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. 2022 Mar;19(1):109-116.
doi: 10.1007/s11673-022-10178-8.

An Archeology of Corruption in Medicine

Miles Little  1 , Wendy Lipworth  1 , Ian Kerridge  1
Affiliations

An Archeology of Corruption in Medicine

Miles Little et al. J Bioeth Inq. 2022 Mar.

Abstract

Corruption is a word used loosely to describe many kinds of action that people find distasteful. We prefer to reserve it for the intentional misuse of the good offices of an established social entity for private benefit, posing as fair trading. The currency of corruption is not always material or financial. Moral corruption is all too familiar within churches and other ostensibly beneficent institutions, and it happens within medicine and the pharmaceutical industries. Corrupt behavior reduces trust, costs money, causes injustice, and arouses anger. Yet it persists, despite all efforts since the beginnings of societies. People who act corruptly may lack conscience and empathy in the same way as those with some personality disorders. Finding ways to prevent corruption from contaminating beneficent organizations is therefore likely to be frustratingly difficult. Transparency and accountability may go some way, but the determined corruptor is unlikely to feel constrained by moral and reporting requirements of this kind. Punishment and redress are complicated issues, unlikely to satisfy victims and society at large. Both perhaps should deal in the same currency-material or social-in which the corrupt dealing took place.

Keywords: corruption; medicine; pharmaceutical companies; prevention; punishment; redress.

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References

Notes

    1. Blake J. Scientific institutions since the Renaissance: their role in medical research. Proceedings of the American Philosophical Society 1957;101(1):31–62.
    1. Hall MA, Dugan E, Zheng B, Mishra AK. Trust in physicians and medical institutions: What it is, can it be measured, and does it matter? The Millbank Quarterly 2001;79(4): 613–38.
    1. Meyerson DE. Interpretations of stress in institutions: the cultural production of ambiguity and burnout. Administrative Science Quarterly 1994;39(4):628–53.
    1. Tetlock PE. Losing our religion: on the precariousness of precise normative standards in complex accountability systems. In: Kramer RM, Neale MA, eds. Power and Influence in Organizations. Thousand Oaks, CA: Sage Publications; 1988:121–44.
    1. Campbell JL. Why would corporations behave in socially responsible ways? An institutional theory of corporate social responsibility. The Academy of Management Review 2007;32(3): 946–67.

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