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Business Ethics and Health Care: A Stakeholder Perspective

Gilmartin, Mattia J.; Freeman, R. Edward

Health Care Management Review: April 2002 - Volume 27 - Issue 2 - p 52-65
The Forum

This article examines the recent controversy in health care delivery about whether it should be conceptualized as a business. The current debate implicitly appeals to a common understanding of business and business practices that is no longer very useful. This common notion, which the authors call "cowboy capitalism," conceptualizes business as a competitive jungle resting on self-interest and an urge for competition in order to survive. The authors suggest that stakeholder capitalism offers a more useful framework for the dialogue about health care reform.

Mattia J. Gilmartin, R.N., Ph.D., is Senior Research Program Manager, Healthcare Management Initiative, INSEAD.

R. Edward Freeman, Ph.D., is Olsson Professor of Business Administration and Director, Olsson Center for Applied Ethics, The Darden School, University of Virginia, Charlottesville.

Copyright © 2002 by Aspen Publishers, Inc.