How Pharmaceuticals Mask Health and Social Inequity.
How Pharmaceuticals Mask Health and Social Inequity.
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DOI：
10.1001/amajethics.2021.542
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发表时间：
2021-07-01
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药物，如同所有的干预措施一样，影响着医生看待疾病、提供医疗服务、定义成功治疗结果以及构建医疗保健系统的方式。药物使症状和生物药物靶点更加明显，却让患者个体及其社会痛苦变得不被看见，从而使我们的医学专业专注于不平等社会的细胞内效应。本文以精神药理学为切入点，来探究当代医学中一个更普遍的问题：生物医学叙事和治疗原理从临床实践到医学教育再到医疗保健财务的普遍影响。
Medications, like all interventions, shape the ways in which physicians see disease, provide care, define successful outcomes, and organize health care systems. Pharmaceuticals make symptoms and biological drug targets more visible while rendering individuals and their social suffering invisible, thereby focusing our profession on the intracellular effects of an unequal society. This article uses psychopharmacology as a probe to trace a more general problem within contemporary medicine: the pervasive influence of biomedical narratives and therapeutic rationales extending from clinical practice, to medical education, to health care finance.