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Societal Perceptions of Physicians

Societal Perceptions of Physicians COMMENTARY Knights, Knaves, or Pawns? and let them do their jobs as professionals and to seek Sachin H. Jain, MD, MBA and respect their advice when policy affects health of the Christine K. Cassel, MD public. Physicians as Knaves HE BRITISH ECONOMIST JULIAN LE GRAND SUG- gested that public policy is grounded in a concep- If a society conceives of physicians as knaves” then policy, tion of humans as “knights,” “knaves,” or “pawns.” management, and educational efforts are designed to com- THuman beings are motivated by virtue (knights)or bat and work against physicians, not with them. Physi- rigid self-interest (knaves)orare passivevictimsoftheircir- cians are interested in themselves and their financial well- cumstances (pawns). A society’s view of human motivation being first and their patients second, if at all. Physicians must influences whether it builds public policies that are permis- be given rewards and incentives to motivate them to what sive, punitive, or prescriptive. is right by their patients and any such schemes would have Le Grand’s observations were drawn from his studies of to be carefully monitored for abuse, fraud, and waste. Phy- British social welfare policy and civil servants but could aptly sicians learn new techniques and procedures and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Societal Perceptions of Physicians

JAMA , Volume 304 (9) – Sep 1, 2010

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Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2010.1250
pmid
20810381
Publisher site
See Article on Publisher Site

Abstract

COMMENTARY Knights, Knaves, or Pawns? and let them do their jobs as professionals and to seek Sachin H. Jain, MD, MBA and respect their advice when policy affects health of the Christine K. Cassel, MD public. Physicians as Knaves HE BRITISH ECONOMIST JULIAN LE GRAND SUG- gested that public policy is grounded in a concep- If a society conceives of physicians as knaves” then policy, tion of humans as “knights,” “knaves,” or “pawns.” management, and educational efforts are designed to com- THuman beings are motivated by virtue (knights)or bat and work against physicians, not with them. Physi- rigid self-interest (knaves)orare passivevictimsoftheircir- cians are interested in themselves and their financial well- cumstances (pawns). A society’s view of human motivation being first and their patients second, if at all. Physicians must influences whether it builds public policies that are permis- be given rewards and incentives to motivate them to what sive, punitive, or prescriptive. is right by their patients and any such schemes would have Le Grand’s observations were drawn from his studies of to be carefully monitored for abuse, fraud, and waste. Phy- British social welfare policy and civil servants but could aptly sicians learn new techniques and procedures and

Journal

JAMAAmerican Medical Association

Published: Sep 1, 2010

References