Cohen Complementary and Alternative Medicine

Legal Boundaries and Regulatory Perspectives
Erscheinungsjahr 1998
ISBN: 978-1-4214-0046-4
Verlag: Johns Hopkins University Press
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 0 Seiten, Format (B × H): 152 mm x 229 mm

Explores the legal issues that health care providers, institutions, and regulators confront as they contemplate integrating complementary and alternative medicine into mainstream U.S. health care.

A third of all Americans use complementary and alternative medicine—including chiropractic, acupuncture, homeopathy, naturopathy, nutritional and herbal treatments, and massage therapy—even when their insurance does not cover it and they have to pay for such treatments themselves. Nearly a third of U.S. medical schools offer courses on complementary and alternative therapies. Congress has created an Office of Alternative Medicine within the National Institutes of Health, and federal and state lawmakers have introduced legislation authorizing widespread use of such therapies. These institutional and legislative developments, argues Michael H. Cohen, express a paradigm shift to a broader, more inclusive vision of health care than conventional medicine admits.

Cohen explores the legal issues that health care providers (both conventional and alternative), institutions, and regulators confront as they contemplate integrating complementary and alternative medicine into mainstream U.S. health care. Challenging traditional ways of thinking about health, disease, and the role of law in regulating health, Cohen begins by defining complementary and alternative medicine and then places the regulation of orthodox and alternative health care in historical context. He next examines the legal ramifications of complementary and alternative medicine, including state medical licensing laws, legislative limitations on authorized practice, malpractice liability, food and drug laws, professional disciplinary issues, and third-party reimbursement. The final chapter provides a framework for thinking about the possible evolution of the regulatory structure.

This book is the first to set forth the emerging moral and legal authority on which the safe and effective practice of alternative health care can rest. It further suggests how regulatory structures might develop to support a comprehensive, holistic, and balanced approach to health, one that permits integration of orthodox medicine with complementary and alternative medicine, while continuing to protect patients from fraudulent and dangerous treatments.

Autoren/Hrsg.

Cohen, Michael H.

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Komplementäre Medizin, Asiatische Medizin (TCM), Heilpraktiker
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Medizinische Ethik
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Medizinrecht, Gesundheitsrecht
• Rechtswissenschaften Öffentliches Recht Medizin- und Gesundheitsrecht

Inhaltsverzeichnis

Preface and Acknowledgments
Part I: Biomedicine and Holistic Healing
Chapter 1. The Biomedical Paradigm
Chapter 2. The Holistic Healing Paradigm
Chapter 3. Holism and Mechanism
Chapter 4. The Use of Holistic Therapies
Chapter 5. Scientific Substantiation and Methodological Issues
Chapter 6. An Integrated Health Care System
Part II: Biomedical Regulation in Historical Context
Chapter 7. The Emergence of Licensing
Chapter 8. The Development of the Biomedical Community
Chapter 9. The Response of the Regulatory Paradigm
Part III: State Law Regulation of Medicine
Chapter 10. The Police Power Rationale
Chapter 11. Legal Definitions of the Practice of Medicine
Chapter 12. Unauthorized Professional Practice
Part IV: Scope-of-Practice Limitations
Chapter 13. Licensing of Complementary and Alternative Providers
Chapter 14. Legislatively Authorized Boundaries of Practice
Chapter 15. Scope of Practice: The Case of Chiropractic
Chapter 16. Addressing Scope-of-Practice Risks
Part V: Malpractice and Vicarious Liability
Chapter 17. Physicians' Malpractice Liability
Chapter 18. Malpractice by Complementary and Alternative Providers
Chapter 19. Malpractice Liability of Health Care Institutions
Part VI: Access to Treatments
Chapter 20. Treatments Requiring New Drug Approval
Chapter 21. Nutritional Therapies
Chapter 22. Dietary Supplements and Health Chains
Chapter 23. Health Care Freedom
Part VII: Discipline and Sanction
Chapter 24. The Disciplinary Process
Chapter 25. State Medical Freedom Acts
Part VIII: Third-Party Reimbursement
Chapter 26. Voluntary and Mandated Coverage
Chapter 27. Selected Exclusions and Coverage Issues
Chapter 28. Health Care Fraud and Insurance Fraud
Part IX: The Evolution of Legal Authority
Chapter 29. Professional Licensure and Scope of Practice
Chapter 30. Malpractice and Professional Discipline
Chapter 31. Fraud and Health Care Freedom
Chapter 32. Integral Health Care
Chapter 33. Conclusion
Notes
Index

Über Autor(innen)

Cohen, Michael H.
Michael H. Cohen, Esq., is Assistant Clinical Professor of Medicine at Harvard Medical School and Principal in the Law Offices of Michael H. Cohen.

Michael H. Cohen, Esq., is Assistant Clinical Professor of Medicine at Harvard Medical School and Principal in the Law Offices of Michael H. Cohen.