan + ORM. This book was released on 2011-03-15 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: When we're ill, we trust in doctors to put our well-being first. But medicine's expanding capability and soaring costs are putting this promise at risk. Increasingly, society is calling upon physicians to limit care and to use their skills on behalf of health plan bureaucrats, public officials, national security, and courts of law. And doctors are answering this call. They're endangering patients, veiling moral choices behind the language of science and, at times, compromising our liberties. In The Hippocratic Myth, Dr. M. Gregg Bloche marshals his expertise in medicine and the law to expose how: *Doctors are pushed into acting both as caregivers and cost-cutters, compromising their fidelity to patients *Politics keeps doctors from giving war veterans the help they need *Insurers and hospital administrators pressure doctors to discontinue life-saving treatment, even when patients and family members object *Medicine has become a weapon in America's battles over abortion, child custody, criminal responsibility, and the rights of gays and lesbians *The war on terror has exploited clinical psychology to inflict harm Challenging, provocative, and insightful, The Hippocratic Myth breaks the code of silence and issues a powerful warning about the need for doctors to forge a new compact with patients and society.

HIPPOCRATIC MYTH: WHY DOCTORS ARE UNDER PRESSURE TO RATION CARE, PRACTICE POLITICS, AND COMPROMISE THEIR PROMISE TO HEAL.

Author : Maxwell Gregg Bloche
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (123 download)

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Book Synopsis HIPPOCRATIC MYTH: WHY DOCTORS ARE UNDER PRESSURE TO RATION CARE, PRACTICE POLITICS, AND COMPROMISE THEIR PROMISE TO HEAL. by : Maxwell Gregg Bloche

Download or read book HIPPOCRATIC MYTH: WHY DOCTORS ARE UNDER PRESSURE TO RATION CARE, PRACTICE POLITICS, AND COMPROMISE THEIR PROMISE TO HEAL. written by Maxwell Gregg Bloche and published by . This book was released on with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Business, Policy, and Economics of Neurosurgery

Author : Richard P. Menger, MD, MPA
Publisher : Lulu.com
ISBN 13 : 1483485145
Total Pages : 332 pages
Book Rating : 4.4/5 (834 download)

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Book Synopsis The Business, Policy, and Economics of Neurosurgery by : Richard P. Menger, MD, MPA

Download or read book The Business, Policy, and Economics of Neurosurgery written by Richard P. Menger, MD, MPA and published by Lulu.com. This book was released on 2018-06-29 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: The concept of this project is based on the premise that neurosurgeons are vital agents in the application of the American health care apparatus. They remain the true advocates for patients undergoing surgery for a neurological condition. Yet, the tenets of health care economics, health care policy, and the business of medicine remain largely debated within the context of politicians, policy experts, and administrators. This textbook will ease that gap. It will bring material generally absent from medical curricula into discussion. It will make potent features of health care economics, policy, and the business of practice digestible to clinical neurosurgeons in order to help them better treat their patients. The information provided in this text will also provide an excellent foundation for understanding the mechanics of running a neurosurgical practice. It simultaneously addresses career progression and opportunity evaluation.

Rationing and Resource Allocation in Healthcare

Author : Ezekiel Emanuel
Publisher : Oxford University Press
ISBN 13 : 0190200774
Total Pages : 569 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Rationing and Resource Allocation in Healthcare by : Ezekiel Emanuel

Download or read book Rationing and Resource Allocation in Healthcare written by Ezekiel Emanuel and published by Oxford University Press. This book was released on 2018-05-10 with total page 569 pages. Available in PDF, EPUB and Kindle. Book excerpt: Budgets of governments and private insurances are limited. Not all drugs and services that appear beneficial to patients or physicians can be covered. Is there a core set of benefits that everyone should be entitled to? If so, how should this set be determined? Are fair decisions just impossible, if we know from the outset than not all needs can be met? While early work in bioethics has focused on clinical issues and a narrow set of principles, in recent years there has been a marked shift towards addressing broader population-level issues, requiring consideration of more demanding theories in philosophy, political science, and economics. At the heart of bioethics' new orientation is the goal of clarity on a complex set of questions in rationing and resource allocation. Rationing and Resource Allocation in Healthcare: Essential Readings provides key excerpts from seminal and pertinent texts and case studies about these topics, contextualized by original introductions. The volume is divided into three broad sections: Conceptual Distinctions and Ethical Theory; Rationing; and Resource Allocation. Containing the most important and classic articles surrounding the theoretical and practical issues related to rationing and how to allocate scare medical resources, this collection aims to assist and inform those who wish to be a part of bioethics' 21st century shift including practitioners and policy-makers, and students and scholars in the health sciences, philosophy, law, and medical ethics.

