Addressing cost‐related nonadherence to oral anticancer medications through health policy reform: Challenges and opportunities

Shelley A. Jazowski; Stacie B. Dusetzina

doi:10.1002/cncr.32944

Addressing cost‐related nonadherence to oral anticancer medications through health policy reform: Challenges and opportunities

Cancer ◽

10.1002/cncr.32944 ◽

2020 ◽

Vol 126 (16) ◽

pp. 3613-3616

Author(s):

Shelley A. Jazowski ◽

Stacie B. Dusetzina

Keyword(s):

Health Policy ◽

Policy Reform ◽

Health Policy Reform ◽

Challenges And Opportunities

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Strains in the Fiduciary Metaphor: Divided Physician Loyalties and Obligations in a Changing Health Care System

American Journal of Law & Medicine ◽

10.1017/s009885880000633x ◽

1995 ◽

Vol 21 (2-3) ◽

pp. 241-258 ◽

Cited By ~ 8

Author(s):

Marc A. Rodwin

Keyword(s):

Health Care ◽

Health Policy ◽

Policy Reform ◽

Legal Problem ◽

Health Policy Reform ◽

Teacher Student ◽

Legal Concepts ◽

Legal Fictions ◽

Critical Limits ◽

Over Time

Owen Barfield, the British solicitor and literary scholar, reminds us that many legal concepts have their origin as metaphors and legal fictions. We often fail to see the nature of legal metaphors, Barfield argues, because over time they ossify and we read them literally rather than figuratively. Look closely at changes in law over time, Barfield advises us, to see how effectively metaphor works in law and language. Many legal categories and procedures we now use had their origin in using a metaphor that revealed a new way of looking at a problem or that helped solve a legal problem. Legal metaphors also help us to identify critical limits and strains in adapting to new facts and circumstances.George Annas has pointed out that our choice of metaphors for medicine can reframe our debates about health policy reform. And Analee and Thomas Beisecker remind us that patient-physician relations have been viewed through many metaphors. These include parent-child relations (paternalism); seller-purchaser transactions (consumerism); teacher-student learning (education); relations among partners or friends (partnership or friendship); or rational parties entering into negotiations or contracts (negotiation or rational contract).

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