David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Theoretical Medicine and Bioethics 10 (2) (1989)
Few in our society believe that access to health care should be determined primarily by ability to pay. We believe instead that society has an obligation to assure access to adequate health care for all. This is the view explicitly endorsed in the President's Commission Report Securing Access to Health Care. But there is an important moral ambiguity here, for this obligation may be construed as being either beneficence-based or justice-based. A beneficience-based construal would yield a much weaker obligation with respect to the distribution of health care. In the first section of this paper I argue that the President's Commission is committed only to this weaker construal of this obligation. In the second section I argue that such a beneficence-based obligation is really rooted in a libertarian conception of justice, similar to that recently articulated by Engelhardt, and that this conception is seriously flawed when it comes to effecting a just distribution of health care.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Craig Blinderman (2009). Palliative Care, Public Health and Justice: Setting Priorities in Resource Poor Countries. Developing World Bioethics 9 (3):105-110.
Edmund D. Pellegrino (1999). The Commodification of Medical and Health Care: The Moral Consequences of a Paradigm Shift From a Professional to a Market Ethic. Journal of Medicine and Philosophy 24 (3):243 – 266.
Dan W. Brock (2000). Broadening the Bioethics Agenda. Kennedy Institute of Ethics Journal 10 (1):21-38.
Ole Frithjof Norheim (2009). Implementing the Marmot Commission's Recommendations: Social Justice Requires a Solution to the Equity–Efficiency Trade-Off. Public Health Ethics 2 (1):53-58.
Nancy S. Jecker & Eric M. Meslin (1994). United States and Canadian Approaches to Justice in Health Care: A Comparative Analysis of Health Care Systems and Values. Theoretical Medicine and Bioethics 15 (2).
M. Cathleen Kaveny (1999). Commodifying the Polyvalent Good of Health Care. Journal of Medicine and Philosophy 24 (3):207 – 223.
Dan W. Brock (2001). Children's Rights to Health Care. Journal of Medicine and Philosophy 26 (2):163 – 177.
Reider K. Lie (1993). Methodological and Conceptual Issues in Health Care System Comparisons: Canada, Norway, and the United States. Journal of Medicine and Philosophy 18 (5):437-463.
Hans-Martin Sass (1983). Justice, Beneficence, or Common Sense?: The President's Commission's Report on Access to Health Care. Journal of Medicine and Philosophy 8 (4):381-388.
Leonard M. Fleck (1989). Just Health Care (II): Is Equality Too Much? Theoretical Medicine and Bioethics 10 (4).
Added to index2009-01-28
Total downloads14 ( #115,982 of 1,102,929 )
Recent downloads (6 months)1 ( #297,435 of 1,102,929 )
How can I increase my downloads?