American Public Policy: Promise and Performance, 9th Edition

Author : B. Guy Peters
Publisher : CQ Press
ISBN 13 : 1452218714
Total Pages : 609 pages
Book Rating : 4.4/5 (522 download)

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Book Synopsis American Public Policy: Promise and Performance, 9th Edition by : B. Guy Peters

Download or read book American Public Policy: Promise and Performance, 9th Edition written by B. Guy Peters and published by CQ Press. This book was released on 2012-10-16 with total page 609 pages. Available in PDF, EPUB and Kindle. Book excerpt: Voting and elections may often be cited as the most entertaining aspect of political theatre, however, it is the arena of public policy that has the most direct impact on the lives of the citizenry. And as we have seen played out in recent debates over healthcare reform, policy changes can be dramatic, sweeping, and often hotly contested. Known for providing a trusted and comprehensive overview of the policy process, B. Guy Peters returns with the ninth edition of American Public Policy: Promise and Performance. Beyond walking students through the governmental structures and policy-making procedures, Peters efficiently covers a wide swath of policy areas, and then concludes with a look at both cost-benefit analysis and ethical analysis. Framed in context of the aftermath of the financial crisis and Great Recession, the ninth edition considers how policy has been impacted by persistent unemployment and growing income inequality. In addition, Peters discusses the strain on education budgets, increased oversight of financial activities, fiscal policies meant to stimulate the economy, and the political challenge of balancing the budget in light of increased public spending.

My Brother's Keeper

Author : Nicholas Rosenlicht
Publisher : Simon and Schuster
ISBN 13 : 1639367314
Total Pages : 202 pages
Book Rating : 4.6/5 (393 download)

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Book Synopsis My Brother's Keeper by : Nicholas Rosenlicht

Download or read book My Brother's Keeper written by Nicholas Rosenlicht and published by Simon and Schuster. This book was released on 2024-10-01 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: A leading psychiatrist seeks to transform our understanding of mental health care and how it fits into larger social and economic forces—and proposes an effective and compassionate new framework for healing. Mental health care in America has become nothing short of atrocious. Supposed developments in treatment methods and medication remain inaccessible to those who need them most. Countless people seeking treatment are routinely funneled into prison or end up homeless while an epidemic of mental illness ravages younger generations. It seems obvious that the system is broken, but the tragic truth is that it is actually functioning exactly as intended, providing reliably enormous profits for the corporate entities who now manage mental health care. It is easy to turn a blind eye. Most of us are more comfortable ducking our own fears about mental health and placing our faith in the rugged American individual and the free market, rather than confronting our own prejudices and misguided beliefs. Why did we choose to build such a disastrous system when every other industrialized nation has developed far better models? After decades of work in psychiatry, Dr. Nicholas Rosenlicht reveals how and why we arrived at this abysmal reality—and more importantly, how we can find our way out of it. Timely and unflinching, and written with commanding prose and the deep knowledge of a mental health care veteran who categorically rejects corporate interests, Dr. Rosenlicht makes plain the disastrous outcomes of the for-profit mental health care model. Patients are “clients” and doctors are “providers,” stripping away the human element and emboldening shifty ethical and legal practices. Perhaps most insidious, the business model paints the mentally ill as the “other,” as people who just don’t want help, rather than as people who can’t afford care or even realize they need help as a consequence of their illness. But a path forward does exist. Mental illness is something that will touch all of us all of us in some way, if not directly through those we know and love. Those who have already helped care for a loved one know that those who suffer by it have hopes, desires, and aspirations. A healthy solution means a healthier society. In the tradition of Andrew Solomon or Bessel van der Kolk's The Body Keeps the Score, My Brother's Keeper is a paradigm shifting book that can help us find our way to real and lasting solutions.

