David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medicine and Philosophy 28 (3):281 – 306 (2003)
In their normative role in shaping the basic structure of a health care system, liberty and equality are often thought to conflict so sharply that health policy is condemned to remain an ideological battleground. In this paper, I will articulate my own view of why much of the apparently fundamental conflict between individual liberty and responsibility, on the one hand, and equality and equality's related concern for cost-efficiency, on the other hand, is less intractable than it is usually assumed to be. The result will be to break the rigid and stereotypical association of liberty-emphasizing social philosophies with the pluralistic market paradigm for a health care system and egalitarian, equity-emphasizing social philosophies with the unitary public system paradigm. Understanding better the moral ingredients of liberty and equitable distribution as well as the complexity of how liberty and equality actually intersect in a health care system opens the door to seeing the possibility of significant reconciliation. I will conclude, among other things, that even semi-libertarian views of distributive justice should strongly embrace compulsory, universal coverage of health care for some significant level of care, and that egalitarian views ought not to regard different levels of coverage for people of different income levels as necessarily unjust.
|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
Dani Filc (2007). The Liberal Grounding of the Right to Health Care: An Egalitarian Critique. Theoria 54 (112):51-72.
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).
Lawrence Stern (1983). Opportunity and Health Care: Criticisms and Suggestions. Journal of Medicine and Philosophy 8 (4):339-361.
Laurence B. McCullough (1994). Should We Create a Health Care System in the United States? Journal of Medicine and Philosophy 19 (5):483-490.
Larry R. Churchill (1999). The United States Health Care System Under Managed Care: How the Commodification of Health Care Distorts Ethics and Threatens Equity. [REVIEW] Health Care Analysis 7 (4):393-411.
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 (1992). Equality, Autonomy, and Efficiency: What Health Care System Should We Have? Journal of Medicine and Philosophy 17 (1):33-57.
Benjamin Sachs (2008). The Liberty Principle and Universal Health Care. Kennedy Institute of Ethics Journal 18 (2):pp. 149-172.
Added to index2009-01-28
Total downloads32 ( #65,494 of 1,692,596 )
Recent downloads (6 months)1 ( #181,402 of 1,692,596 )
How can I increase my downloads?