David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medicine and Philosophy 17 (1):33-57 (1992)
has a wide range of options in choosing a health care system. Rational choice of a system depends on analysis and prioritization of the basis moral goals of equitable access to all citizens, the just sharing of financial costs between well and ill, respect for the values and choices of subscribers and patients, and efficiency in the delivery of costworthy care. These moral goals themselves, however, tell us little about what health care system the United States should have. Equitable access does not demand a level and scope of care for the poor equal to that rationally chosen by the middle class, and there are ways within mixed systems, though not easy ways, to achieve a fair distribution of costs between well and ill. Despite pluralistic systems' apparent advantage in allowing subscribers to choose their own forms of rationing, problems in translating serious long-term subscriber choices into actual medical practice may be greater in pluralistic than in unitary systems. Final choice of a system hinges primarily on peculiar historical facts about U.S. political culture, not on moral principle. Keywords: access to health care, autonomy, efficiency, equality, experience rating, national health insurance CiteULike Connotea Del.icio.us What's this?
|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
Myfanwy Davies & Glyn Elwyn (2008). Advocating Mandatory Patient 'Autonomy' in Healthcare: Adverse Reactions and Side Effects. [REVIEW] Health Care Analysis 16 (4):315-328.
Similar books and articles
Chan Ho-mun (1999). Free Choice, Equity, and Care: The Moral Foundations of Health Care. Journal of Medicine and Philosophy 24 (6):624 – 637.
John J. Polder & Henk Jochemsen (2000). Professional Autonomy in the Health Care System. Theoretical Medicine and Bioethics 21 (5):477-491.
Julia Mann Janosi (1992). Unhealthy Health Care Costs. Journal of Medicine and Philosophy 17 (1):7-19.
Ruud H. J. Ter Meulen (1995). Limiting Solidarity in the Netherlands: A Two-Tier System on the Way. Journal of Medicine and Philosophy 20 (6).
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.
Margaret P. Battin (1992). Dying in 559 Beds: Efficiency, 'Best Buys', and the Ethics of Standardization in National Health Care. Journal of Medicine and Philosophy 17 (1):59-77.
Laurence B. McCullough (1994). Should We Create a Health Care System in the United States? Journal of Medicine and Philosophy 19 (5):483-490.
Ren-Zong Qiu (1989). Equity and Public Health Care in China. Journal of Medicine and Philosophy 14 (3):283-287.
Robert A. Pearlman (1992). An Ethical Framework for Rationing Health Care. Journal of Medicine and Philosophy 17 (1):79-96.
Paul T. Menzel (2003). How Compatible Are Liberty and Equality in Structuring a Health Care System? Journal of Medicine and Philosophy 28 (3):281 – 306.
Added to index2010-08-22
Total downloads33 ( #121,506 of 1,907,063 )
Recent downloads (6 months)1 ( #468,221 of 1,907,063 )
How can I increase my downloads?