Do no harm: A defense of markets in healthcare [Book Review]

HEC Forum 22 (3):241-251 (2010)
Abstract
This paper argues that the rules that constitute a market protect autonomy and increase welfare in healthcare. Markets do the former through protecting rights to self-ownership and a cluster of rights that protect its exercise. Markets protect welfare by organizing and protecting trades. In contrast, prohibition destroys legitimate markets, giving rise to so-called black markets that harm both the autonomy and well-being of agents. For example, a fee-for-service medical system is a highly developed and specialized market. It is individuals working together, through the division of labor, to provide mutual insurance. This coordination, and the benefits it makes possible, is not possible without injunctions against harm. Prohibitions on harm are not mere ethical niceties, they are practice rules for both healthcare and markets. Placing the doctor within a healthcare market actually reinforces the doctor’s moral obligation, and the legal enforcement of that obligation, not to harm. Similarly, markets reinforce patient rights to self-determination through legal and institutional enforcement of the harm principle in the form of the protection of certain basic welfare rights to life, bodily integrity, property, trade, and contract. Since the establishment of markets protects agent autonomy and welfare, and prohibition directly harms the same, there are strong reasons for establishing markets to protect trade in precisely those areas where autonomy and well-being are most vulnerable to exploitation, for example, the trade in human kidneys
Keywords Healthcare  Markets  Black markets  Rights  Harm  Autonomy  Fraud  Kidneys
Categories (categorize this paper)
Options
 Save to my reading list
Follow the author(s)
My bibliography
Export citation
Find it on Scholar
Edit this record
Mark as duplicate
Revision history Request removal from index
 
Download options
PhilPapers Archive


Upload a copy of this paper     Check publisher's policy on self-archival     Papers currently archived: 12,095
External links
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

View all 10 references

Citations of this work BETA

No citations found.

Similar books and articles
Daniel M. Hausman (1989). Are Markets Morally Free Zones? Philosophy and Public Affairs 18 (4):317-333.
Nils Holtug (2002). The Harm Principle. Ethical Theory and Moral Practice 5 (4):357-389.
Karl Reinhard Kolmsee (2000). Philosophy at the Core of Economic Markets. Philosophy in the Contemporary World 7 (4):75-78.
Debra Satz (2008). The Moral Limits of Markets: The Case of Human Kidneys. Proceedings of the Aristotelian Society 108 (1pt3):269-288.
Robert E. Goodin (2006). Volenti Goes to Market. Journal of Ethics 10 (1-2):53 - 74.
Analytics

Monthly downloads

Added to index

2010-11-17

Total downloads

10 ( #154,226 of 1,102,037 )

Recent downloads (6 months)

1 ( #306,606 of 1,102,037 )

How can I increase my downloads?

My notes
Sign in to use this feature


Discussion
Start a new thread
Order:
There  are no threads in this forum
Nothing in this forum yet.