Medical Necessity

Author : Daniel Skinner
Publisher : U of Minnesota Press
ISBN 13 : 145295996X
Total Pages : 277 pages
Book Rating : 4.4/5 (529 download)

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Book Synopsis Medical Necessity by : Daniel Skinner

Download or read book Medical Necessity written by Daniel Skinner and published by U of Minnesota Press. This book was released on 2019-12-24 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: How the politics of “medical necessity” complicates American health care The definition of medical necessity has morphed over the years, from a singular physician’s determination to a complex and dynamic political contest involving patients, medical companies, insurance companies, and government agencies. In this book, Daniel Skinner constructs a comprehensive understanding of the politics of defining this concept, arguing that sustained political engagement with medical necessity is essential to developing a health care system that meets basic public health objectives. From medical marijuana to mental health to reproductive politics, the concept of medical necessity underscores many of the most divisive and contentious debates in American health care. Skinner’s close reading of medical necessity’s production illuminates the divides between perceptions of medical need as well as how the gatekeeper concept of medical necessity tends to frame medical objectives. He questions the wisdom of continuing to use medical necessity when thinking critically about vexing health care challenges, exploring the possibility that contracts, rights, and technology may resolve the contentious politics of medical necessity. Skinner ultimately contends that a major shift is needed, one in which health care administrators, doctors, and patients admit that medical necessity is, at its base, a contestable political concept.

Interrogation and Torture

Author : Steven J. Barela
Publisher :
ISBN 13 : 0190097523
Total Pages : 625 pages
Book Rating : 4.1/5 (9 download)

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Book Synopsis Interrogation and Torture by : Steven J. Barela

Download or read book Interrogation and Torture written by Steven J. Barela and published by . This book was released on 2020 with total page 625 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book develops, for the first time, a comprehensive discussion regarding the legality of torture and the efficacy of interrogation. Scientific research has concluded that torture is not effective. So, what interrogational methods are effective and how does one deploy those methods in such a way that is consistent with law and morality?

Military Medical Ethics in Contemporary Armed Conflict

Author : Michael L. Gross
Publisher : Oxford University Press
ISBN 13 : 0190694947
Total Pages : 353 pages
Book Rating : 4.1/5 (96 download)

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Book Synopsis Military Medical Ethics in Contemporary Armed Conflict by : Michael L. Gross

Download or read book Military Medical Ethics in Contemporary Armed Conflict written by Michael L. Gross and published by Oxford University Press. This book was released on 2021 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The goal of military medicine is to conserve the fighting force necessary to prosecute just wars. Just wars are defensive or humanitarian. A defensive war protects one's people or nation. A humanitarian war rescues a foreign, persecuted people or nation from grave human rights abuse. To provide medical care during armed conflict, military medical ethics supplements civilian medical ethics with two principles: military-medical necessity and broad beneficence. Military-medical necessity designates the medical means required to pursue national self-defense or humanitarian intervention. While clinical-medical necessity directs care to satisfy urgent medical needs, military-medical necessity utilizes medical care to satisfy the just aims of war. Military medicine may therefore attend the lightly wounded before the critically wounded or use medical care to win hearts and minds. The underlying principle is broad, not narrow, beneficence. The latter addresses private interests, while broad beneficence responds to the collective welfare of the political community"--

Values at the End of Life

Author : Roi Livne
Publisher : Harvard University Press
ISBN 13 : 0674239873
Total Pages : 361 pages
Book Rating : 4.6/5 (742 download)

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Book Synopsis Values at the End of Life by : Roi Livne

Download or read book Values at the End of Life written by Roi Livne and published by Harvard University Press. This book was released on 2019-06-10 with total page 361 pages. Available in PDF, EPUB and Kindle. Book excerpt: This insightful study examines the deeply personal and heart-wrenching tensions among financial considerations, emotional attachments, and moral arguments that motivate end-of-life decisions. America’s health care system was built on the principle that life should be prolonged whenever possible, regardless of the costs. This commitment has often meant that patients spend their last days suffering from heroic interventions that extend their life by only weeks or months. Increasingly, this approach to end-of-life care is coming under scrutiny, from a moral as well as a financial perspective. Sociologist Roi Livne documents the rise and effectiveness of hospice and palliative care, and growing acceptance of the idea that a life consumed by suffering may not be worth living. Values at the End of Life combines an in-depth historical analysis with an extensive study conducted in three hospitals, where Livne observed terminally ill patients, their families, and caregivers negotiating treatment. Livne describes the ambivalent, conflicted moments when people articulate and act on their moral intuitions about dying. Interviews with medical staff allowed him to isolate the strategies clinicians use to help families understand their options. As Livne discovered, clinicians are advancing the idea that invasive, expensive hospital procedures often compound a patient’s suffering. Affluent, educated families were more readily persuaded by this moral calculus than those of less means. Once defiant of death—or even in denial—many American families and professionals in the health care system are beginning to embrace the notion that less treatment in the end may be better treatment.

