David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medicine and Philosophy 33 (3):262-279 (2008)
This article presents various developments in Dutch health care policy toward a greater role for individual financial responsibility, such as cost-control measures, priority setting, rationing, and market reform. Instead of the collective responsibility that is characteristic of previous times, one can observe in government policies an increased emphasis on the need for individuals to take care of one’s own health and health care needs. Moreover, surveys point to decreasing levels of public support for “unlimited” solidarity and “irresponsible” health behavior. This article attempts to answer the question of how these policies and public attitudes are limiting the ethical principles of solidarity and equal access to care that have long guided Dutch health care policy making. The authors argue that from a moral point of view, the increased emphasis on individual responsibility is acceptable as long as it does not affect solidarity with those weak and vulnerable groups who are not able to take individual responsibility, such as the demented and mentally handicapped
|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
R. T. Meulen (2012). How 'Decent' Is a Decent Minimum of Health Care? Journal of Medicine and Philosophy 36 (6):612-623.
Ignaas Devisch (2012). Co-Responsibility: A New Horizon for Today's Health Care? [REVIEW] Health Care Analysis 20 (2):139-151.
D. Gunson (2009). Solidarity and the Universal Declaration on Bioethics and Human Rights. Journal of Medicine and Philosophy 34 (3):241-260.
Paul C. Snelling (2012). Saying Something Interesting About Responsibility for Health. Nursing Philosophy 13 (3):161-178.
Leonard M. Fleck (2012). Whoopie Pies, Supersized Fries. Cambridge Quarterly of Healthcare Ethics 21 (01):5-19.
Similar books and articles
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).
R. Ter Meulen & F. Jotterand (2008). Individual Responsibility and Solidarity in European Health Care: Further Down the Road to Two-Tier System of Health Care. Journal of Medicine and Philosophy 33 (3):191-197.
Gert Olthuis & Godelieve Heterevann (2003). Multicultural Health Care in Practice. Health Care Analysis 11 (3):199-206.
Helen Keasberry (1992). Equity and Solidarity: The Context of Health Care in the Netherlands. Journal of Medicine and Philosophy 17 (4):463-477.
Margo Trappenburg (2000). Lifestyle Solidarity in the Healthcare System. Health Care Analysis 8 (1):65-75.
Massimo Reichlin (2011). The Role of Solidarity in Social Responsibility for Health. Medicine, Health Care and Philosophy 14 (4):365-370.
R. S. Downie (1982). Collective Responsibility in Health Care. Journal of Medicine and Philosophy 7 (1):43-56.
Lisa H. Newton (1982). Collective Responsibility in Health Care. Journal of Medicine and Philosophy 7 (1):11-22.
Stefano Semplici (2011). Editorial for the Thematic Section “Social Responsibility and Health”. Medicine, Health Care and Philosophy 14 (4):353-354.
Shelley Morrisette, William D. Oberman, Allison D. Watts & Joseph B. Beck (2015). Health Care: A Brave New World. [REVIEW] Health Care Analysis 23 (1):88-105.
Nicola Pasini (2000). Solidarity and the Role of the State in Italian Health Care. Health Care Analysis 8 (4):341-354.
Candace Cummins Gauthier (2005). The Virtue of Moral Responsibility and the Obligations of Patients. Journal of Medicine and Philosophy 30 (2):153 – 166.
Wilfried Boroch (1995). Free Choice of Sickness Funds: Economic Implications and Ethical Aspects of the 1992 Health Care Reform in Germany. Journal of Medicine and Philosophy 20 (6):657-667.
Andre Vries (1980). Health Care Responsibility. Theoretical Medicine and Bioethics 1 (1):95-106.
Gert van der Wilt (1995). Towards a Two Tier Health System in the Netherlands: How to Put Theory Into Practice. Journal of Medicine and Philosophy 20 (6):617-630.
Added to index2010-09-14
Total downloads7 ( #212,321 of 1,679,372 )
Recent downloads (6 months)1 ( #182,933 of 1,679,372 )
How can I increase my downloads?