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 12 (1):63-84 (1987)
Economic competition threatens equity in the delivery of health care. This essay examines four of the various ways in which it does that: the reduction of charity care, increased patient cost-sharing, "cream-skimming" of healthy subscribers, and lack of information to patients about rationed care that is not prescribed. In all four cases, society must guard against distinct inequities and injustices, but also in all four, either the particular problem is not inherent in competition or, though inherent, it is not irremediable. Competition therefore cannot be finally morally accepted or rejected as an economic structure for delivering health care without knowing what among a wide range of supplementary things our society is actually going to do with it. Keywords: for-profit medicine, competition, patient-physician relationship, informed consent 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
No citations found.
Similar books and articles
Laurence B. McCullough (1994). Should We Create a Health Care System in the United States? Journal of Medicine and Philosophy 19 (5):483-490.
Paul T. Menzel (1992). Equality, Autonomy, and Efficiency: What Health Care System Should We Have? Journal of Medicine and Philosophy 17 (1):33-57.
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.
Tamas Angelus (1992). Consensus and Health Policy in Hungary. Journal of Medicine and Philosophy 17 (4):455-462.
E. Haavi Morreim (1994). Of Rescue and Responsibility: Learning to Live with Limits. Journal of Medicine and Philosophy 19 (5):455-470.
Daniel Callahan (2006). Medicine and the Market: Equity V. Choice. Johns Hopkins University Press.
Madison Powers (1997). Managed Care: How Economic Incentive Reforms Went Wrong. Kennedy Institute of Ethics Journal 7 (4):353-360.
Allen E. Buchanan (1987). The Profit Motive in Medicine. Journal of Medicine and Philosophy 12 (1):1-35.
Baruch A. Brody (1987). Justice and Competitive Markets. Journal of Medicine and Philosophy 12 (1):37-50.
George W. Rainbolt (1987). Competition and the Patient-Centered Ethic. Journal of Medicine and Philosophy 12 (1):85-99.
Added to index2010-08-16
Total downloads6 ( #461,511 of 1,796,209 )
Recent downloads (6 months)1 ( #468,533 of 1,796,209 )
How can I increase my downloads?