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 19 (5):455-470 (1994)
Universal access to health care is still a dream rather than a reality in the United States. This is partly because a rule of rescue, by impelling us to help people in need, urges us to ignore the limits of our health care policies wherever those limits would adversely affect a given individual. As the rule of rescue undermines whatever limits we set on health care entitlements, it can thwart the cost containment so essential to expanding access. Rather than accept unlimited expense, we have thus far declined to universalize health care. The situation is exacerbated by an economic insulation shielding patients and physicians from the costs of care, prompting both to regard health care as free, an unlimited right. To reverse this costly entitlement mentality and place reasonable limits on rescue, patients must exercise greater personal responsibility for the costs of their care by directly experiencing some of the economic consequences of their health care decisions. Several mechanisms are available to accomplish this goal without posing economic barriers to needed care or penalizing people for becoming ill. Keywords: Clinton health plan, rationing, rule of rescue 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
Matthew K. Wynia, Deborah Cummins, David Fleming, Kari Karsjens, Amber Orr, James Sabin, Inger Saphire-Bernstein & Renee Witlen (2004). Improving Fairness in Coverage Decisions: Performance Expectations for Quality Improvement. American Journal of Bioethics 4 (3):87-100.
Nancy S. Jecker (2015). Rethinking Rescue Medicine. American Journal of Bioethics 15 (2):12-18.
E. Haavi Morreim (2000). Quality of Life: Erosions and Opportunities Under Managed Care. Journal of Law, Medicine & Ethics 28 (2):144-158.
E. Haavi Morreim (2000). Quality of Life: Erosions and Opportunities Under Managed Care. Journal of Law, Medicine and Ethics 28 (2):144-158.
Similar books and articles
Stefano Semplici (2011). The Importance of 'Social Responsibility' in the Promotion of Health. Medicine, Health Care and Philosophy 14 (4):355-363.
Andre Vries (1980). Health Care Responsibility. Theoretical Medicine and Bioethics 1 (1):95-106.
Richard D. Lamm (1994). Rationing and the Clinton Health Plan. Journal of Medicine and Philosophy 19 (5):445-454.
Rosemarie Tong (1995). Towards a Just, Courageous, and Honest Resolution of the Futility Debate. Journal of Medicine and Philosophy 20 (2):165-189.
Linda M. Axtell-Thompson (2005). Consumer Directed Health Care: Ethical Limits to Choice and Responsibility. Journal of Medicine and Philosophy 30 (2):207 – 226.
Robert Emmet Moffit (1994). Personal Freedom and Responsibility: The Ethical Foundations of a Market-Based Health Care Reform. Journal of Medicine and Philosophy 19 (5):471-481.
Lisa H. Newton (1982). Collective Responsibility in Health Care. Journal of Medicine and Philosophy 7 (1):11-22.
Candace Cummins Gauthier (2005). The Virtue of Moral Responsibility and the Obligations of Patients. Journal of Medicine and Philosophy 30 (2):153 – 166.
Robert A. Pearlman (1992). An Ethical Framework for Rationing Health Care. Journal of Medicine and Philosophy 17 (1):79-96.
Julia Mann Janosi (1992). Unhealthy Health Care Costs. Journal of Medicine and Philosophy 17 (1):7-19.
Added to index2010-08-24
Total downloads9 ( #364,117 of 1,907,551 )
Recent downloads (6 months)1 ( #463,516 of 1,907,551 )
How can I increase my downloads?