Ordinary Medicine: Extraordinary Treatments, Longer Lives, and Where to Draw the Line
Sharon R. Kaufman is Chair of the Department of Anthropology, History and Social Medicine at the University of California, San Francisco. She is the author of …And a Time to Die: How American Hospitals Shape the End of Life.
Medicine’s Changing Means and Ends
This chapter shows how the press for new technologies in U.S. health care complicates the goals of medical practice in our aging society. It examines three types of treatment—the implantable cardiac defibrillator, kidney dialysis, and liver transplantation—to reveal how technological innovations and interventions become standard, necessary, logical, and rational. Analysis of those innovations shows which patients need them and what we come to want from them. Questions about how to measure successful treatment and what constitutes therapeutic benefit loom large here, and each patient’s story illustrates the quandary of determining how one should live in relation to the tools of...