Torture, Power, and Law

Author : David Luban
Publisher : Cambridge University Press
ISBN 13 : 1107051096
Total Pages : 341 pages
Book Rating : 4.1/5 (7 download)

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Book Synopsis Torture, Power, and Law by : David Luban

Download or read book Torture, Power, and Law written by David Luban and published by Cambridge University Press. This book was released on 2014-09-04 with total page 341 pages. Available in PDF, EPUB and Kindle. Book excerpt: David Luban analyzes the torture debate in the struggle against terrorism from a sophisticated philosophical and legal perspective.

Doing Harm

Author : Roy J. Eidelson
Publisher : McGill-Queen's Press - MQUP
ISBN 13 : 0228018633
Total Pages : 145 pages
Book Rating : 4.2/5 (28 download)

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Book Synopsis Doing Harm by : Roy J. Eidelson

Download or read book Doing Harm written by Roy J. Eidelson and published by McGill-Queen's Press - MQUP. This book was released on 2023-09-05 with total page 145 pages. Available in PDF, EPUB and Kindle. Book excerpt: Doing Harm pries open the black box on a critical chapter in the recent history of psychology: the field’s enmeshment in the so-called war on terror and the ensuing reckoning over do-no-harm ethics during times of threat. Focusing on developments within the American Psychological Association (APA) over two tumultuous decades, Roy Eidelson exposes the challenges that professional organizations face whenever powerful government agencies turn to them for contributions to ethically fraught endeavours. In the months after 9/11 it became clear that the White House, the Department of Defense, and the Central Intelligence Agency were prepared to ignore well-established international law and human rights standards in prosecuting the war on terror. It was less clear, however, that some of Eidelson’s fellow psychologists would become part of the abusive and torturous operations at overseas CIA black sites and Guantanamo Bay. Nor was it initially clear that this ruthless enterprise would garner acquiescence and support from the APA’s leadership. Doing Harm examines how and why the APA failed to join human rights groups in efforts to constrain the US government’s unbridled pursuit of security and retribution. It recounts an ongoing struggle – one that has pitted APA leaders set on preserving strong ties to the military-intelligence establishment against dissident voices committed to prioritizing do-no-harm principles.

The Forever Prisoner

Author : Cathy Scott-Clark
Publisher : Atlantic Monthly Press
ISBN 13 : 0802158943
Total Pages : 336 pages
Book Rating : 4.8/5 (21 download)

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Book Synopsis The Forever Prisoner by : Cathy Scott-Clark

Download or read book The Forever Prisoner written by Cathy Scott-Clark and published by Atlantic Monthly Press. This book was released on 2022-04-12 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Some argued it would save the U.S. after 9/11. Instead, the CIA’s enhanced interrogation program came to be defined as American torture. The Forever Prisoner, a primary source for the recent HBO Max film directed by Academy Award winner Alex Gibney, exposes the full story behind the most divisive CIA operation in living memory. Six months after 9/11, the CIA captured Abu Zubaydah and announced he was number three in Al Qaeda. Frantic to thwart a much-feared second wave of attacks, the U.S. rendered him to a secret black site in Thailand, where he collided with retired Air Force psychologist James Mitchell. Arguing that Abu Zubaydah had been trained to resist interrogation and was withholding vital clues, the CIA authorized Mitchell and others to use brutal “enhanced interrogation techniques” that would have violated U.S. and international laws had not government lawyers rewritten the rulebook. In The Forever Prisoner, Cathy Scott-Clark and Adrian Levy recount dramatic scenes inside multiple black sites around the world through the eyes of those who were there, trace the twisted legal justifications, and chart how enhanced interrogation, a key “weapon” in the global “War on Terror,” metastasized over seven years, encompassing dozens of detainees in multiple locations, some of whom died. Ultimately that war has cost 8 trillion dollars, 900,000 lives, and displaced 38 million people—while the U.S. Senate judged enhanced interrogation was torture and had produced zero high-value intelligence. Yet numerous men, including Abu Zubaydah, remain imprisoned in Guantanamo, never charged with any crimes, in contravention of America’s ideals of justice and due process, because their trials would reveal the extreme brutality they experienced. Based on four years of intensive reporting, on interviews with key protagonists who speak candidly for the first time, and on thousands of previously classified documents, The Forever Prisoner is a powerful chronicle of a shocking experiment that remains in the headlines twenty years after its inception, even as US government officials continue to thwart efforts to expose war crimes. Silenced by a CIA pledge to keep him imprisoned and incommunicado forever, Abu Zubaydah speaks loudly through these pages, prompting the question as to whether he and others remain detained not because of what they did to us but because of what we did to them.

Law and Global Health

Author : Michael D. A. Freeman
Publisher : Oxford University Press, USA
ISBN 13 : 0199688990
Total Pages : 662 pages
Book Rating : 4.1/5 (996 download)

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Book Synopsis Law and Global Health by : Michael D. A. Freeman

Download or read book Law and Global Health written by Michael D. A. Freeman and published by Oxford University Press, USA. This book was released on 2014-03 with total page 662 pages. Available in PDF, EPUB and Kindle. Book excerpt: Law and Global Health is the latest volume in the Current Legal Issues series. It contains a broad range of articles from scholars and public health experts dicussing the interaction between law and public health in low-, middle- and high-income countries.

American Public Policy

Author : B. Guy Peters
Publisher : CQ Press
ISBN 13 : 1506399576
Total Pages : 523 pages
Book Rating : 4.5/5 (63 download)

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Book Synopsis American Public Policy by : B. Guy Peters

Download or read book American Public Policy written by B. Guy Peters and published by CQ Press. This book was released on 2018-08-02 with total page 523 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This is an in-depth yet quite accessible overlook of public policy in the United States...With this updated version, Peters’ text keeps up with the ever-changing world of American public policy while still giving students the tools to better understand this process." —Michael E. Bednarczuk, University of Wisconsin-Milwaukee This updated edition of American Public Policy provides a comprehensive yet accessible overview of the policy-making process from procedural approaches and policy instruments to in-depth analysis of specific policy issues. The Eleventh Edition considers how policy has been impacted by recent economic and political developments. Not shying away from the complexity of governmental procedure, Peters ensures that the mechanisms of the policy process are understandable through insightful discussions of topical policy areas. Give your students the SAGE edge! SAGE edge offers a robust online environment featuring an impressive array of free tools and resources for review, study, and further exploration, keeping both instructors and students on the cutting edge of teaching and learning. Learn more at edge.sagepub.com/peters11e. Bundle American Public Policy, 11e with any of the following texts for only $5 more! Issues for Debate in American Public Policy, 19e: Use bundle ISBN 978-1-5443-4592-5 The CQ Press Writing Guide for Public Policy: Use bundle ISBN 978-1-5443-4141-5

The Oxford Handbook of U.S. Health Law

Author : I. Glenn Cohen
Publisher : Oxford University Press
ISBN 13 : 0199366527
Total Pages : 1233 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis The Oxford Handbook of U.S. Health Law by : I. Glenn Cohen

Download or read book The Oxford Handbook of U.S. Health Law written by I. Glenn Cohen and published by Oxford University Press. This book was released on 2017 with total page 1233 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oxford Handbook of U.S. Health Law covers the breadth and depth of health law, with contributions from the most eminent scholars in the field. The Handbook paints with broad thematic strokes the major features of American healthcare law and policy, its recent reforms including the Affordable Care Act, its relationship to medical ethics and constitutional principles, how it compares to the experience of other countries, and the legal framework for the patient experience. This Handbook provides valuable content, accessible to readers new to the subject, as well as to those who write, teach, practice, or make policy in health law.

The Hippocratic Myth

Author : M. Gregg Bloche, M.D.
Publisher : St. Martin's Press
ISBN 13 : 9780230603738
Total Pages : 272 pages
Book Rating : 4.6/5 (37 download)

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Book Synopsis The Hippocratic Myth by : M. Gregg Bloche, M.D.

Download or read book The Hippocratic Myth written by M. Gregg Bloche, M.D. and published by St. Martin's Press. This book was released on 2011-03-15 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: When we're ill, we trust in doctors to put our well-being first. But medicine's expanding capability and soaring costs are putting this promise at risk. Increasingly, society is calling upon physicians to limit care and to use their skills on behalf of health plan bureaucrats, public officials, national security, and courts of law. And doctors are answering this call. They're endangering patients, veiling moral choices behind the language of science and, at times, compromising our liberties. In The Hippocratic Myth, Dr. M. Gregg Bloche marshals his expertise in medicine and the law to expose how: *Doctors are pushed into acting both as caregivers and cost-cutters, compromising their fidelity to patients *Politics keeps doctors from giving war veterans the help they need *Insurers and hospital administrators pressure doctors to discontinue life-saving treatment, even when patients and family members object *Medicine has become a weapon in America's battles over abortion, child custody, criminal responsibility, and the rights of gays and lesbians *The war on terror has exploited clinical psychology to inflict harm Challenging, provocative, and insightful, The Hippocratic Myth breaks the code of silence and issues a powerful warning about the need for doctors to forge a new compact with patients and society.